Tag Archive for: Sciatica Pain

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Piriformis Syndrome: A Real Pain in the Butt

Piriformis Syndrome: A Real Pain in the Butt

Are you noticing a dull ache or shooting pain in your glutes after standing, sitting, cycling, training or running? If so, piriformis syndrome may be to blame. Continue reading to learn more about piriformis syndrome, including what makes it a potential cause of sciatica and what you can do to treat it and relieve the pain. 

What is Piriformis Syndrome and What Causes It?

The piriformis muscle anatomy as it relates to piriformis syndrome.

Piriformis syndrome is a condition that, as the title of this article implies, causes pain in the buttocks. Piriformis syndrome is a term used to describe a condition affecting the piriformis muscle located deep within the middle posterior gluteal region (behind the gluteus maximus). The piriformis muscle is one (and arguably the most important) of the six lateral hip rotators. It is responsible for externally rotating your hip and upper thigh, abducting your hip when flexed, and stabilizing your sacroiliac joint. 

What causes it?

Piriformis syndrome is caused when the piriformis muscle spasms, compressing and irritating surrounding nerves and soft tissues (often including the sciatic nerve), resulting in pain, tingling and/or numbness in the buttock area, which can sometimes also be felt down the back of the upper and lower leg and foot. While the root cause of piriformis syndrome is not yet well understood, the sciatic nerve’s involvement may be due to anatomical anomalies and variations between each individual or, more commonly, due to soft tissue inflammation or muscle spasms/contractions that compress the sciatic nerve as a result of piriformis muscle tightness from muscle or postural imbalances.

A common cause of sciatica pain

The sciatic nerve’s proximity to the piriformis muscle makes it susceptible to compression and irritation caused by the muscle spasms related to piriformis syndrome. Therefore, when lumbar issues such as disk herniation are ruled out as a cause for sciatica pain, and buttock pain isn’t accompanied by lower back pain, piriformis syndrome is most likely the cause. 

Piriformis Syndrome Symptoms

The most common symptom of piriformis syndrome is a deep, dull ache, burning, shooting pain, and tingling and numbness that can be felt in the buttock (typically on one side of the body). The pain may also be felt down the back of the thigh, calf and foot and may be accompanied by a reduced range of motion in the hip flexors. 

Piriformis syndrome pain is typically most noticeable:

  • When walking uphill or taking the stairs
  • After sitting, driving, standing or cycling for extended periods
  • Following activities such as walking, long-distance running or strength training
  • After a traumatic injury, including collisions and falls
  • When flexing or rotating the hip and thigh inwards and outwards

The Good News

Surgical correction or steroid injections may be required in rare cases of piriformis syndrome (caused by anatomical anomalies or trauma). However, the good news is that most cases of piriformis syndrome can be successfully treated with the following interventions and rest:

Proper assessment and diagnoses 

After ruling out sciatic pain caused by spinal issues, your physiotherapist or health practitioner will use a series of movements to indicate whether or not the piriformis muscle is causing sciatic nerve compression and pain.

Tailored treatment

Treating piriformis syndrome typically requires physiotherapy to help stretch the piriformis muscle and improve hip mobility, posture and muscular conditioning. 

At-home maintenance and prevention

Following the stretches and exercises your physiotherapist gives you can help prevent the recurrence of pain caused by piriformis muscle tightness, spasms and nerve compression.

Treating Piriformis Syndrome and Sciatica Pain in Victoria, BC

Don’t ignore pain. Start the healing process today by booking your appointment with one of our expert physiotherapists. Call Diversified Health Clinic today at (250) 382-0018 or book an appointment online.

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Nerve Pain With Sciatica: What It Is and How We Approach Sciatic Treatment in Victoria BC

Nerve Pain With Sciatica and Sciatic Treatment Victoria BC

Ouch! Have you ever experienced a sharp, shooting, burning or pinching pain down your lower back, glutes, hamstrings or calves? Or how about a sudden and severe “electric jolt” like feeling following activity? While nerve pain with sciatica can be severe, it can also manifest as a mild, aching pain that seems to come and go. Some people experience sciatica as a weakness and numbness in the affected area. When nerve pain with sciatica becomes severe, it’s nearly impossible to ignore. When patients arrive at our clinic, it’s often because their sciatica pain is interfering with their ability to enjoy their usual activities, including work, rest, and recovery.

