HEALTH ADVICE

October 23, 2024

Treating Sciatic Nerve Pain with Osteopathy

By Laurie Melrose-DoeringOsteopath & Applied Kinesiologist

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Introduction

Lumbar radiculopathy, commonly known as sciatica, is a condition that manifests as pain, tingling, and numbness due to compression or irritation of the sciatic nerve. This condition typically affects one side of the body, causing discomfort in the buttock, back of the leg, and feet.

 

Sciatica can significantly impact daily activities, with symptoms ranging from moderate to severe pain, numbness, and difficulty in movement. Here, we explore the symptoms, causes, diagnosis, and various treatment options for sciatica, emphasising the clinical benefits of osteopathy.

Sciatica Symptoms

Sciatica symptoms include shooting, burning, or stabbing pains that typically affect the buttocks, back of the thigh, leg, and foot. This pain may be constant or intermittent, depending on the severity. Associated symptoms include tingling (pins & needles), numbness in the leg, weakness, and difficulty walking. Pain often worsens with prolonged sitting, standing, turning in bed, coughing, sneezing, and straining on the toilet.

Pain Locations

  • Common Pain Areas: Sciatica can occur without lower back pain, usually affecting one leg.

 

  • Other Pain Areas: Pain may also be felt on the front of the thigh or leg, the sole of the foot, and rarely in the web between the first and second toe.

NHS Sciatica Advice

Seek medical help if you have:

 

  • Sciatica on both sides.
  • Severe or worsening weakness or numbness in both legs.
  • Numbness around the genitals or anus.
  • Difficulty controlling urination or bowel movements.

 

These symptoms may indicate a more serious condition, cauda equina syndrome, which requires immediate attention.

Common Causes

  • Disc Herniation: The most common cause of sciatica, resulting from the herniation of the intervertebral disc compressing the sciatic nerve. This often occurs due to strenuous activities, heavy lifting, accidents, or trauma.

 

  • Other Causes:

 

  • Spinal Stenosis: Narrowing of the spinal canal, common in the elderly.
  • Spondylolisthesis: Vertebrae slipping forwards or backwards, compressing the sciatic nerve.
  • Spinal Trauma or Infection: Rare, but possible.
  • Piriformis Syndrome: Spasm of the piriformis muscle irritating the sciatic nerve.
  • Poor Posture: Prolonged incorrect sitting can irritate or compress the sciatic nerve.

Diagnosis

Manual therapists (osteopaths, physiotherapists, and chiropractors) can diagnose sciatica through patient history and physical examination. Imaging like X-rays or an MRI may be needed for a detailed assessment.

Treatment Options

  • Osteopathy: Osteopathy involves hands-on treatment to improve posture and movement, reducing pressure on the lower back and intervertebral discs. Techniques include muscular stretching, joint articulations, and gentle approaches like Cranial Osteopathy. Additionally, osteopaths may provide exercises, lifestyle advice, and nutrition advice to support recovery.

 

  • Medical Interventions:

 

  • Medications: Painkillers, anti-inflammatory medications, muscle relaxants, antidepressants, and anticonvulsants may be prescribed to manage symptoms.

 

  • Epidural Steroid Injections: These injections can provide temporary relief by reducing inflammation around the sciatic nerve.

 

  • Surgery: In severe cases, procedures like discectomy or laminectomy may be necessary to relieve nerve compression.

Home Treatment

Home treatment involves resting for the first 2 weeks, followed by light stretching and then bodyweight strengthening exercises. A structured rehabilitation plan advised by an osteopath is recommended to support recovery.

Nutrition

Staying hydrated with at least 8 glasses of water per day is crucial. Avoid caffeine, alcohol, fizzy drinks, and energy drinks. An anti-inflammatory diet can also help in managing symptoms and promoting recovery.

Heat vs. Ice

  • Heat: Recommended for encouraging blood flow and aiding healing.
  • Ice: Can reduce inflammation but is not recommended for long-term relief.

Conclusion

Sciatic nerve pain can be effectively managed through various treatments, including osteopathy, lifestyle adjustments, and medical interventions. Osteopathy, in particular, serves as a better option due to its holistic approach. It not only addresses the immediate symptoms through hands-on treatment but also improves overall posture and movement, thereby reducing pressure on the sciatic nerve.

 

Osteopaths provide tailored exercises, lifestyle advice, and nutrition advice, promoting a comprehensive recovery. Early diagnosis and a structured treatment plan with osteopathy can lead to optimal long-term relief and enhanced quality of life.

Comprehensive Sciatica Treatment at Aston Clinic London

At Aston Clinic London, our osteopaths are committed to providing comprehensive management and relief for sciatica pain. We develop personalised treatment plans focussing on individual needs, incorporating advanced hands-on techniques, structured exercise regimens, and targeted lifestyle advice to ensure a holistic approach to recovery.

 

Our team emphasises improving overall posture and movement, aiming to promote long-term relief and enhance quality of life through professional and dedicated osteopathic care.

 

To book a session with our practitioners, click here. Alternatively, you can contact us at 020 8942 3148 to learn how our treatments can benefit you.

 

Aston Clinic London is a third-generation complementary health clinic located in New Malden, serving Kingston, Norbiton, Wimbledon, Raynes Park, Surbiton, Chessington, Worcester Park, Sutton, Richmond, and other areas of southwest London and Surrey.

By Laurie Melrose-DoeringOsteopath & Applied Kinesiologist

References

 

 

 

  • NICE (2016b). “Low back pain and sciatica in over 16s: assessment and management.” National Institute for Health and Care Excellence. Available at: https://www.nice.org.uk/guidance/ng59

 

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