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Sciatica

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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.

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  • "Excellent work ethic and bed-side manner. He's not the type to give you heat/stim/roller bed and call it a day. Dr. Chris will really get in there and try to give you immediate relief. His ART techniques in particular are very effective. I highly recommend giving him a try for upper or lower back problems"
    -T.T.
  • "Dr. Chris Tosh is by far the best chiropractor I've seen. I've been to doctors with injuries from running and playing basketball and those doctors would just tell me to stop and give up on those activity without even trying to find a cure or help me out with my injury. Dr. Chris works with you with great care, patience and provide detailed information on the cause and the problem. His A.R.T. (Active Release Therapy) technical works well on many treatments from psoas issues to joint problems. He can also find any imbalance in your body that may have caused issues before running into injuries. This guy is the man to go to for sports related injury. Don't give up on what you're passionate about. Make an appointment and see what he can do for you. - Highly recommended."
    - Kevin C.