stories of sciatic problems - Avoid the Top 3 Sciatica Mistakes!
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Avoid the Top 3 Sciatica Mistakes!

Because of pain and a lack of understanding of their condition, sciatica sufferers may make some costly long-term mistakes when it comes to handling their problem.


As mentioned earlier, the symptoms of true sciatica are very similar to piriformis syndrome. Both cause pain, tingling, burning, "electrical shock" sensations, and/or numbness down the leg, often all the way to the foot. In addition, both sciatica and piriformis syndrome tend to be at least partially related to biomechanical functional problems in the joints of the back and pelvis and they may even be present simultaneously in the same person, so it an be difficult to tell them apart.


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 stories of sciatic problemsThe pain associated with sciatica is caused by the general compression or irritation of one of another of the five nerve roots that give rise to what is known as the sciatica nerve.?? The condition also be the result of the compression or irritation of the sciatica itself.

Non-surgical natural sciatica treatment must lessen your pain and protect you from sciatica symptoms. It has many forms like over-the-counter pain relievers, prescription non-steroidal anti-inflammatory drugs, warm and chilly packs, spinal injections, chiropractic care, physical therapy, and natural remedy supplements.

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The second mistake sciatica sufferers often make is returning to normal activities too quickly once symptoms improve. The vast majority of true sciatica cases are due to bulging or herniation of one or more discs in the lumbar spine, and the inflammation that typically is associated with such disc problems. In many cases, slight improvements in inflammation can result in dramatic symptom improvement. Many sciatica victims mistakenly believe they are back to normal as soon as they feel better, but the reality is that the bulging/herniated disc is far from fully healed, and too much exertion too soon can easily trigger a recurrence of symptoms - sometimes even more severe than they were to begin with. Even professional physical therapists sometimes make the mistake of pushing a patient to do too much too soon, with the result being a return or increase in sciatica symptoms.

The first mistake is rushing into a surgery. Although the vast majority of surgeons are not anxious to perform surgery on sciatica cases, there are a few who do recommend surgical treatment right from the start, and without even attempting any other type of treatment. Sciatica resolves in approximately 80% of cases without surgery. Even when surgery is successful initially, the development of scar tissue and abnormal mechanical stresses on the spine adjacent to the surgery often lead to future problems. Given that low back spine surgery overall has about a 50% long-term success rate and people treated surgically often wind up worse than they were prior to surgery, it should be reserved as a treatment of last resort.

First of all, you need to understand that sciatica is not a medical condition in and of itself.?? Many people wrongly conclude that sciatica itself is a diagnosis, a specific ailment.?? The fact is that sciatica is a set of symptoms that includes lower back pain and pain that radiates down the leg.?? For most people, the symptoms that make up sciatica are only experienced on one side of a person's body.

At times, pain in the lower back and gluteal region suggests sciatica and it does not suggest the root of the pain but just denotes a group of symptoms. Tiredness increases sciatica and it becomes terrible in the evening but improves in the morning. Sciatica can give birth to numbness in the affected parts of the body and it can also create problems with controlling the leg.

Two simple maneuvers will distinguish sciatica from piriformis syndrome in the majority of cases (when the problem is one versus the other and not both conditions at the same time). First, in a seated position, if one straightens the leg on the painful side (so that the leg is parallel to the floor), and the sciatica symptoms increase, this is usually a sign of true sciatic nerve irritation.

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Piriformis syndrome, also known as "pseudo-sciatica" (meaning "false sciatica"), is actually referral pain and other symptoms (tingling, numbness, etc.) caused by tightness and knots of contraction in the piriformis muscle, which runs from the upper femur bone to the edge of the sacrum, the triangular pelvic bone that is below the lumbar spine. The symptoms of piriformis syndrome are very similar and may be indistinguishable from true sciatica.

In addition to pain - which sometimes can be severe - sciatica includes other symptoms as well.?? The additional symptoms of sciatica are muscular weakness, difficulty in controlling or moving the leg and numbness.?? As with pain, typically these symptoms only will occur on one side of a person's body.

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The second maneuver is done in two parts. First, from the sitting position one bends the leg and pulls the knee on the painful side towards the same-side shoulder. In all but the most severe cases, there is usually no major increase in pain in this position. The second part of the maneuver is to pull the knee toward the opposite side shoulder. An increase in the sciatica-like symptoms is a strong indication of piriformis syndrome.

Because there are different causes for sciatica, different courses of treatment will be recommended depending on the circumstances.?? The fact is a great deal of research has been undertaken to develop effectives ways in which yo deal with and resolve sciatica. Sadly, although sciatica is a very common set of problems for people, extensive study has yet to reveal a truly effective course of treatment for sciatica.?? Research in regard to the causes and treatment of sciatica continues apace with the hope of coming to more reliable courses of treatment for people with this condition.

