Low back pain (LBP) can be localized to the low back area or it can radiate pain down the leg (sciatica). This distinction is important because LBP is often less complicated and carries a more favorable prognosis for complete recovery. In fact, a large part of the history and examination in treatment for back pain is focused on this differentiation. This article will look at the different types of leg pain that can occur with different LBP conditions.
Understanding Sciatica
Sciatica is used to describe LBP arising from the joints in the back, the sacroiliac joint, the muscles of the low back, and a pinched nerve. The term “sciatica” should ONLY be used when the sciatic nerve is pinched. The sciatic nerve is made up of five smaller nerves that include L4, L5, S1, S2, and S3. They arise from the spine and join together to form one large nerve called the sciatic nerve. Sciatica occurs when any one of the small nerves (L4-S3) or the sciatic nerve itself becomes compressed or irritated. This can be caused by a lumbar disk herniation, a mispositioned vertebra, pressure from an arthritic spur, or a tumor near or around the nerve. Direct trauma to the nerve like a bruise to the buttocks from falling can also trigger “sciatica.”
Symptoms and Treatment of Sciatica
The symptoms of sciatica include low back pain, buttocks pain, pain in the back of the thigh, calf or foot, and/or numbness-tingling. When the nerve is compressed, muscle weakness occurs making it hard to stand. Often this will create a limp when walking. Sharp pain can occur as the nerve is stretched or pinched. If pain shoots down your leg when you lift your leg between 30 and 70° this would mean you probably have sciatica. When a disk is herniated and pinches the nerve, you may find it feels better to bend your spine backward. During examination your doctor might have you walk on your toes and then heels and watching for foot drop. They will also test your muscle tone, the ability to feel sharp and dull objects, and your reflexes at the knee.
Conclusion
The GOOD NEWS is that chiropractic methods can resolve sciatic pain and help you avoid unnecessary surgery! So, check with your doctor of chiropractic FIRST, before electing for surgery!!! If you do not have chiropractor, consider us right here in North Dallas for your chiropractic care.
