the sciatic syndrome - Sciatica- Causes and Treatments: Savannah, GA. Jacksonville, FL.
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Sciatica- Causes and Treatments: Savannah, GA. Jacksonville, FL.

Sciatica is a type of pain typically experienced around the Sciatic nerve in the back. Characterized by slow pain or sharp jabs, Sciatica can nearly paralyze a human, pain experienced in the back, from neck al the way into legs can render a person incapable of performing regular functions such as walking or even sitting. Sciatica can be disgnosed with professional help, using medical history and simple tests to find intensity and origin of the pain. In some cases, simple exercises can improve the pain management. Simple exercises, along with keeping joints flexible (especially in case of mature people), can help with daily management. Anti-inflammatory painkiller helps. Studies have shown that non treatment of Sciatica makes it stay, and in most cases, get worse. Even through the patient may feel pain while walking and sitting, staying mobile is almost always better than resting or lying down. For chronic Sciatica pain, professional help can be sought and once the root cause diagnosed, appropriate treatment can help improve and rid the problem. Surgery, if needed, can help improve and relieve the pain as well as the cause.


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To figure out what exercise will be of most benefit, it is important to try to distinguish whether you have sciatica from a lumbar disc bulge /herniation, or whether you have a condition called "piriformis syndrome", which produces symptoms very similar to disc-related sciatica but is caused by contraction of the piriformis muscle in the buttock area.

This is a great opportunity to detail work up each vertebrae addressing side bends with rotations, and drift's of the thorax. The position of the vertebrae dictate's the direction of the drift. The ribs are directly affected by the asymmetry in the spine. The ribs are directly affected and acted upon by the position of the segments above and below one another. Make sure to work the x,y,z planes in the tissue of the IT band lateral line and continue to horizontalize the pelvis.

In most people, self care measures is usually recommended a sciatica treatment as this usually responds well. Continuing with your usual activities but avoiding the original factor that aggravated your sciatica pain in the first place will help you to heal more quickly. Even though it seems like a few days of bed rest may provide some relief, any more then this is not a good idea. Inactivity will make your symptoms worse over time. In addition to self care sciatica treatment, try some of the following: Cold Packs: Cold packs help to reduce inflammation and relieve some of the discomfort. In a clean towel, wrap an ice pack or a bag of frozen peas and apply to the affected areas for fifteen to twenty minutes four times per day. Hot Packs: After 48 hours have passed, apply heat to the affected areas. Warm packs or a heating pad on the lowest setting should help to alleviate some of the pain. Try to alternate warm and cold packs if you continue to have pain. Stretching: When stretching initially after your sciatica flare up, stick to passive stretching and avoid jerking motions including bouncing or twisting. Over The Counter Medication: There are two categories of pain killers. The first one only relieves pain. The second type of pain killer relieves pain as well as treats inflammation. These are called Nonsteroidal anti-inflammatory drugs. Products such as aspirin, ibuprofen and acetaminophen products such as Tylenol can help to relieve sciatica pain. These can provide real pain relief but there is a limit to how much pain can be controlled. This is known as the ceiling effect - exceeding the recommended dosage wont provide better results. Worse though is that these NSAIDS are known to cause side effects in some people such as nausea, stomach bleeding or ulcers. Acetaminophen has been known to cause liver problems if taken in excess. If you use these medications on a regular basis talk to you health care professional so that you can be monitored for problems associated with prolonged usage. If you are exercising, stretching or following another sciatica treatment program you should periodically re-evaluate if you still require these NSAIDS for pain management. Prescription Drugs: A muscle relaxant along with anti-inflammatory medications may be prescribed by your health care professional. In some cases of chronic pain anticonvulsant and tricyclic antidepressant drugs may also be prescribed. By blocking the pain messages being sent to your brain or enhancing the bodies production of endorphins, pain symptoms can sometimes be handled this way. Your bodies natural painkillers are called endorphins. Physical Therapy: Physical therapy can play an important part in your recovery from a herniated disk. When your condition improves your physical therapist can work with you to help design a rehabilitation program that will help you prevent the same injury in the future. Regular Exercise: When you injure yourself you think that movement or exercise would be counterproductive and all you want to do is just lay down and rest until the pain goes away. The truth is that regular exercise is the best way to combat many ailments, including chronic discomfort. When you exercise your body releases endorphins. Endorphins are the chemical that prevent pain signals from reaching your brain and can also help to fight against anxiety and depression. Your pain may be more difficult to control if you suffer from either depression or anxiety.

Sciatica exercises come in many different forms, but the last thing you need when you're in pain is to have to learn a complicated exercise routine. But using exercise to alleviate sciatica doesn't have to be difficult. Getting relief can be as simple as doing just one exercise and doing it frequently until such time as the pain is gone or at least much improved.

When the symptoms have subsided, it is extremely important to learn what sciatica exercises you can do to prevent the symptoms from returning in the future. Don't be fooled! Just because the symptoms go away, it doesn't mean that everything is back to normal. All too often, sciatica sufferers go from one episode of pain to the next, with episodes becoming more severe and more frequent over time, because they fail to manage the problem correctly so you can avoid the common problem of developing chronic pain and disability.

The main goals in the third-hour are to address structural relationships that limit the lateral line, Z dimension, and address associated rotations/counter rotations in the arms, legs, and torso. Develop a more balanced relationship between the shoulder girdle and thorax enabling it to move freely on ribcage and in lateral line by addressing the structures that shift the body anterior and posterior.

