Sciatica

A pain in the back , neck or buttock that radiates to the leg or arm

Sciatica Diagnosis, Causes & Treatment in Indiaca

Sciatica Symptoms

Sciatica is quite common and affects almost 40% of adults. Sciatica pain traverses through the sciatic nerve, that starts in your lower back and extends to run through your hips, buttocks, legs, and feet on both the sides. This is the most distinctive sign of sciatica pain. The nerve pain primarily occurs due to irritation of the sciatic nerve. A proper sciatica diagnosis and the best sciatica treatment is all that you need to lead a pain-free life.

Before knowing about sciatica treatment, one needs to understand that no two sciatic pain episodes are similar as they range from annoying dull pain to excruciating pain. The sciatic pain is generally felt more severely in your leg than your lower back.

The symptoms of sciatica are as follows: -

  • Calf pain – pain that stretches down the lower leg and back of the knee.
  • Lower back pain running down the leg
  • A pull sensation from your lower back to buttocks and thigh, that further extends from calf to the foot.
  • A pain in your butt or leg that worsens while prolonged sitting
  • Numbness in your leg or foot
  • Tingling sensation in your extremity (lower body)
  • Persistent pain on one side of your butt
  • Muscle weakness in the distressful leg or foot
  • Shooting pain down the leg which makes it tough to stand up or extend the knee
  • Pain in one part of the leg while numbness in another part
  • A sensation of pins and needles only in toes or feet

Early Symptoms Of Sciatica

Sciatica starts in the back. However, occasionally, pain may start at the hip or knee; which may not look like sciatica. You may feel isolated symptoms like feet numbness, knee pain, buttock pain, tingling, etc. After prolonged sitting, when the person gets up, they tend to hunch forward. 

Mostly, the condition starts as back pain and when the nerve gets compressed more, and if the back pain is left untreated then it can progress to sciatica.

  • Professional diagnosis required
  • Chronic, can last for years
  • Treatable with 4 weeks of QI Spine Therapy

Sciatica Causes

The most common sciatica cause is a herniated disc (or slipped disc) or a pinched nerve. Due to injury or trauma, the vertebra may slip forward or discs may weaken over time and as a consequence, the nerves get compressed. However, it is often the gradual outcome of bending, sitting for several years.

Let’s know in detail about Sciatica causes. It can be caused due to different conditions listed below: -

  • Herniated or slipped disc – Discs are the cushions between each vertebra of the spine and pressure from them can cause the disc to bulge out, which applies pressure on the sciatic nerve.
  • Deconditioned or weak spinal muscles.
  • Spinal stenosis – abnormal narrowing of spinal canal i.e. the part of the spine where the nerve passes through, that pinches the sciatic nerve roots as they exit the spine.
  • Spondylolisthesis – when one of the vertebrae in your spine slips out of position, narrowing the opening through which the nerve exits.
  • Degenerative spine - wear and tear of spine structures which may irritate the sciatic nerve.
  • Piriformis syndrome – an uncommon neuromuscular condition that happens when the piriformis muscle becomes tight, puts pressure, and irritates the sciatic nerve.
  • Back injury
  • During or post-pregnancy
  • Lifestyle factors such as wearing high heels frequently, obesity, professions that demand prolonged sitting or repetitive bending and lifting.
  • Professional diagnosis required
  • Chronic, can last for years
  • Treatable with 4 weeks of QI Spine Therapy

Sciatica Treatment

There are several methods for sciatica treatment. You could follow a few home remedies as a part of sciatica pain treatment to reduce sciatica pain, which are mentioned below: -

  • Ice or heat therapy – Applying ice or giving cold treatment to the affected area reduces the inflammation. Heat application to the affected area promotes blood flow and relaxes your muscles.
  • Gentle stretches and strengthening exercises – Start gentle exercises once your acute pain subsides. Exercises help to strengthen the muscles that support your back and also improves your flexibility. Stretching exercises will help relieve nerve root compression and make you feel better.
  • Continue your regular activities as much as possible and keep moving to avoid recurring attacks. You may rest for some time but prolonged inactivity can worsen your symptoms.
  • Avoid activities that aggravate your symptoms.
  • Avoid any exertion and stress.
  • Take over the counter medicines for pain relief.

