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How Massage Benefits Sciatica

Proper massage therapy can help relieve the pressure and relieve the pain in all areas including the hip, low lumbar vertebrae, and legs that sciatica may cause.

Sciatica

Sciatica frequently prompts surgical intervention, which is only about 60% successful. Sciatica is a severe pain in the leg caused from compression or irritation of the sciatic nerve. Irritation can be caused by inflammation of nearby soft tissue, Vertebral Subluxation Complex, Lumbar herniated disc, lumbar spinal stenosis, degenerative disc disease, or isthmic spondylolisthesis. The sciatic nerves are the largest and longest nerves of the body, reaching about the size of your thumb in diameter, and running from two sciatic nerves formed by four or five nerves branching off each side of the spinal cord and down the back of each leg.

Vertebral Subluxation Complex

One of the most common causes of sciatic leg pain is the Vertebral Subluxation Complex. It can be accompanied by the bulging or herniation of the soft pulpy discs which separate each spinal bone. This can irritate or put pressure on the sciatic nerve roots as they leave the spinal cord. The result can be an intense pain shooting down either or both legs.

Lumbar herniated disc

A herniated disc occurs when the soft inner core of the disc (nucleus pulposus) extrudes through the fibrous outer core (annulus) and the bulge places pressure on the contiguous nerve root. In general, it is thought that a sudden twisting motion or injury can lead to an eventual disc herniation. A herniated disc is sometimes referred to as a slipped, ruptured, bulging, or protruding disc, or a pinched nerve.

Lumbar Spinal Stenosis

This condition involves a narrowing of the spinal canal. It is more common in adults over age 60, and typically results from enlarged facet joints placing pressure on the nerve roots as they exit the spine.

Degenerative Disc Disease

While disc degeneration is a natural process that occurs with aging, in some cases it can also lead to pain along the sciatic nerve. The condition is diagnosed when a weakened disc results in excessive micro-motion at the corresponding vertebral level and inflammatory proteins from inside the disc can become exposed and irritate the area.

Isthmic Spondylolisthesis

Relatively common in adults (approximately 5% to 7% of adults), this condition rarely causes pain. It occurs when a small stress fracture, often at the fifth segment, allows the L5 vertebral body to slip forward on the S1 vertebral body. Caused by a combination of disc space collapse, the fracture, and the vertebral body slipping forward, the L5 nerve can get pinched as it exits the spine.

Piriformis syndrome

The sciatic nerve can get irritated as it runs under the piriformis muscle in the buttocks, leading to sciatica.

Sacroiliac joint dysfunction

Irritation of the sacroiliac joint can also irritate the L5 nerve, which lies on top of it, and cause sciatica.

Treatments

Manual treatments (including physical therapy, massage therapy, and osteopathic or chiropractic treatments) can help relieve the pressure.

Medical treatments (such as NSAID’s, oral steroids, or epidural steroid injections) to help relieve the inflammation.

Surgery (such as microdiscectomy or lumbar laminectomy) to help relieve both the pressure and inflammation may be warranted if the pain is severe and has not been relieved with appropriate manual or medical treatments.

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