John Barton, Certified Rolfer & Rolfing-Fort WorthDallas-Austin-Arlington Denton-Texas-Oklahoma rolfmovement.com, certifiedrolfing.com, budokamp.com, certifiedrolfing.com, certifiedrolfing.com/Contact, certifiedrolfing.com/Rolfing, certifiedrolfing.com/FAQS, certifiedrolfing.com/Articles, certifiedrolfing.com/John,

Rolfing Ten Series session three completes what was initiated in the first-hour, defining the body in three-dimensional space (x,y,z). This session should allow the inhibited tissue in the sleeve to ease, and enable the work to transition to a deeper layer in the fourth session.

Whether you need the McKenzie extension exercise, or the piriformis stretch, or both, the sciatica exercises work best when repeated frequently - up to several times per day while you are having signficant symptoms.

 
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For piriformis syndrome, you can do a simple stretch of the piriformis muscle. I recommend you do this by lying on your back, pulling your knee on the painful side toward the same side shoulder for a few seconds, then partially releasing the leg and then pulling your knee toward the opposite shoulder. Hold this stretch for about 10 seconds at a time, then carefully release your leg for a a few seconds before repeating the stretch.

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The second test is to bend your leg to pull the knee toward your chest. Begin by first bringing the knee on the painful side toward the shoulder on the same side. Then release the leg slightly and pull the knee toward the opposite shoulder. If pulling the knee toward the opposite shoulder increases the pain significantly more than pulling it toward the same side shoulder, chance are you have piriformis syndrome. It should be noted that it is possible to have both true sciatica and piriformis syndrome at the same time.

The Certified Rolfing Ten Series has the ability to reduce pain and release tension in the connective and myofascial tissue of the body associated with TMJ, CTS, RLS, Fibromyalgia, Sciatica, Fascitis, Bunions, Scoliosis, and Cerebral Palsy. Fascial asymmetries can cause foot, leg, knee, hip, back, shoulder, neck, arm, hand, and head pain; integration therapy is necessary. Orthopedic, Chiropractic, Physical, and Massage Therapist recognize Rolfing and Rolf Movement as premium pain management utilizing Structural, Functional, and Postural Integration.

An easy method to help you determine what the problem is can be done by doing a couple of tests while sitting in a firm chair. In the sitting position, try straightening your knee on the painful side, so that your leg is parallel to the floor. If this increases your symptoms, chances are you have true sciatica related to a disc problem.

About the Author:

Dr. George Best has been treating patients with sciatica and piriformis syndrome in his San Antonio, Texas practice since 1992. To access his free E-book and his free video course on understanding and treating sciatica, go to http://www.sciaticaselfcare.com.

Differentiate the arms from the scapula and address inspiration/expiration issues and horizontals by resolving the structures that are associated with the primary tilt contributors. The thorax to pelvis relationship of freeing eleventh and twelfth ribs, Q.L. and thoraco lumbar fascia down to L4 must all be addressed in the third-hour. Tractioning on the clients arm while it is extended above their head in sideline exposes the spatial relationships of these segments. Work to further normalize side bends with rotations in the spine and the effect that it has on the ribs.

For true sciatica, most people will find relief through the basic McKenzie extension exercise (named for physical thearapist Robin McKenzie). This exercise is performed by lying face down on a firm surface and then propping yourself up on your elbows, creating an increase in the curve of the lower back. Getting into this position may be painful at first, but within about 30 seconds, most people will notice a decrease in the severity or the range of the sciatica, or both. A positive sign is when the symptoms furthest from the spine decrease.

Once you determine whether you have true sciatica or piriformis syndrome, or both, you can usually get considerable relief from just a single exercise for either condition (two exercises if you have both).

As long as the symptoms are decreasing furthest from the spine, the exercise described is beneficial, even if the symptoms closer to the spine seem to increase at first (they'll usually improve with repetition of the exercise over time). I suggest you remain in this position for a couple of minutes and then take a break by either just lying flat, or by getting up and walking for at least a few minutes in between the exercise repetitions in order to avoid developing a lot of tightness in the low back muscles.

Address the interosseous membrane of low leg by addressing the x,y,z planes in the tissue and the tibia fibular relationship. Seated back work in flexion and extension, and push reach with pelvic triangle awareness. The back work at MDH should lengthen front and back proportionately. The client should be seated on rami with cued direction of awareness, rolling forward into flexion (yield) and extending up (push). Pelvic lift, general neck work and lift at the sub occipitals to end.

The tissue can be navigated in the three planes of movement and dimension. The Frontal, sagital, and transverse planes are functional movement planes of potentials (x,y,z) that are usually inhibited because of asymmetries in the tissue and structure. The tissue in a similar manner has three primary planes of potential, it can lengthen, rotate, and flatten (x,y,z).

In most circumstances conservative sciatica treatment is tried for three to six months. When conservative sciatica treatment fails to alleviate your pain more aggressive sciatica treatment options are usually attempted. Epidural Steroid Injections: An injection of a corticosteroid medication to the affected area may be helpful in some instances. If taken in doses that exceed your natural levels, inflammation is suppressed relieving painful symptoms caused by the pressure of the inflammation. Most effective when used in conjunction with a sciatica treatment rehabilitation program. Because of the serious side effects that corticosteroid injections can cause, the number of injections you can receive in a year is usually limited to no more then three. Surgery: Surgery is most often a last resort and left until the compressed nerve causes significant weakness, loss of bowel or bladder control, or if the pain itself is progressing and conventional sciatica treatment is not working. Most often surgery is preformed as a sciatica treatment to remove a portion of a herniated disk that is pressing on a nerve. The goal is to preserve as mush of the normal anatomy as possible, leaving as much of the disk intact as possible.

Mary J. Vega

 
 
     
 
 





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