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Can a Chiropractor help with Sciatica?

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작성자 Salvador
댓글 0건 조회 2회 작성일 25-01-12 11:52

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Since most of the causes are due to degenerative spine disease, the degeneration of spine does have some genetic component, so indirectly sciatica can have a genetic or hereditary component, but there are many more factors associated with sciatica which are not genetic-related and it may be difficult to define how much genetics can play a role in sciatica. Though short term of bed rest may help relieve pain, longer duration of bed rest causes deconditioning of the back and atrophy of the back muscles, which can lead to worsening of sciatica and back pain and poorer results. There are many mechanical devices that are available in the market, which can also be used for deep massage. The muscles on the back of the thigh are prone to spasms in patients who have sciatica. Typical patient will present with pain radiating down one leg along the back or the side of the thigh index. It is from the base of the lower back on both sides and runs through the pelvis along the back of the hip joint and thigh on both sides. The groin pain can usually be caused by hip joint problems or issues like inguinal hernia.


In patients who have a confusing picture due to underlying comorbidity or atypical presentation, nerve conduction study and electromyographic study can be done to further confirm or rule out sciatica. Sciatica can be worsened due to activity, prolonged standing, lifting, pushing and pulling things. Once the clinical diagnosis is made, confirmation can be done using x-rays and MRI. Occasionally patient may need a CT scan along with MRI also. Thorough history and examination by the physician as well as radiological examination in the form of x-rays and MRI may be needed to differentiate the two pains. Pain in the sole of the foot or on the dorsum of the foot involving either the outer toes or the inner toes may be related to sciatica on examination by the physician along with radiological examination may help find the cause of the pain. Occasionally, patients may have weakness in the toes or the ankle. Occasionally, sciatica may be associated with the trigger points in the muscles on the side of the back or even into the hip area.

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Sciatic pain can radiate along the back or the outer aspect of the hip and can sometimes be confused with a hip pain and itself. Deep massage of these trigger points can help decrease the pain and relieve the spasm. How to massage sciatica trigger points? Massage is one of the modalities of adjuvant therapy for sciatica can be helpful and can decrease pain by strengthening the muscles as well as stretching the nerves. Can sciatica cause muscle loss? In severe form of sciatica presenting with an emergency condition called cauda equina syndrome, in which there is severe compression with almost loss of all function of the nerve root, the patient may present with weakness of either or both lower extremities with or without involvement of bowel and bladder. Very rarely, patients may have tumor involving the sciatic nerve, which may have to be excised and may lead to sacrifice of the sciatic nerve; unless otherwise, the sciatic nerve is never removed due to its critical function. There may be risks due to the anesthesia also. There are multiple reasons for calf pain, one of the dreaded one is blood clots and should always be checked for sciatica.


It helps decrease the inflammation of the nerve there and thereby decreasing the pain and associated symptoms. Can the sciatica cause ankle pain? It can also be worsened due to arching the back or leaning backwards. True form of sciatica, due to compression of one nerve root may have isolated components of pain in the lower extremity. Heat is usually better in patients who have sciatica, though patients who are not relieved with heat should also try ice or occasionally rhythmic use of heat and ice, cyclic use of heat or ice may help better than one alone. What are the medication that can help sciatica? Discectomy involves surgery usually from the front, though it can also be performed from the back especially in the lower back and involves removal of the disc to remove the pressure from the front of the neural elements. Cervical spine foraminotomy is a minimal invasive surgery which is performed from the back of the neck for pinched nerve in the neck. History, physical examination, as well as special investigations like X-ray and MRI, are needed in order to discuss regarding options of minimal invasive spine surgery. TENS pads for sciatica nerve pain are usually placed on the lower back on the side of the pain..



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