Can a Chiropractor Fix Sciatica?

Can a Chiropractor Fix Sciatica?

Sciatic nerve pain is one of the most common and most misunderstood medical complaints of adult patients. It is estimated that upwards of 40 percent of people will experience sciatica at some point during their lifetime, and the incidence increases with age. As many as 15 percent of sciatica sufferers opt for surgery, despite the fact that long-term surgical outcomes are similar to those of conservative care offered by a chiropractor or sciatica specialist.

What Exactly is Sciatica?

The term sciatica refers to non-specific low back pain associated with irritation of the sciatic nerve. It often occurs independently, but may also arise in conjunction with other conditions such as a herniated disc, degenerative disc disease, spinal stenosis, tumors or trauma. The sciatic nerves are the largest and longest in the human body. They are about the diameter of your pinky finger, and originate at the spinal roots of lumbar vertebrae L4-L5, and sacral vertebrae S1, S2, and S3. From there, they exit the pelvis and travel to the piriformis muscle before descending down your leg, all the way to your feet. The sciatic nerves are the primary messengers of neural impulses and information between the lower body and the central nervous system.

What Exactly is Sciatica?

Common causes of sciatica include:

  • A herniated lumbar disc that puts pressure on a nerve root
  • Inflammation of nearby tissues that compress the nerve root
  • Entrapment of the nerve root by the piriformis muscle
  • Poor spinal alignment from sitting
  • Poor lifting technique, or lifting too-heavy objects
  • Obesity that overloads the spine
  • Poor gait mechanics that puts stress on the low back
  • Age-related conditions such as stenosis, osteoarthritis or degenerative disc disease

Because of their location in the lumbopelvic region where load transfer occurs between the upper and lower body, the sciatic nerves are vulnerable to trauma from sports. However, most sciatic nerve pain occurs in sedentary populations. In most cases, there is no specific structural damage to the sciatic nerves or surrounding tissues, making the pain “non-specific” in nature.

Sciatica Risk and Symptoms

Sciatica Risk and Symptoms

Most sciatica sufferers are not athletic. They tend to be sedentary, and sit for long hours on end. Many are overweight, with weak muscles and poor posture. Physical inactivity is one of the primary risk factors for sciatic nerve pain. Age-related spinal changes can also increase your risk, along with diabetes, which increases your risk of nerve damage.

Symptoms of sciatica include:

  • Constant or intermittent pain on one side of the low back and/or lower body
  • Pain may be sharp, shooting or burning
  • Pain that radiates to the buttock, thigh or lower leg
  • Tingling and numbness anywhere along the path of the sciatic nerve
  • Feelings of weakness or heaviness in the affected leg
  • Pain that changes in intensity with changes in body position

Chronic lower back pain should not be ignored. Sciatica symptoms may be similar or identical to those of other spinal conditions. If you suspect you have sciatica, you should see a chiropractor or other sciatica specialist.

Sciatica Pain Diagnosis

Because sciatica is often extremely painful, many patients are dismayed when they are not referred for MRI imaging. However, if the clinical exam reveals no suspicion of structural damage, an MRI can be a waste of time and money, and waiting for results can exacerbate pain and prolong treatment.

At NYDNRehab, we confirm our diagnosis with high-resolution diagnostic ultrasonography, which lets us view the entire length of the sciatic nerve in real time. Ultrasonography is fast, simple and pain-free. Because the patient is able to move during imaging, we are able to view the nerves from different angles and body positions while the patient provides feedback.

Sciatica Pain Treatment

Sciatica usually resolves itself within 4 to 6 weeks of non-surgical care.

Conservative sciatica treatment may include:

  • Ice and NSAIDs to relieve pain
  • Chiropractic care to realign the spine
  • Physical therapy to strengthen and rebalance muscles
  • Posture retraining to correct bad habits
  • Patient education
  • Gait analysis and retraining
  • DNS (dynamic neuromuscular stabilization) to restore functional movement patterns
  • AIM (anatomy in motion) to realign your joints and restore fluid pain-free movement

Seeking proactive treatment for sciatic nerve pain can speed recovery and prevent future relapses.

Sciatica Treatment in NYC

If you are suffering from chronic low back pain and think you need a sciatica doctor, contact the back pain specialists at NYDNRehab in Manhattan. Our state-of-the-art clinic uses the most advanced technologies and innovative methods to diagnose and treat your low back pain.

  • Gait/Walking/Running Analysis Lab (First Outpatient Analysis Lab in NYC)
  • ESWT (Extracorporeal Shockwave Therapy)
  • Redcord Neurac System
  • DNS (Dynamic Neuromuscular Stabilization)
  • AIM (Anatomy in Motion)
  • Stecco Myofascial Manipulation
  • C.A.R.E.N (Computer Assisted Rehabilitation Environment)
  • DD Robotech Physical Therapy
  • Ultrasound Guided Dry Needling
  • Rehabilitative Ultrasonography (RUSI)
  • Kineo Intelligent Load System
  • Proteus Motion System

At NYDNR, we don’t just address your pain. We get to the source and correct it, so you can enjoy a better, pain-free quality of life.

Resources:

Jensen, Rikke K., et al. “Diagnosis and treatment of sciatica.” bmj 367 (2019).

Lewis, Ruth, et al. “The clinical effectiveness and cost effectiveness of management strategies for sciatica: systematic review and economic model.” Health Technology Assessment 15.39 (2011): 1-434.

About the Author

Dr. Lev Kalika is clinical director of NYDNRehab, located in Manhattan. Lev Kalika is the author of multiple medical publications and research, and an international expert in the field of rehabilitative sonography, ultrasound guided dry needling and sports medicine Dr. Kalika works with athletes, runners, dancers and mainstream clients to relieve pain, rehabilitate injuries, enhance performance and minimize the risk of injuries. His clinic features some of the most technologically advanced equipment in the world, rarely found in a private clinic.

bg

In this instance, an athlete was originally diagnosed with minor quadriceps muscle strain and was treated for four weeks, with unsatisfactory results. When he came to our clinic, the muscle was not healing, and the patients’ muscle tissue had already begun to atrophy.

Upon examination using MSUS, we discovered that he had a full muscle thickness tear that had been overlooked by his previous provider. To mitigate damage and promote healing, surgery should have been performed immediately after the injury occurred. Because of misdiagnosis and inappropriate treatment, the patient now has permanent damage that cannot be corrected.

The most important advantage of Ultrasound over MRI imaging is its ability to zero in on the symptomatic region and obtain imaging, with active participation and feedback from the patient. Using dynamic MSUS, we can see what happens when patients contract their muscles, something that cannot be done with MRI. From a diagnostic perspective, this interaction is invaluable.

Dynamic ultrasonography examination demonstrating
the full thickness tear and already occurring muscle atrophy
due to misdiagnosis and not referring the patient
to proper diagnostic workup

Demonstration of how very small muscle defect is made and revealed
to be a complete tear with muscle contraction
under diagnostic sonography (not possible with MRI)

image

Complete tear of rectus femoris
with large hematoma (blood)

image

Separation of muscle ends due to tear elicited
on dynamic sonography examination

bg
Buy now 3D Gait
Payment Success
iconRequest Telehealth Request in office visit Book now
contact-form-animation
You can call
or Send message