The pain can last for a long time and for many people the situation can make them feel desperate. The pain just seems to linger and never go away and often simple movements or just sitting can make it flare up even more.

Finding some form of sciatic pain relief becomes a vital goal. As a first choice, painkillers are often used but these do nothing to cure the problem, only help you cope with it. It is the obvious choice of doctors and drug companies who delight in the profits these bring them.

Since most of us don’t want to live using painkillers and other drugs all the time and are interested in more permanent alternatives. Suffering from side effects from the painkillers and muscle relaxants is just another problem that can make life even more miserable.

One of the most well loved treatments to address the actual problem and not the symptoms is the use of exercise and stretching techniques. Unfortunately many people find these very painful to start with.

Hot an cold presses used alternatively do seem to give some relief but again probably do nothing to cure the underlying problem causing the sciatica. In extreme cases of sciatica nerve pain, especially when the cause is an injury, doctors may recommend surgery. Surgery is always risky and of course is very expensive so is often regarded as a last resort.

If you are suffering form sciatica then it is best to consult with a doctor to try and learn the actual cause of the problem. This may open more sciatica pain relief options for example, specific exercise of the piriformis muscle which is often a cause of sciatica leg pain.

There are many alternative treatments that have worked for many people like acupuncture or infra red sauna combined with massage. Often conventional medicine disapproves of these treatments simply because it reduces their financial income. It is best to keep an open mind and choose for yourself. It is your body.

A prolapsed disc or slipped disc as it is sometimes known is not simply a disc that has ‘slipped’ out of place. Intervertibral discs separate the bones of the spine (or vertebrae) and their function is to act as shock absorbers or cushioning for the spine and allow movement.

They quite happily allow flexion and extension (bending forwards and backwards), lateral flexion (sideways movement) and twisting.

But a combination of the two can place excess stress on the spine and hurt the discs. This is particularly common in people who may lift heavy objects and twist with them for example unloading heavy boxes off the back of a lorry.

The intervertebral discs are filled with a soft liquid in the middle called nucleus pullouts and when a disc prolapses this liquid squeezes out and puts pressure on the spinal cord compressing the nerve routes and causing pain.

Depending on where the sciatic nerve is pinched will determine where you feel the pain which can radiate to the front of the knee or right down the back of the leg to the foot. The L5-S1 disc is the disc most commonly hurt and the L4-L5 disc the next most commonly hurt.

Sciatica Symptoms

Acute low back pain.

Pain radiating down the leg. This pain may be sharp and accompanied by pins and needles and / or numbness.

Pain is often triggered by a minor movement such bending over to pick something up.

Pain may be worse by sitting, lifting, coughing or sneezing.

Pain is usually relieved by lying down, often on one side.

Pain is often better in the morning after a nights rest.

Scoliosis or an S shaped or bent spine as seen from behind is often present with the patient bending away from the side of pain.

There may be muscle spasm in the lower back.

Tenderness in the lower back when pressing in.

Pain on the straight leg raise test which is not apparent when just stretching the hamstring only.

Sciatica treatment

A Small Rest in bed if necessary in a position that is comfortable.

A doctor may prescribe NSAID’s (non steroidal anti inflammatory drugs) such as ibuprofen. Should always be taken under the direction of a doctor and do not if the patient has asthma.

Apply heat or a hot bath may help to relieve muscle spasm.

Use a heat retainer or back brace can provide support in the early stages.

See a sports injury specialist or doctor.

Start extension exercises as soon as pain allows.

What can a Physical Therapist or GP do?

Determine the cause of the sciatic pain.

Prescribe anti-inflammatory medication e.g. ibuprofen or muscle relaxants.

Use sports massage techniques to relax tight muscles.

Gently apply mobilization techniques to the spine.

Use traction or advise on the use of and Inversion Table.

Apply electrical stimulation in the form of a Tens machine or Interferential.

Apply ultrasound treatment.

Operate on a slipped disk if neurological signs (nerve related symptoms) continue or worsen.

After the acute painful phase

Restore pain free movement to the back through mobilization and stretching techniques.

Ensure posture and right lifting techniques are learned and maintained.

Strengthen the core stabilizing muscles of the spine.

Terry O’Brien

Back Distress UK