The Lamen
Sciatica refers to the pain caused by irritation, injury, or pinching of the sciatic nerve. The sciatic nerve is the longest and thickest nerve in the body, originating at the base of the spine and running down through your hips, buttocks, and legs.
While the term “sciatica” is often confused with general lower back pain, sciatic nerve pain is not exclusive to the back.
The main symptom of sciatica is stabbing pain along the sciatic nerve – from the lower back and the buttocks to either of the legs. Sciatica usually affects only one leg at a time, but it’s possible for sciatic nerve pain to occur in both legs.
Other common symptoms of sciatica include:
Sciatica is a relatively common condition, with a lifetime incidence of 10 to 40 percent. While it rarely occurs before the age of 20 (unless caused by trauma), it peaks in adults over 40 years of age.
Sciatic nerve pain can be caused by several different medical conditions, including:
Most cases of sciatica go away in less than 4 to 6 weeks without any medical therapy, and with no long-term complications. However, more severe cases may require a longer treatment and recovery.
If left unattended without taking any measure to relieve pressure off the sciatic nerve, it may lead to:
The cause of sciatica can often be located in the lower back or hips. In such cases, any gentle stretch that helps reduce some tension and pressure in the affected area can help in easing the condition.
Some of the best sciatica stretches are those that target the piriformis muscle.
A seated spinal stretch helps in improving the flexibility of your spine, relieving muscular tension, and improving circulation. The resulting spinal decompression helps in relieving any pinched nerves in the lower back.
The seated pigeon pose targets the muscle of the hips, buttocks, and lower back.
You should remember to listen to your body and not force yourself into the stretch. The seated butterfly stretch is great for your inner thighs and hips, which can remove any additional pressure from the nerves.
Keep in mind to not place excess strain on your back while bringing your knees towards your chest.
Remember to keep your core engaged and your body in a straight line as you lift and lower your hips. Glute bridges are great for strengthening your lower back and hips.
Keep in mind that you should not overexert yourself when bending forwards. This stretch loosens your hamstrings and helps with lower back pain.
If you want a deeper stretch, you can bend your torso and arms slightly towards your right (or left) while keeping your legs stationary.
A pelvic tilt is great for strengthening the muscles supporting your lower back, particularly your core.
To perform a pelvic tilt:
When you’re lifting your pelvis, remember to keep your abdominal muscles (core) engaged by breathing out.
Cat-cow, or Chakravakasana in Sanskrit, is one of the key yoga stretches for improving posture and relieving back pain.
Tightness in your hips and hamstrings often leads to a bad posture. A figure-four stretch can be an excellent way to loosen things up.
Most cases of sciatica resolve on their own without any serious treatment, lasting about a couple of months. However, the situation may not improve in serious cases unless the underlying condition is treated.
If a physician diagnoses you with sciatica, they will likely provide you with pain relief medication along with some techniques that could help relieve pain.
At-home therapy methods that can help relieve sciatica pain include:
Spinal surgery is typically not considered unless the situation is not improving with therapy and other treatment methods such as prescribed medications and spinal injections. The goal of the surgery is to remove any pressure on the sciatica nerves that are being pinched.
The common surgical methods used for treating sciatica include microdiscectomy and laminectomy. Microdiscectomy is a minimally invasive surgery that involves removing a small part of a herniated disc.
A laminectomy, on the other hand, involves removing part or all of the lamina to provide more room for the spinal nerves.
Most cases of sciatica go away on their own, with most cases of acute sciatica going away within 4 to 6 weeks. In more serious cases, however, the sciatica pain may become chronic, which could last for months.
You should seek medical help if you experience any of the following:
Most treatment methods involve managing sciatica without any invasive surgery, such as pain relief medications, stretching, and other forms of physical therapy.
Sciatica refers to a painful sensation in your lower back, buttocks, and legs that is caused when the sciatic nerve is pinched, irritated, or inflamed. The condition is typically self-relieving and can be managed with OTC pain medication and physical therapy.
In case you experience any serious symptoms of sciatica, a doctor might prescribe medication, spinal injections, or condition-specific physical therapy. Surgery is considered only in cases of severe pain or when the pain is accompanied by some other serious underlying condition.