 First, What is Nerve Pain With Sciatica?

Nerve Pain With SciaticaSciatica is the term used to describe sciatic nerve pain. Nerve pain can occur anywhere in the body while sciatic nerve pain affects the lower back and lower, posterior extremities. This is because of how the sciatic nerve branches off your lower spine (just above your buttocks) before threading down through your glutes, hamstrings and calves. Sciatic nerve pain often occurs on one side of the body, or is markedly worse on one side of the body, and can arise from various physical triggers as outlined below.

Nerve pain with sciatica occurs when a nerve is pinched, which can be caused by a myriad of contributing factors, including:

  • Obesity
  • Inflammation
  • Poor posture
  • Chronically tight or strained muscles
  • Short and tight hip flexor and hamstring muscles
  • Spinal bone spurs and overgrowths
  • Herniated disc
  • Incorrect form during exercise
  • Occupational strain 
  • Following an accident or injury
  • Tumor growth
  • Complications of underlying diseases such as diabetes. 

Things You Can Do to Help Prevent Nerve Pain with Sciatica

You can help reduce your chances of developing pinched nerves by establishing good physical habits, including:

Regular Exercise & Stretching

Making time in your week for adequate fitness and activity with a focus on consistency, proper form, stretching, and sufficient recovery. If you’re new to a workout or activity, consider getting help from one of our physiotherapists to ensure you are performing each move with proper form to avoid pinching nerves or overstraining your spine. This is especially important if you have any pre-existing injuries. Everybody is different: An exercise that works fine for your friend, may not work as well for you, and gym and sports equipment should be adjusted to fit your specific body dynamics–this includes proper footwear!

Maintaining Good Posture

Be mindful of your posture while sitting, standing, lifting and otherwise exerting your body. This includes assessing the ergonomics of your seating and workstation arrangement. Subtle adjustments can make the difference between a happy body versus one riddled with muscle tightness, inflammation, nerve pain, and injury.

Adequate Rest and Recovery

Athletes know that adequate recovery is just as critical as being active, but rest is often the first thing people take for granted. Good recovery starts with knowing when your body needs rest and giving it the support it requires to repair itself and grow stronger. This includes steps such as good nutrition, icing, rolling, and massage to help reduce inflammation. It also includes how you sleep. 

Support While You Sleep

There’s a science to choosing the right pillow. Make sure your pillow has the right density and height, according to your preferred sleeping position. You want to maintain the natural curvature in your neck. It also helps to take the pressure off your lower back and hips by placing a rolled-up towel or pillow behind the crook of your knees (when laying on your back) or between your bent knees (when laying on your side). The idea is to keep your knees slightly bent in order to maintain a very slight natural curve in your lower back. This also helps to relax tight hip flexors, glutes, and hamstrings.

Supporting your spinal health during work, rest and sleep can be a pretty significant game-changer. A physiotherapist can demonstrate specific stretches and techniques you can use at work and at home to relieve nerve pain with sciatic and support your recovery. 

Pain Indicates It’s Time to Seek Treatment

Ignoring nerve pain is never a good idea. Consider that pain is your body’s way of communicating that something isn’t as it should be. Neglecting to address the pain and the cause of it can result in compounding complications or even permanent nerve damage. Being proactive is key. The good news is that sciatica pain can often be resolved with non-invasive treatments that target the root causes of pinched nerves and prevent the pain from coming back.

Relieving Nerve Pain with Sciatica: Sciatic Treatment  in Victoria, BC:

Because pain can be caused by a variety of factors that are unique to your situation, at Diversified Health Clinic, we take a comprehensive approach to treating nerve pain with sciatica. We start with a thorough initial consultation before tailoring a treatment plan for you that’s based on the specific causes of your pain. Your treatment plan may include one or more of the following treatments and will include tips on how you can maintain your results at home between appointments.

Depending on the cause and severity of sciatica and nerve pain, patients often start feeling relief after the first visit, which only gets better as the treatments progress. It brings us tremendous satisfaction to see our patients return to their favourite activities and lifestyles without the hindrance of pain and fatigue. Life is too precious to spend it in unnecessary pain, especially when effective treatments are within reach.

