Tuesday 26 April 2016

The Sports Doctor: Many suffer from sciatica

By Dr. Robert F Weiss

There are approximately 8 to 10 million Americans that suffer from sciatica, an irritation to the sciatic nerve. The symptoms include a shooting pain or, at times, a numb or tingling feeling starting at the hip and radiating down the thigh to the lower leg and to the foot.
It can prevent a good night's sleep as it is difficult to find a comfortable position and can end a sports program.
The prominent cause of sciatica is a structural weakness — a malalignment of bones or ligaments in the spine, resulting in exquisite and intractable pain. It may also be caused by a postural weakness — an overdevelopment of the back muscles and a weakness in the stomach muscles.
Another causative factor of sciatica is lowering of the arch by pushing off the foot in intensive workouts or pronation (rolling in of the foot) causing the leg to rotate inwardly creating a forward tilt of the pelvis, which in turn causes a cramp in the lower back.
This strain on the back results in a pull of the muscles around the hip which then creates a pressure on the sciatic nerve as it runs under the hip joint. A leg length differential may also cause a pelvic tilt resulting in sciatica.
Prevention and treatment of sciatica involves exercising and stretching of the muscles in the lower back and strengthening of the stomach muscles.
It is also important to use training shoes with good shock absorption and to avoid hill training or racing. It may also be necessary to consider orthotic foot inserts to control the excessive pronation which is causing the lower back and sciatic nerve pain.

http://www.westport-news.com/news/article/The-Sports-Doctor-Many-suffer-from-sciatica-7324508.php

Monday 25 April 2016

Sciatica....its so painful!

From Patient

Matron. Since I have had the bladder op I have had sciatica in my lower back and right bum cheek and right leg. Sometimes my right leg gives way and I have back pain especially when driving. My doc gave me codeine but I don't want to take them unless I have to. Also is it normal to have pain in the left lower abdominal area cos I also have diverticulitis as well! I am thinking of asking for some physio.....What do you think please...

The main cause of sciatica or back pain following prolapse surgery is due to the position you were put in for the operation. Your legs are placed in lithotomy poles to enable the surgeon to see what he's doing. That and the hard surface of the operating table do us no favours unfortunately. It's very possible that's the cause. What confuses ladies is that they don't initially complain of the pain straight away so they don't associate it with the operation. Another cause for the sciatica could be due to the internal sutures or possibly one suture tightening the sciatic nerve. The lower abdominal pain is likely to be due to the healing of the pelvic floor muscles. If you take codeine take paracetamol with it as it helps the codeine to work. You can also take an anti inflammatory as well. That would help reduce the inflammation of the sciatic nerve and you can take paracetamol with that as well.

Do you mean something like Ibuprofen Matron? What do you think about the physio option?

Yes ibuprofen. There is an exercise you can do yourself at home that will help the sciatica. Lie on your side at the edge of your bed, the opposite side to the painful leg. Hang the painful leg over the side of the bed and leave it there for a few seconds. Continue doing that increasing the time all the time. Do it for a couple of minutes a couple of times a day. It puts traction on the painful nerve. Physio can't do any harm either.

http://patient.info/forums/discuss/sciatica-its-so-painful--509415

Wednesday 20 April 2016

Lumbar Spondylosis and Sciatica - Two Poorly Understood Terms

By Amandeep Kaur

Low back pain is worldwide one of the biggest reasons of loss of work. Increasing sedentary lifestyle, lack of exercise, lack of awareness about normal physiologic posture and obesity has remarkably increased the prevalence of troublesome back pain. Back pain at one point or another affects everyone. However, back pain that is significant enough to cause loss of work, needs attention.
There are numerous causes of pain ranging from common muscle spasms, disc disease, to instability from weaknesses in ligaments or bony integrity. Covering different causes of back pain is beyond the scope of this article. The purpose of writing this is to explain the two terms used in common day parlance, lumbar spondylosis and sciatica.
Lumbar spondylosis is commonly implicated for low backache. Lumbar spondylosis is used to describe degenerative changes in the spine, that occur with age. More than 80% of adults over 40 years will have radiological changes of degeneration, but not all have back pain. Lumbar spondylosis is therefore not a disease, and does not require treatment. It is inevitable. However, normal degenerative process can be hastened due to obesity, lumbar disc surgery, abnormal posture, or conditions that increase stress on the spine. Keeping paraspinal muscles strong with regular exercise and controlling weight can slow down the degeneration process.
Another poorly understood term is sciatica. Sciatica has become synonymous with any leg pain. Sciatica is again not a disease, but a symptom. Sciatica is pain, numbness or tingling that occurs in the distribution of the sciatic nerve. The pain occurs in gluteal region, radiates down along back of thigh, and depending upon the nerve root involved may radiate to leg and foot as well. The specific area of leg pain represents the nerve root being compressed by the herniated disc, spinal stenosis, or degenerative listhesis. Let's suppose the L5 nerve root is compressed, the pain would be mostly in the distribution of the area supplied by the nerve carrying fibers from L5 level, that is numbness would be in the outer aspect of the leg and foot, and weakness would be in the foot and big toe. Similarly, if the L4 nerve root is compressed the pain would be on the inner aspect of leg, and weakness in the extensor muscles of the knee.Typical sciatica pain is sharp, shooting in nature and is aggravated by walking, turning, or climbing steps. The discomfort in legs may range from gnawing pain or deep ache, burning, tingling or numbness in the area of nerve distribution. So, sciatica is not a disease but just a symptom, or more specifically a type of pain caused by nerve compression.
The irony is not only these terms are poorly understood by the population at large, but also by most healthcare professionals. The real purpose is to educate all, about these two common terms. These two terms should not be used to misguide the patients, but rather specific diagnosis should be made and disease described to the patients.

