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Sciatica Treatment by Physiotherapists

Physiotherapy Treatment of Sciatica by Jonathan Blood Smyth Sciatica results from a structure impinging on a lumbar nerve root, causing compression and/or inflammation enough to cause neurological changes in the skin, reflexes and muscles served by the affected nerve. Not a common syndrome, it is estimated that 3-5% of the population suffer this kind of problem at some time. It affects men and women equally with men most susceptible in their forties and women in their fifties.?? Up to a quarter have symptoms which last more than six weeks and referral to physiotherapists for acute management is routine.


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Having personally worked with hundreds of clients, Jesse has developed a no-nonsense approach to fitness and wellness that has helped people all over the world weed through all the weight-loss and fitness hype to discover what really works.

Most people would have been content with being a highly successful personal trainer and post-rehabilitation specialist with a thriving fitness business in the Greater Washington, D.C., area. But when Jesse saw that so many of the clients who came to him were suffering with lower back pain and sciatica, he made a decision that would not only change his life but the lives of millions of others - from Atlanta, Georgia, all the way to Queensland, Australia.

About the Author: Jesse Cannone Recognized as one of the top fitness trainers and natural health experts in the United States, Jesse Cannone has been helping people live healthier lives for more than a decade. He is an amazing example of how far passion, drive and determination can take you.

Modified behaviors - you can't do the things you used to do and you just have to live with it. Not such a nice way to live is it? When you used to run, walk the dog or swing from a trapeze now you can only sit on the couch and knit and even that helps.

For the service rendered by me in the field of Ayurveda, I have been awarded "KRRISHI RATNA AWARD" For the Year 2005, "AYURVEDA TAPASWI AWARD" For the Year 2006 & "VAIDYA RATNA AWARD" For the Year 2007. I am associated with TV9 a popular news channel in Telugu and spread the awareness towards Ayurveda in a Doctor-Patient Live interaction Programme called "MEET YOUR DOCTOR". Participated in many National & International seminar's. Published many articles related to 'Ayurveda and Panchakarma' in all the leading news papers like Deccan Chronicle, Hindu, Andhra Jyothi, Eenadu, Vaartha etc.

A discectomy is an invasive surgical procedure that removes herniated disc material that is protruding into the spinal canal and pressing upon nerve tissue. This pressure can cause numbness, weakness, tingling, or mild to severe pain in the back and leg.

Ask anyone living with sciatic pain what that means and you'll receive different answers. For some it means a few days each year with some mild discomfort, for others it means a life of chronic and often excruciating pain.

Physiotherapists use a variety of therapies to treat sciatica, with McKenzie technique being a mainstream technique for discogenic pains. Mobilisation and manipulation techniques, core stability work, myofascial release, specific exercises, manual techniques, soft tissue work and massage, analgesia, patient education, rest, the best position to relieve extreme sciatica pain and advice are all used as treatments. Most sufferers settle without investigation or surgery and a long term exercise programme is useful once the problem has settled.

The McKenzie technique works on pain centralisation, the tendency for pain to move towards the back from the legs, suggesting a disc problem, and many physios use this technique. Pain in the front of the thigh and over the knee can be referred from the hip joint, so the physiotherapist will assess the lower limb joints to check the diagnosis. A thorough examination informs the physiotherapist of the likely diagnosis and how they might treat the syndrome, or that the patient needs to be referred to a medical practitioner for a consultation and investigation.

The physiotherapist begins with postural observation of the patient which can show an inability to stand up or a thoracic shift to one side. Spinal movements are performed and the pattern of movement limitation noted, with a full neurological examination of the lower limbs. The physio is looking for deficits in muscle power, reflexes or feeling which are related to the specific nerve root involved. The straight leg raise may be performed to check the stretch reaction of the spinal nerve.

Click here to learn more about back pain and sciatica

Herniated Discs Bulging Discs ???????? ?????????????????? Degenerative Disc Disease ?????????????????? Sciatica Syndrome ?????????????????? Spondylosis (Cervical /Lumbar/ Ankylosing)

What Happens In A Discectomy? In a traditional discectomy -- often referred to as an open discectomy -- an incision is made in the patient's back over the herniated disc region. Muscle tissue around the herniated disc is removed and a retractor may be used to keep the muscle tissue and skin out of the way which gives the surgeon better access to the surgical area. In some cases, some of the vertebrae bone -- called the lamina -- may need to be removed to allow the surgeon better access to the disc. This procedure is called a laminectomy. Once the herniated disc fragments have been removed, the muscle tissue is put back and the surgical incision is closed with sutures.

