Sciatica pain comes from the large sciatic nerve which passes down through the buttocks, down the back of the thigh and then divides into other nerves in the low leg. There are many reasons as to why this nerve becomes inflamed but it may originate from the lower back. The sciatic nerve is formed in the mid to lower part of the back and comes out at various levels in the lower back. If the back has been injured or has undue stress on it then swelling and inflammation may occur and then may then place stress on the sciatic nerve leading to what many people called a pinched nerve. This can cause severe pain in the back and down the leg/s and pain can be quite debilitating.
It is certainly worth talking to your G.P about your concerns. Physiotherapists are trained to treat these type of conditions. Ensure that a full history of your back pain is taken as well as an intense assessment of posture, bio-mechanics and movements. A proper diagnosis cannot be given unless a full history and assessment has been done. Scans may or may not be needed. They are usually only needed if treatment has occurred without improvement. Manipulation should not occur without a full assessment of the spine.
Advice on home management is vital to ensure minimization of pain and enhance recovery. A regular home exercise regime with advice will encourage normal spinal movement and nerve function. Grange Physiotherapy therapists treat and given comprehensive home management. This is progressed and adjusted with improvement of symptoms. A written analysis of your diagnosis and treatment plan will be provided with recommendations. This may include further tests or referral to other specialists. You will be reassessed at each appointment so your progress is optimal. Full assessments occur at regular intervals. Should you need to start a supervised exercise program this will be suggested and implemented with your approval. Our focus is your recovery to full function in combination with your goals. While Sciatica may take some time to improve due to the sensitivity and healing ability of nerves, conservative treatment generally provides good results and surgery can usually be avoided.
