Reading and Tilehurst's Physiotherapy, Spinal and Sports Specialists

"Treating the cause to help you move pain free and perform better"

Tilehurst Clinic 4 Chapel Hill, RG31 5DG
Reading Clinic Sports Park, University of Reading, RG6 6UR

  

Booking Line: 0118 9310053 

 

 

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Sciatica or Trapped Nerve

Physiotherapy is a first line treatment for Sciatica, a condition that involes the trapping or irritation of the sciatic nerve.

  This is a big nerve that travels down the back of the thigh and into the foot. It originates in the lower lumbar nerve roots and passes through the pelvis, under (or through) the piriformis muscle and divides just above the knee before innervating the lower leg. Irritated nerves convey pain along the nerve length and this can be described as referred pain (Radicular). On a more profound level, compression of the nerve manifests in altered sensation, loss of sensation or pins and needles. Weakness and loss of reflexes may also be apparent if compression is sufficient.  Most sciatica cases recover within 6 weeks and treatment can optimise/hasten recovery.

Symptoms

Nerve pain is seldom serious, although it can be terribly painful.

Pain is ‘lancinating’ or 'knife' like

Pain can have a mind of its own

Pain may also be like a deep ache - like tooth ache.

The pain can be associated with movement on bending forwards or backwards

Nerve odeama can have a latent effect. ie – you go for a walk, feel better and then its agony later in the day.

Mornings and weight bearing through the leg can be painful.

Activity can be helpful be very helpful

Sitting or rest is often aggravating.

Loss of sensation

Pins and needles

Weakness in the foot or leg (MUST BE ASSESSED!!!)

 

Causes

Slipped disc, or ‘prolapsed disc’, disc matter leaks or pressurises the nerve.

Bony thickening around the joint where the nerve exits the spine (Stenosis).  

The piriformis muscle may spasm and can be a primary cause, altough rare.

Treatment

Mobilisation

Spinal Manipulation

Spinal Traction

Massage and myofascial release techniques

Exercise like McKenzie method

Nerve mobilisers where th nerve is moved inside the nerve bed (the tissues around the nerve).

Acupuncture /Dry needling / electroacupuncture

Medication

Injection

Surgery

 

Unsure if physio can help? Get in touch and ask the experts!