 Sciatica pain can be managed easily through precise spine rehabilitation, which is the best treatment for sciatica.

How Does QI Spine Specialist Treat Sciatica?

After a thorough diagnosis, those movements that cause pain will be assessed. Ergonomic assessment at work and home is done to devise a customized treatment plan.

The sciatica treatment includes the first step as pain management by microcurrents (cell repair technology). Based on your movement assessment, you will be advised a few medical movements and ergonomic corrections to ensure that your pain reduces, not only while doing exercise but even after that. The spine specialist works on cell repair and this helps in bringing the pain down as well as heals your tissues.

The second step of sciatica treatment is managing the root cause using DSA (digital spine analysis) test i.e decreasing the spinal load and increasing the muscle strength and loading capacity of the spine.

The third step of sciatica treatment is strengthening your targeted weak muscles.

Sciatica Prevention

It might not be possible to prevent sciatica always as the condition may recur. However, the following key points may help in preventing sciatica and protecting your back. 

  • Exercise habitually to keep your back strong.
  • Always maintain proper posture while sitting, standing, etc.
  • Use proper technique while lifting heavy objects.
  • Maintain healthy body weight and follow a well-balanced nutritious diet.

 When To See A Spine Specialist for Sciatica Treatment?

Sciatica treatment at the right time can prevent you from going through that throbbing pain. You should consider seeking medical help when home remedies or self-care measures fail and your symptoms worsen or persist progressively.

Check for the following signs and seek sciatica pain treatment immediately –

  • Sudden, excruciating pain in the lower back or leg along with numbness, tingling, or muscle weakness in your leg, especially the foot.
  • Pain after an injury
  • Difficulty in controlling your bowel/bladder
  • Poor control on balance
  • Slipping of slippers from the foot for unexplained reasons
  • Unable to take weight on the affected leg
  • Professional diagnosis required
  • Chronic, can last for years
  • Treatable with 4 weeks of QI Spine Therapy

Sciatica is often a symptom of severe back pain. The most effective treatment plan can be designed when the diagnosis is accurate. QI Spine’s Digital Spine Analysistechnology accurately pin-points the exact location and nature of damage to the spine.

For pain relief

  • Pain reduction exercises: Stretching exercises help relax the sciatic nerve and provide temporary pain reduction
  • Cell Repair: The cell repair technology uses frequency specific microcurrent to stimulate the affected area to trigger healing and pain management. Our doctors use the Digital Spine Analysis (DSA) analysis report to identify the root cause and isolate the weak spinal muscles to improve the load bearing capacity of the spinal muscles
  • Spine Rehabilitation & Isolation treatment : Our doctors identify the root cause and isolate the weak spinal muscles through device based therapy.
  • Surgery: Although surgery is the most commonly advised for sciatica, it is completely avoidable with conservative treatment. Surgery should only be an option if spine rehabilitation and other conservative methods have failed
  • Professional diagnosis required
  • Chronic, can last for years
  • Treatable with 4 weeks of QI Spine Therapy

Sciatica Diagnosis

Diagnosing the root cause of sciatica is the first step to the sciatica pain treatment. The spine specialist will go through your detailed medical history and check your spine which helps in drawing the diagnosis. 

For an accurate Sciatica diagnosis, the following examination will be conducted by your doctor:

  • Physical examination
  • Neurological examination
  • Assessment for muscle strength, decreased or abnormal sensation and reflexes
  • Nerve tests
  • DSA (Digital Spine Analysis)
  • X-ray
  • CT Scan
  • MRI

How QI Spine Diagnoses Sciatica?

QI Spine Specialists has over 9000 hours of specialization in treating back and neck conditions. A detailed medical analysis is carried out including pain history, how pain impacts your nerves, your range of motion, and testing of nerves and muscles. 

  • Professional diagnosis required
  • Chronic, can last for years
  • Treatable with 4 weeks of QI Spine Therapy

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A QI Spine Specialist is a medical expert with

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Dr. Nidhi Sanghvi Shah

Dr. Shital Gaikwad

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Dr. Richa Bhatia

9000 hours

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of spine physiotherapy specialisation methods in McKenzie concepts, Kinetic control, Neurodynamic solutions, Mulligan’s concepts

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Sciatica - Frequently asked questions