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Sciatica

Pain that radiates from your lower (lumbar) spine to your buttock and down the back of your leg is the hallmark of sciatica. Occasionally, sciatic pain in men is caused by sitting on a wallet.

The sciatic nerve is the longest nerve in your body. It runs from your pelvis, through your hip area and buttocks and down each leg. The sciatic nerve branches into smaller nerves as it travels down the legs providing feeling to your thighs, legs, and feet as well as controlling many of the muscles in your lower legs. The term sciatica refers to pain that radiates along the path of this nerve.

What Causes Sciatica?

Sciatica is actually a sign that you have an underlying problem putting pressure on a nerve in your lower back. The most common cause of this nerve compression is a bulging or herniated lumbar disc. Piriformis syndrome is another common cause of sciatica. The piriformis is a muscle that lies directly over the sciatic nerve. If this muscle becomes tight or if you have a spasm in this muscle, it puts pressure directly on the sciatic nerve. Occasionally, sciatic pain in men is caused by sitting on a wallet.

How Do I Know If I Have Sciatica?

Pain that radiates from your lower (lumbar) spine to your buttock and down the back of your leg is the hallmark of sciatica. Sciatica may be accompanied by numbness, tingling, and muscle weakness in the affected leg. This pain can vary widely, from a mild ache to a sharp, burning sensation or excruciating discomfort. Sometimes it may feel like a jolt or electric shock. Sciatic pain often starts gradually and intensifies over time. It’s likely to be worse when you sit, cough or sneeze.

How is Sciatica Treated?

The vast majority of the time, sciatic pain can be relieved through a combination of stretches, deep tissue massage of the piriformis muscle and chiropractic care. Occasionally, in cases where chronic spasm of the low back or piriformis muscles is causing the sciatic pain, it may be necessary to do a procedure called a trigger point injection, where a medical pain specialist injects a small amount of anesthetic directly into a spasmed muscle to break the spasm cycle. However, this is typically not necessary.

How Do Our Patients Feel About Us?
  • "I absolutely love getting adjusted by Dr. Hughes!!! The relief I feel instantly afterwards is incredible! Dr. Hughes is so caring and thoughtful, I really appreciate her, and her ability to ease my back and neck pain. The staff is always so nice, helpful and welcoming! Also, Jeannie Anderst, is really great at massages, I appreciate her help and kindness."

    - Sharon R.
  • "I’m so glad I chose Dr. Hughes for treatment. I felt better immediately and she is very good at what she does. We agreed to a modest treatment plan and there never any pressure to add anything unnecessary. Great experience."

    - Tim F.
  • "Dr. Hughes has helped me immensely with my pain and range of motion. I never though it would be possible to go about my day without some occurrence of neck or back pain and I’m happy to say that is not true!! I referred my sister and I would refer anyone else out there in need of a chiropractor!"

    - Annelise Z.
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