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An all too common health complaint.
The sciatic nerves are the largest (and longest) nerves of the body,
reaching about the size of your thumb in diameter, and running down
the back of each leg. When these nerves are irritated or affected by the
inflammation of nearby soft tissues, doctors refer to this as sciatica.
One of the most common causes of sciatic leg pain is the Vertebral
Subluxation Complex. It can be accompanied by the bulging or
herniation of the soft pulpy discs which separate each spinal bone.
This can irritate or put pressure on the sciatic nerve roots as they leave
the spinal cord. The result can be an intense pain shooting down either or both legs.
In the past, treatment has involved pain medications, muscle relaxers, physical
therapy, and even surgery. The chiropractic approach is to use carefully directed and
controlled pressure to remove the interference from spinal structures. These chiropractic
adjustments can be quite effective in reducing nerve irritation and its associated pain.
Sciatica, like other health problems that can be traced to the spine, often respond
dramatically to the restoration of normal spinal function through conservative
chiropractic care.
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Research shows that when treated with chiropractic adjustments, sciatica has an 8-9%
greater rate of recovery than if patients were to use therapy or standard medical care.
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The largest nerves of the body.
Pain is caused when the sciatic nerve roots are irritated, scraped, twisted, stretched or
pinched as they exit the spine. Causes of the impairment may be chemical, physical or
the emotional stress of everyday living. A full-blown sciatic flare-up can involve the
entire sciatic nerve path resulting in symptoms of lower back pain, burning, cramping or
numbness that radiates into the thighs, legs, ankles, feet and toes. Pain may also be
limited to various points along the nerve, such as the buttocks, knee area and calf.
THE CHIROPRACTIC LIFESTYLE
Chiropractors are experts in the care of the bones, nerves, muscles and connective
tissues that make up about 60% of your body. All of the joints in your body are part of
this musculo-skeletal system and its optimal function is necessary for overall good
health. Ask your Doctor of Chiropractic for more information about a care program that
may include specific spinal adjustments, exercise recommendations, nutritional advice
or other conservative methods of care based on your health history, age, current
condition and lifestyle.
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REFERENCES:
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Gray, H., 1827-1861, Grays Anatomy, Williams P., Worwick, R., Editors, 37th edition, Churchill Livingstone, 1989,
Reprinted 1993.
Kirkaldy-Willis, W., M.D., Managing Low Back Pain, 3rd edition, Churchill Livingstone, 1993.
Kur, F., Loh, C., Treatment of Lumbar Intervertebral Disc Protrusions by Manipulation, Clinical Orthopedics, 215-47, 1987.
Manelfe, C., M.D., Imaging of the Spine and Spinal Cord, Raven Press, 1992.
Memmler, R., M.D., Structure and Function of the Human Body, 5th edition, J.B. Lippincott Company, 1992.
Moore, K., The Developing Human: Clinically Oriented Embryology, 3rd edition, W.B. Saunders Company, 1982.
Nwuga, VCB: Relative Therapeutic Efficacy of Vertebral Manipulation and Conventional Treatment in Back Pain
Management, AM. Phys. Med., 61:273, 1982.
Shekelle, P.G., Adams A.H., Chassin, M.R, Hurwitz, E.L., and Brook, R.H. Spinal Manipulation for Low Back Pain. Ann
Intern Med 1992; 117:590-8.
Rothman, M.D. Simone, M.D., The Spine, 3rd edition, W.B. Saunders, 1992.
White, A.A., M.D. and Panjabi, M.M., Ph.D., Clinical Biomechanics of the Spine, 2nd edition, J.B. Lippincott Company,
1990.
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