http://ezinearticles.com/?Lumbar-Spondylosis-and-Sciatica---Two-Poorly-Understood-Terms&id=9333348

Wednesday 13 April 2016

Understanding Sciatica, What You Should Know

From Health News Digest

What is sciatica? Many have heard the term but don't understand how this painful condition is caused, diagnosed or treated, according to Praveen Kadimcherla, MD, an orthopedic spine surgeon at Atlantic Spine Center.
Sciatica isn't actually a medical condition at all, but a term used to describe symptoms stemming from the compression of the sciatic nerve in the lower back. But sciatica cases all have one thing in common: While pain begins in nerve roots located on either side of the lower spine, it radiates down the length of the leg - depending on the affected side - in a way that can be worse than back pain alone. Up to 80% of all adults are afflicted with lower back pain at some point in their lives, but sciatica accounts for only 5 to 10% of all lower back pain, according to the National Institutes of Health (NIH).
For that small number of affected individuals, however, the pain can be excruciating, says Dr. Kadimcherla, who is fellowship-trained in orthopedic and spine neurosurgery. "Some people compare the agony of sciatica to that of a toothache," he says. "It's not something that can or should be ignored. Sciatica should be looked at by a physician as soon as it develops."
Sciatica causes and symptoms
Some people are more prone to sciatica than others, including those older than 45; tall people; smokers; and those dealing with acute mental stress. Occupational risk factors include frequent lifting, especially while bending and twisting; and driving, especially that which vibrates the whole body (like driving large vehicles). But the pinched nerve causing sciatica pain can develop from several common back conditions, including: Bulging or herniated spinal discs, spinal stenosis (a narrowing of the spinal canal), scar tissue, spinal bone spurs. In addition to lower back pain that radiates to the buttocks, hamstring muscle, calf and foot, sciatica symptoms include tingling and numbness, Dr. Kadimcherla says, and not necessarily only on one side. "The radiating pain caused by sciatica can worsen with sitting, and the constant, sharp pain can affect standing or walking," he explains. "Patients may experience weakness or loss of movement in their leg or foot. Sciatica can be serious."
Tips on Diagnosing and treating sciatica
How can doctors tell if a patient has sciatica as opposed to another back problem? A common diagnostic test known as the straight leg raise is used to differentiate the condition from others. During the test, patients are asked to lay flat on their back with their legs extended straight in front of them. The physician will slowly raise each leg and note at what elevation a patient's pain begins. "This test helps your doctor determine where your sciatic nerve is being pinched and can help indicate the cause," Dr. Kadimcherla says. X-rays or imaging scans such as CTs or MRIs may also be used to pinpoint sciatica's cause once it's been diagnosed. Passive treatments for sciatica, such as bed rest, have largely been replaced by more active treatments in recent years. Conservative treatments are always attempted first, he says. They include: Ice or heat, Over-the-counter or prescription pain relievers or muscle relaxants, exercise and physical therapy Epidural spinal injections. These treatments usually prove very effective for sciatica pain, Dr. Kadimcherla says. But when they don't work - and pain is unremitting and prolonged - surgery may be used to correct the underlying condition causing sciatica. According to the NIH, about 30% of sciatica patients suffer long-term effects. "Surgery for sciatica is usually reserved for situations when the pinched nerve causes major problems, including significant muscle weakness, loss of bowel or bladder control, or severe pain that keeps getting worse," Dr. Kadimcherla says. "But for the vast majority of sciatica patients, the condition is temporary and easily treatable. Seeing a doctor promptly can make the difference."

http://www.healthnewsdigest.com/news/pain%20issues0/Understanding-Sciatica-What-You-Should-Know.shtml

Wednesday 6 April 2016

My way of getting rid of sciatica

From "Patient"

i did it by playing guitar sat down for 6 months, I was on zapain painkillers(just below morphine),every time I walked my feet went numb too. Anybody want more in depth info I will be glad to help.