 If you suffer from the symptoms of nerve pain with sciatica, give our team of practitioners a call at Diversified Health Clinic today at (250) 382-0018 or book an appointment online. We’re happy to help answer your questions, address the cause of your pain and discomfort, and get you on the road to recovery.

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What is Sciatica, And How Do I Stop The Pain?

There are two types of categories of sciatic pain:

  • Acute sciatica (short-term) lasting 4-8 weeks.
  • Chronic sciatica (long term) lasting for 8 weeks or more.

The main symptom of sciatica is a shooting pain anywhere along the sciatic nerve. That can range from the lower back, through the buttock, and down the back of either leg. This pain can range from a mild ache to severe debilitating pain.

There are several reasons why someone might suffer from sciatic pain. This may be the result of something as simple as bad posture, muscle strain or spasm, a sports injury, car accident, being overweight, sleeping on a too soft mattress, or a simple sneeze, cough, bend, or lift, if you are out of shape and have a weak core. More seriously the sciatic pain maybe caused by a slipped disc in the back.

Pain from sciatica can change on a daily basis: it can be shooting, burning, sharp, dull, non-stop, or intermittent.  Many people complain of intense and acute pain, while others experience a numb and weak feeling in the parts of their leg where it hurts. This may sometimes indicate more serious neurological problems.

Your health care practitioner; chiropractor or physiotherapist can check the spine for areas of tenderness, and test for sensation, coordination, and muscle strength. Sciatica can be relieved by treating symptoms and any specific causes that exists, such as a slipped disc.

The healthcare practitioners at Diversified Health use manual therapy as well as numerous modalities, such as the Kennedy Spinal Decompression Table,  (provides relief to severe back pain sufferers by gently reducing the pressure within the spinal discs) Dry Needling, Laser therapy, and eToims Therapy, when treating Sciatica pain.

Moderate exercise will be recommended when pain is minimal, and when acute symptoms have lessened. Rehab therapy will be suggested to help strengthen abdominal and back muscles, which is important to prevent a return of these symptoms.

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Victoria clinic has the answer to Sciatica Pain

Sciatica is a pain that shoots along the sciatic nerve, radiating through the buttocks and down the back of the leg and a Victoria clinic has the answer to Sciatica Pain. Sciatica is caused by different types of pressure on the sciatic nerve in the lower back or buttocks. It can also be the result of damage to the nerve roots that feed into the sciatic nerve.

Victoria clinic has the answer to Sciatica Pain

Photo Credit: chirogeek.com

This may be the result of something as simple as bad posture, muscle strain or spasm, being overweight, or sleeping on a mattress that is too soft. More seriously, it can result from pressure exerted on the sciatic nerve or its nerve roots by a slipped disc in the back.

Pain from sciatica can change: it can be shooting or burning, sharp or dull, non-stop, or intermittent. Pain is usually only felt on one side of the body. Some people complain of intense and acute pain. Others experience a numb and weak feeling in the parts of their leg where it hurts. This may sometimes indicate more serious neurological problems. Sneezing, coughing, straining, bending, or lifting can make it worse.

Your chiropractor will check the spine for areas of tenderness, and test for sensation, coordination,  and muscle strength. Sciatica can be relieved by treating symptoms and any specific cause that exists, such as a slipped disc.  At Diversified Health Clinic,  the Kennedy Spinal Decompression table is the first choice in treating Sciatica pain.  Spinal Decompression provides relief to severe back and neck pain sufferers by gently reducing the pressure within spinal discs.

Moderate exercise will be recommended if pain is minimal, and when acute symptoms have lessened, rehab therapy  will be suggested to help strengthen abdominal and back muscles, which is important to prevent a return of  these symptoms. There are other things you can do in your day to day life to help your recovery; such as  sleeping on a firm mattress on your side or back with knees bent, and never sleep on your stomach.  Also sit in chairs that have firm back support and sit up straight against the back of the chair and adjust the height of chairs so your feet are flat on the floor and the knees are a little higher than the hips.

A Victoria clinic has the answer to Sciatica Pain; please call Dr. Krisjan Gustavson at Diversified Health Clinic for more information on Sciatica Pain.

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