You might have a familiarity with terms like chiropractic or osteopathy if you face anything like pain or sciatica problem. Chiropractic is something that throws light on problems related to musculoskeletal system and nervous system and on its impact on the overall health condition. This aspect of health care interestingly denotes the inherent recuperative power of the body curing itself being devoid of any help of drugs or surgery. This natural treatment assumes the fact that if natural intelligence can develop one cell into a complex human being having billions of cells, it is also capable of curing the body provided it is devoid of any disorder in the nervous system.

 
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Fortunately, in most cases, sciatica can be managed effectively simply through an awareness of potentially damaging activities and positions and through simple exercises one can do at home. Long-term pain and disability are avoidable, if one makes the necessary effort to perform the necessary exercise regimen on a regular schedule and to avoid movements, activities, and postions that can be damaging to the discs of the spine, such as incorrect bending and lifting, and poor posture (especially sitting posture). Long-term problems can be avoided by putting forth just a small amount of effort to manage sciatica on an ongoing basis over time.

But since the most effective treatment for the two conditions varies signficantly, it is important to determine the correct diagnosis if at all possible. In most cases there is an easy way to distinguish between sciatica and piriformis syndrome.

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The exception to the rule of considering surgery as a last resort is in the rare case of severe neurological compromise known as "cauda equina syndrome", which may be indicated by a loss of bowel and/or bladder control, sudden severe weakness in one or both legs, and/or "saddle anaesthesia" (a loss of sensation in the lower buttocks and inner thighs). Except in the rare instance of cauda equina syndrome though, it is generally better to avoid surgery if possible.

A large amount of confusion and misunderstanding exists concerning the conditions sciatica and piriformis syndrome. There are some who insist that the two conditions are actually the same thing, but even though they can have symptoms that are very much alike, the underlying causes differ.

In some cases, piriformis syndrome may cause true sciatic nerve irritation, as the sciatic nerve may run underneath or even through the middle of the piriformis, so contraction of the piriformis may produce sufficient compression of the sciatic nerve to produce actual nerve symptoms. This is one of the main sources of confusion when it comes to distinguishing true sciatica from piriformis syndrome.

Low back and leg pain are conditions that people from all walks of life and from all over the world oftentimes complain of ... regularly.The fact is that lower back pain can be debilitating for many individuals.?? Commonly, sciatica is the source of lower back pain in an individual.?? Through this article you are provided an overview of the basics of sciatica.?? By understanding sciatica you will be in a better position to resolve the condition of sciatica should it impact your life.

Sciatica refers to irritation of the sciatic (often mis-spelled as syatic or psyatic) nerve, that arises from nerve roots in the lumbar spine. The most common cause of sciatic nerve irritation, or "true" sciatica is compression of one or more of its component nerve roots due to disc herniation or spinal degeneration in the lower lumbar region. Sciatica usually begins in the buttock area and, depending on the severity of the underlying nerve comression and inflammation, may extend down the entire leg to the ankle and foot.

If you feel that you might be afflicted with sciatica, it is important for you to obtain medical assistance sooner rather than later.?? By obtaining medical assistance promptly you will be in the best possible position in order to obtain a relief from the symptoms of sciatica, including pain.

Sciatica is something that refers to symptoms having pain either caused by general compression or irritation of one of five nerve roots giving birth to sciatic nerve, or by compression or irritation of the sciatic nerve. Either compression of lumbar nerves L4 or L5 or sacral nerves S1, S2 or S3, or rarely, compression of the sciatic nerve creates sciatica.

The third mistake people, including doctors, often make regarding sciatica is to view it as a condition that can be "cured". Because most people continue to engage in the activities that caused the underlying disc problems to develop that produced sciatica in the first place, the vast majority of sciatica sufferers will experience repeated episodes, usually becoming more severe and more frequent over time. This is due to the fact that the disc issues that initially produce the sciatica tend to grow worse over time if they are not managed appropriately. Once again, it is not safe to assume that a resolution of symptoms means that the problem has gone away. In fact, what happens in many cases is that the spine and discs gradually degenerate over time, making the person more and more susceptible to sciatica episodes. Eventually, the degeneration can become so severe that there really is no effective treatment, and many people are left with chronic, debilitating pain.

It is important to distinguish between sciatica and piriformis syndrome, because the treatment for the conditions varies, and getting the diagnosis right typically leads to more effective treatment.

About the Author:

Dr. George Best has been treating people with sciatica and piriformis syndrome since 1992. To receive a free ebook on Sciatica Exercises and a video information program on understanding and managing sciatica, visit his website at http://www.sciaticaselfcare.com .

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About the Author:

Dr. George Best is in private practice in San Antonio, Texas. For more information, check out Dr. Best's free e-book and online video course to assist in understanding and treating sciatica and piriformis syndrome, including in-depth instruction on sciatica exercises at http://www.SciaticaSelfCare.com .


Kimberly Griggs

 
 
     
 
 





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