Sciatica usually comes on quickly after an aggravating activity or posture, along with some back pain but this can go off when the leg pain starts. Sciatica is worsened by sneezing, sitting and coughing and is better lying down or standing. The pain is in the buttock and either down the back of the leg or the side and down into the foot. In 5% of cases the affected nerves are the first, second or third lumbar, which give front of thigh pain not beyond the knee. The full picture may sometimes not be present, with individuals describing discrete areas of pain such as the foot only.

For Appointments, Please Contact Dr. Kranthi R Vardhan, Chief Physician & Managing Director, The Kerala Ayurvedic Care, Sciatica & Spinal Research Institute, Basheerbagh, Hyderabad-29. Ph: 92461 66636 / 98666 66055 / 66101140 on all days from 8am - 8pm strictly with a prior appointment.

For the majority Living With Sciatic Pain often means: A life of pain relievers - anti-inflammatory medications, over the counter pain medications and prescription pain medications are not meant to be taken on a continuous basis and often cause more harm than good. Ulcer, IBS and other complications can arise from too many pain relievers.

Our commitment is To Improve the Quality of Life for those with Spine Disorders; To advance the understanding and Treatment of those conditions through Research, Prevention and Education; and To deliver the finest quality Spine Care in a Friendly and Compassionate Environment, Treating every patient with the same Care and Respect we would demand for ourselves.

Herniated Discs Here is a simplified explanation of what happens with a ruptured or herniated disc. The disc itself is kind of like a soft jelly-filled donut. The outer wall of the disc is called the annulus fibrosus and the inner part of the disc -- the jelly part -- is called the nucleus pulposus. When the outer part of the disc becomes weakened, it can tear and allow some of the inner nucleus pulposus to leak out. When this inner jelly presses on the surrounding nerve tissue it can weakness, tingling and pain in the back and legs.

Dealing with the pain - this is the course of action that most people decide to take. "I'll just deal with it." When the alternatives are surgery and stretching exercises which don't really seem to work, and in fact make the pain worse sometimes, it doesn't leave a person living with sciatic pain with much hope.

Discectomy surgery is a common treatment for herniated or ruptured discs of the lumbar spine and may be used for back pain sufferers who have not responded to traditional non-surgical treatments such as anti-inflammatory medication, physical therapy, traction, spinal decompression, and epidural steroid injections.

 
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This article is not meant to replace the advice of your personal health care provider. Be sure to consult with your physician to explore all your back pain treatment options before taking any medical course of action.

As a result, the patient can experience less pain and a quicker recovery. Not all patients are able undergo discectomies or microdiscectomies. A lot has to do with the particular nature of the patient's herniated disc.

Today, you may not have to live with that pain anymore. We at THE KERALA AYURVEDIC CARE, SCIATICA & SPINAL RESEARCH INSTITUTE, Basheerbagh, Hyderabad have successfully Treated Lower Back Pain resulting from herniated, bulging, or degenerative discs. Our Meru Chikitsa (Ayurveda Neuro Therapy) enables patients to return to more active lifestyles.

We are dedicated to improving the health and function of our patients by combining Traditional Ayurveda Panchakarma Chikitsa with modern technology to deliver an unprecedented level of service. Till to date we have treated more than 33000 patients with Spinal conditions like: ????

If pain relievers aren't an option, surgery, steroids, and basic stretches aren't an option and just don't seem to work anyway, what is a sciatica sufferer supposed to do?

If you or someone you know has been living with sciatic pain, stop. Take action. You don't have to rely on doctors and therapists who only know to treat the symptoms. Find balance and stop your sciatica pain today. Start with simple sciatica stretch and continue to learn more about the condition and how to treat it

In the past, a patient suffering from Disc problems may have been prescribed Pain killers / Medications, Instructed to refrain from physical activities, referred for Physiotherapy, received Steroidal Shots or Injections, and when they weren't progressing, they were sent for Spinal Surgery. Frankly speaking only 5% of Back pains require Surgeries, the other 95% can be dealt with Conservative & Curative Ayurveda Panchakarma Chikitsa.

