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Sciatic Pain

Sciatica
The term sciatica describes the symptoms of leg pain and possibly tingling, numbness or weakness that originates in the lower back and travels through the buttock and down the large sciatic nerve in the back of the leg.
Sciatica (pronounced sigh-at-ih-kah) is a symptom of an underlying medical condition – it is not a medical diagnosis in and of itself.
Sciatica is often characterized by one or more of the following symptoms:
- Constant pain in only one side of the buttock or leg (rarely can occur in both legs)
- Pain that is worse when sitting
- Burning or tingling down the leg (vs. a dull ache)
- Weakness, numbness or difficulty moving the leg or foot
- A constant pain on one side of the rear
- A sharp pain that may make it difficult to stand up or to walk
Sciatic pain can vary from infrequent and irritating to constant and incapacitating. Specific sciatica symptoms also vary widely in type, location and severity, depending upon the condition causing the sciatica. While symptoms can be very painful, it is rare that permanent sciatic nerve damage (tissue damage) will result.
Often, a particular event or injury does not cause sciatica, but rather the sciatic nerve pain tends to develop over time.
The vast majority of people who experience sciatica get better within a few weeks or months and find pain relief with non-surgical treatment. For others, however, sciatica pain from a pinched sciatic nerve can be severe and debilitating.
Piriformis Syndrome

Pain in the buttock that radiates down back of the leg is commonly called sciatica. Typically, sciatica results from irritation of the spinal nerves in or near the lumbar spine (usually from a disc herniation). Sometimes the nerve irritation/compression is not in the spine but further down the leg. One possible cause of true sciatic nerve pain is piriformis syndrome.
The piriformis muscle begins inside the pelvis. It runs from the sacrum, to the greater trochanter (bump of bone on the top side of your hip). The sciatic nerve runs under (and sometimes through) the piriformis muscle on its way out of the pelvis. The piriformis muscle can squeeze and irritate the sciatic nerve in this area, leading to the symptoms of sciatica.
Most cases of piriformis syndrome may be treated non-surgically. Treatment for piriformis syndrome focuses on trying to restore the normal pathway of the sciatic nerve through or around the muscle.
SI Joint Dysfunction
Dysfunction of the sacroiliac joint may cause low back and/or leg pain. The sacroiliac joint is the "chameleon" of the spine; SIJ dysfunction can mimic the pain caused by a number of other spinal structures (lumbar disc, nerve root, facet joint, or hip). The pain is typically felt on one side of the low back or buttocks, and can radiate down the leg. The pain usually remains above the knee, but at times pain can extend to the ankle or foot.
Treatment for sacroiliac joint dysfunction is usually non-surgical and focuses on trying to restore normal motion in the joint.
Treatment
If you are in severe acute pain, especially if you experience weakness in the leg, please see a medical doctor.
If you already have your diagnosis and would like us to assess your specific situation and devise a treatment plan, it may be best to book a free consultation with Lu Mueller-Kaul. For those interested in acupuncture treatment, you can book a consultation and try-out treatment with our acupuncturist, Michelle Alley.
If you’re seeking immediate treatment, you may find relief through a session with any of our therapists, all of whom have experience in dealing with sciatic pain.
Click here to schedule or call 407 704 8867.
Sources:
http://www.spine-health.com/conditions/sciatica/what-you-need-know-about-sciatica
http://www.vancouverspinedoctor.com/sacroiliac-joint-dysfunction.php
Video with useful stretches for sciatica: click!
