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HEALTH NEWS

SCIATIC PAIN

BY JUNE GENTLE, D.C.

Chiropractic is a conservative approach to sciatic pain, which is one of the most common and irritating problems today.

The word sciatica stems from the sciatic nerve root bundle. This is the largest nerve in the human body, made up of two nerves, the common peroneal and the tibialis nerve. This nerve exits the spine in the low back and buttock regions through openings in the lumbar and in the sacrum on both sides.

One of the most common initial causes leading to sciatic pain is a misalignment of the spine or hip area called a subluxation. When misalignments occur, a sensory signal is generated from little alarms around the spine and hip area called proprioceptors. These sensory signals then travel to the brain and a motor response, meaning movement, is then sent back down the spine causing muscle spasms, which leads to pain and fatigue at the level of discomfort.

Misalignments can be caused by different factors such as bending, lifting, twisting, sneezing, strenuous exercise, sitting for long periods of time, lifting weights improperly, bad posture, obesity, congenital conditions, ergonomics at work, and bad body mechanics. All of these can possibly contribute to abnormal spinal curves which lead to instability throughout the spine.

Sciatic pain starts as low back pain, when ignored the pain can continue as neuralgia following the course of the sciatic nerve into the buttock, front and side of thigh, calf, and eventually into the feet. With muscle spasms, sprain-strain or possible disc herniation of the low back comes inflammation which also puts pressure on the sciatic nerve. Finally, the patient seeks help, one of the more conservative and less invasive treatments is chiropractic.

Sciatic pain is better treated with ice initially due to inflammation. This helps to push fluids away therefore, reducing pressure and pain. The most important part of the treatment is the chiropractic adjustment. As a doctor of chiropractic and a licensed massage therapist, deep massage work is incorporated into the treatment to reduce the muscle spasms.

As the treatment proceeds flexibility increases, muscle spasms decrease, and the radiating pain begins to recede from the feet. It may take a long time to get the neurological, skeletal, and muscular systems reeducated, put in proper alignment, and functioning normally.

After the patient has attained improvement, it is important to continue on a maintenance level and have your back adjusted regularly. If you keep your spine aligned, you have less chance of injury or recurring sciatic pain.

However, if after an extensive examination, x-rays, and treatment, the pain persists, the patient is then referred to a neurologist or orthopedist for further consultation.

For further questions concerning information or treatment , please contact Dr. June Gentle at (305) 668-3525, e-mail GentleJune@aol.com.


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