The sciatic nerve is the largest peripheral nerve in the body and is a joining together of all the lumbar nerve roots. The sciatic nerve travels through the pelvis, down the back side of the leg all the way to the foot providing nerve innervation to muscle groups along the way. Sciatica is a condition where one or more of the lumbar nerve roots have been irritated, sending pain down the sciatic nerve or down the back of the leg.
Possible causes of sciatica are subluxation, disc herniation, disc bulge, disc protrusion, spinal degeneration, stenosis, bone spur formation just to name a few, which irritate one or more of the lumbar nerve roots. In rare instances the sciatic nerve passes through the pyriformis muscle which if in spasm will clamp down on the sciatic nerve causing sciatic pain.
There are instances where patients may have pain that mimics or appears to be sciatica. The most common would be decreased mobility in the sacroiliac joint. You can call it the SI joint for short. You have two sacroiliac joints. One on either side of the sacrum (your tail bone) where the sacrum meets the ileum. This is a mobile joint and as we walk the ileum bones move around the sacrum at the SI joints. There is also some slight movement at the pubic symphasis where the two ileum meet in the front. Checking the movement in these two joints is simple, but is many times overlooked. This can lead to improper treatment of sciatica type symptoms so should always be checked in th examination.
Sciatica responds well to chiropractic care in cases of minor bulging discs and subluxation. Sciatica caused by disc herniations or protrusions can be more difficult and may be better suited for spinal decompression.
Call the office now at 407-522-5858 to discuss the best possible solution for your sciatica.