Sciatica is often described as a sharp, shooting sensation of pain radiating along the lower back, and often shoots down the posterior aspect of the leg. Sciatica is caused when there is an increase in pressure on the nerve or injury to the lower back or spine. The sciatic nerve originates in the lumbar spine, which is why back pain can also be present with this condition.
Depending on the severity of the compression (pressure) placed on the nerve, the pain can be local to the problematic area, such as along the lower back. Or in more severe cases the pain can refer to different areas, such as the gluteal/hip area and commonly down the back of the leg into the foot. Weakness, numbness or the sensation of pins and needles may also be present with this condition.
Sciatica can be treated in the clinic through the use of massage therapy, dry needling and exercise/mobility prescription. Depending on the severity of the pressure placed on the nerve, it may take multiple treatments to revert the damage caused to the nerve. Thus following an exercise plan at home is imperative to continue progress outside of the clinic.
In more severe cases, a referral to a doctor for an MRI might be needed to assess the integrity of the spine and nerves in long-term cases.