http://patient.info/forums/discuss/my-way-of-getting-rid-of-sciatica-506259

Monday 4 April 2016

Jury Still Out on Epidural Injections for Sciatica

By Anthony Komaroff

DEAR DOCTOR K: I suffer from sciatica, which has caused a lot of pain over the past six month. My doctor has recommended epidural injections, but I hear that they have been disproven. Can you help me sort this out?
DEAR READER: Here's an answer I'm sure you'll find satisfying: It depends! It depends on what's causing the sciatica, and on which studies you believe.
Sciatica is a persistent aching or burning pain felt along the sciatic nerve. The two sciatic nerves are the longest nerves in the body. They run from the lower back down through the buttocks and into each of the lower legs. The pain of sciatica can be severe. It can go away on its own, but for many people, sciatica is a chronic condition that keeps coming back.
Sciatica occurs when the sciatic nerve is pinched, irritated or injured. Inflammation, arthritis or a displaced disk in the lower spine is often to blame.
Doctors commonly treat sciatica with epidural injections into the spine. (The word "epidural" refers to a particular area in the spine.) The injections contain a steroid, which reduces inflammation. The injections can also contain a long-lasting painkiller.
The different causes of sciatica may be one reason that studies come to different conclusions. If a person's sciatica is caused by inflammation rather than by arthritis, it may be more successfully treated by steroids -- since the main effect of steroids is to reduce inflammation.
The best kind of study for any treatment procedure, like an injection of medicines, is a randomized trial that includes a sham procedure. In this kind of study, every person gets an injection, but only some people, chosen at random, get an injection of the real medicine; the rest get just a placebo injected or nothing injected (a sham procedure).
Unfortunately, different randomized trials have come to different conclusions. What doctors do in such a situation is to pool the results of all the different studies to see if they collectively come to a clear conclusion.
Probably the best such study was published in 2012. These were patients like you -- as best I can tell from your letter. They all had been suffering from sciatica that was not going away with conservative treatment: exercises and mild painkillers. The conclusion of the study was that the epidural injections produced a small improvement in leg pain over the next three months. However, by one year later, there was no clear benefit -- sciatica was just as much a problem in those who received the epidural injections as those who did not.
Given the severity of your sciatica pain, it might be worth trying an epidural injection. But bear in mind that this treatment may offer only a small and short-lasting benefit.
Talk to your doctor about whether simpler treatments such as exercises, physical therapy, compresses, painkilling medicines, chiropractic manipulation, massage, yoga or acupuncture might be worth considering.

http://www.uexpress.com/ask-dr-k/2016/4/4/jury-still-out-on-epidural-injections

Sunday 3 April 2016

What Do You Need to Know About Spinal Decompression Therapy

By Rahul Shariff

Spinal decompression therapy can be used to treat various types of painful conditions that are associated with degenerative discs, disc herniation and posterior facet syndromes. The computerized traction device helps relieve the chronic pain by targeting the problem areas of the spine in a precise manner.
You may be surprised to know that most people suffer chronic back pain for weeks, months and even years before they seek treatment. Most of them opt for painkillers but these offer only temporary relief. The traditional treatment methods treat only the symptoms and not the causes due to which the pain and discomfort return to trouble you.
It is important that you choose a therapy or treatment that helps repair the misalignment and provide long lasting relief from the chronic pain. Spinal decompression therapy helps align the spine to its natural position and this can help in reducing and eliminating the chronic back pain.
What are the painful conditions that spinal decompression therapy can help?
Disc protrusion or bulge is a painful condition in which the outer layers of the disc put pressure on the nerves in the spine. This can cause acute pain. In disc herniaion the inner part of the disc pierce the outer part putting pressure on the nerves and causing inflammation.
Sciatica is a condition where misalignment of the spine and nerve pressure can cause pain in the legs. Pressure on the spinal cord can cause stenosis resulting in pain in both the arms and legs. All these painful conditions can be treated successfully by spinal decompression therapy and you may be able to see significant improvement within a few sessions.
Benefits of spinal decompression therapy
  • As the root cause of the chronic back pain is addressed in this therapy you may be able to get permanent relief from the pain instead of the temporary relief that you experience when you opt for traditional treatment methods.
  • As the spinal decompression therapy is non-surgical you may be able to start with your regular activities immediately after consulting the doctor. You do not need prolonged medication too. This makes it a very cost effective way to get rid of your chronic back pain. You may be able to avoid the complications of surgery when you opt for this treatment process.
  • The treatment is safe and painless and the gentle techniques that are used in the procedure may help promote healing by reducing pain. The therapy can also help strengthen the spine nerves and muscles and prevent injuries.

When opting for spinal decompression therapy it is important that you look at the experience of the chiropractor. When you choose a good chiropractor you may be able to ensure that your treatment is effective. The number of therapy sessions that you may need may vary depending on your specific condition.
Learn the many decompression exercises that are recommended by the chiropractor so that you are able to prevent misalignment of the spine. The exercises can help prevent injuries in the future by strengthening the spine.

http://ezinearticles.com/?What-Do-You-Need-to-Know-About-Spinal-Decompression-Therapy&id=9371730