Sciatica is probably the most mis-diagnosed injury I see in my clinic. True sciatica is when you have severe sharp, shooting pain specifically in your sciatic nerve that radiates down the back of your thigh, into your lower leg and foot. Often numbness is present in the foot or lower leg.checkout this article for more details.
True sciatica can be caused by:
1. Pinched nerve in your back, usually a protruded or herniated disc pressing on the nerve at the nerve root.
2. Nerve tension or tightness. Nerve can become tight like muscle/fascia.
3. Nerve entrapment, typically in the gluteal region. The nerve can get entrapped in the muscle/fascia tissue causing it to be pinched and painful.
Often any type of pain in the back of the thigh is diagnosed as sciatica. SI joint pain, and trigger points in the muscles/fascia in the buttock region often radiate pain down the back of the thigh. 90% of my patients with thigh pain do not have sciatica. True sciatica is not all that common and is easy to diagnose with a couple orthopedic tests.
If you do have true sciatica, Neurodynamics or nerve flossing/sliding is the best treatment and works great. Nerve flossing/sliding hast helped over 75% of my patients with true sciatica avoid surgery. That being said, sometimes surgery cannot be avoided, as the disc protrusion/herniation has to be surgically removed.
The key is getting an accurate diagnosis and then applying treatment for that diagnosis. If you’re having buttock, thigh and leg pain give us a call at Denver Sports Injury Center, 720-432-4450. Dr. Hill spends a full hour with you on your first visit to insure you get an accurate diagnosis.view more detailed information at http://www.orthospinenews.com/health-fit-chiropractic-sports-medicine-named-clinical-director-for-the-nfl-combine-prep-program/
We average 3-4 visits to heal your injury so come see what Denver Sports Injury Center and sports chiropractic can do for you!