Refers to a neuropathic pain along sciatica nerve, be due to inflammation or mechanical compression.
Sciatic Nerve Basic Anatomy
Sciatic nerve is formed from L4 to S3 nerve root. The symptoms may originated from lesion of one or more than one nerve roots. Symptoms of sciatica may arise from any irritation at the nerve root, sacral plexus, nerve trunk, or its peripheral nerve branches.
Sciatica Main Sources
- Protruded Intervertebral Disc
- Piriformis Muscle
- