As a chiropractor here in Plano, Texas, I often have patients who come in for treatment because of lower back pain, and some find that it's the sciatic nerve that's giving them the pain. Sciatica is commonly seen as a pain of the lower back which runs down from the back into the leg. This pain can be sharp, tingling and cause numbness of the lower back and leg. As part of my chiropractic care, I prescribe non-surgical methods to bring relief to my patients.
The sciatic nerve is the longest and widest single nerve in your body. It branches off at the base of the spine and runs down each side of your pelvic area, supplying nerve impulses to your butt, legs and feet. If you've ever experienced sciatica, you know how debilitating this pain can be. I've seen patients, who could barely walk, couldn't bend over, or even stand. There are a lot of things that can trigger problems with your sciatic nerve, poor posture when you sit, slip and fall on your butt, improper swing while playing golf, and the list goes on. For most of my patients, I recommend, certain exercise, lots of rest, and certain pain medication, while they recuperate. Usually you will be back to your normal self within 2-3 weeks. However, if your pain is still severe and continues beyond 2 months, it might be necessary to consider surgery as a last resolve. In this article I will focus on alternative methods to treat this condition and leave the surgery to those more qualified.
Chiropractic Treatments and Alternatives at Home
I immediately recommend heat packs and ice packs. Both can be used independently or combined at various intervals. If you do not have access to over the counter packs, please use ice in a Ziploc bag and heated towels or a heating pad. Both should be applied for 20 to 30 minutes and then repeated every 2-3 hours. This should bring relief until the patient can get in to my office.
Along with heat and ice, I suggest that you use Tylenol, Advil, ibuprofen, or naproxen to help reduce the pain. Another consideration if the pain is very acute is the use epidural steroid injections. These injections are different from the oral steroid medicines because the steroid is given directly to the injured area and should bring immediate relief from the pain, much quicker than meds or oral steroids. This must be administered by a qualified medical specialist, I do not provide this service but can recommend other medical professionals who do.
Alternative Chiropractic Treatment at my Office
Chiropractors sometimes suggest the need for exercise. This might sound counter productive, but very mild exercise along with the other treatments listed above, can help strengthen muscles of the lower back and your stomach muscles. To qualify the type of exercise I recommend, I prescribe simple stretching starting slowly and gradually increasing as you recover and also to prevent future recurrences of sciatica or other back pain.The equipment I've installed at my office is very effective in helping with the pain and if utilized correctly, will contribute to end of sciatic pain.
Other techniques for pain relief are spinal decompression, cold laser therapy, heat and cold applied with gentle massage therapy. I have patients who I see in my office that usually need a combination of the above techniques to resolve their sciatic pain. We use various forms of massage and cold laser to relax patient's muscles, improve blood flow, and most important, the release of endorphins in the body that act as natural pain relievers.
Last but not least, a highly effective technique for treatment that is being used more and more is acupuncture. Most people think of being a human pin cushion and even though the origins of this technique were developed by the Chinese, it is an approved procedure for back pain by the FDA. A qualified and trained acupuncturist can provide relief from back pain by simply using thin needles inserted in the area where you feel discomfort. Acupuncture focuses on the applied principle of harmonizing your body's flow of energy through various pathways in the body. There is no guarantee that this or any other combination of treatments will totally eliminate sciatica from recurring but if you follow the advice of your chiropractor and seek help early, you should prevent this from happening again in the future.
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