The great forces which we impose on the low back mean the lumbar intervertebral discs suffer structural changes and prolapses. Many activities involve a significant level of leverage, such as flexing over, performing movements in an upright position and lifting with the arms away from the body. This greatly magnifies the forces on the discs and due to their fluid mechanics they suffer 3-5 times the loads on the skeleton. This can cause the disc walls to degenerate, giving weak areas and predisposing to prolapse at some time.

Rather than live with sciatic pain, consider seeking a therapist which can diagnose the cause of your sciatica and treat your whole body rather than the symptom. A well balanced and structured muscle system will provide your body the support it needs. Balanced muscles mean your body has the ability to compensate when you push it hard, make an unusual movement or are injured.

Microdiscectomy Alternative A newer, less invasive form of discectomy is also now available. This procedure is called a microdiscectomy and uses special magnifying and muscle-spreading instruments to allow the surgeon to view and operate on the herniated disc region. The surgeon can then perform the procedure through a smaller incision and cause less damage to the surrounding muscle and tissue.

Take great care and avoid straining that delicate structure called the 'Spine'. About the Author: I, Dr. KRANTHI VARDHAN RENUKUNTLA, am an Ayurvedic Doctor Practising in Hyderabad. My Qualification is B.A.M.S; M.S.( Counseling & Psychotherapy). I Have my own 'Speciality Panchakarma Centre' named "THE KERALA AYURVEDIC CARE" @ 3-6-101/1, st no: 19, Basheerbagh, Hyderabad, Andhra Pradesh, India. Established in the year 1999, recently we have celebrated 9th anniversery of our institute. We Treat all the Chronic Ailments with AYURVEDA-which is considered to be the "MOTHER OF ALL SCIENCES".

The decision was to focus all his attention on helping the millions of people who struggle with back pain, neck pain and sciatica. Then, with the help of massage therapist Steve Hefferon and a hand-picked board of medical advisors, he created the world's first self-assessment and self-treatment program for back pain and sciatica sufferers. The system, which is called Lose The Back Pain??, has proven extremely effective and over 35,000 copies have already been sold in 85 countries.

Before being considered for either type of surgery, the doctor will typically have an imaging study performed such as an MRI (magnetic resonance imaging) or a CT (computed tomography) scan in order to help diagnose the specific cause of the problem. Discectomy and microdiscectomy procedures are normally done in a hospital under general anesthesia. In some cases discectomy can be performed in an outpatient surgical center.

A thorough history performed by the physio will uncover any red flags, an indication of a possibly serious underlying medical condition responsible for the pain. Loss of weight or appetite, severe pain at night, a history of cancer, unwellness or fever, bowel or bladder control difficulties, young or older patients, all these things ring warning bells and the physio will refer the patient on to a medical specialist for evaluation. The location, nature and response to activities and postures of the pain will be noted by the physiotherapist.

About the Author:

Jonathan Blood Smyth is a Superintendent Physiotherapist at an NHS hospital in the South-West of the UK. He specialises in orthopaedic conditions and looking after joint replacements as well as managing chronic pain. Visit the website he edits if you are looking for physiotherapists in Manchester.

Variations of sciatic pain Living with sciatic pain may be fine if you have mild symptoms like occasional tingling or a dull ache down one leg however if you have more severe symptoms like:

- Shooting pain in your low back or hip - Numbness in your leg, hip or buttocks - Burning sensation in your leg, hip or buttocks Then living with sciatic pain isn't an option. It can keep you up at night and forget sitting still at a movie theater or enjoying a meal at the table with your family. Often not moving makes the pain worse so people suffering from sciatic pain are constantly needing to get up and move around.

Disc prolapse can result in the internal nuclear material being extruded past the outer disc wall, physically compressing the nerve root which runs nearby. The nuclear material is also chemically irritating to the nerve structure and these irritants make the nerve and nearby structures swell, partly blocking the local circulation and the nerve's message transmission. Disc prolapse is typically the cause of proper sciatica but the size of the prolapse is not closely related to the amount of pain the person suffers.

About the Author:

For more information on discectomy alternatives see DRX9000 spinal decompression for sciatica at http://www.drx9000-spinal-decompression.com, a popular site with free info on the DRX9000 and other back pain treatments.


Kimberly Griggs

 
 
     
 
 





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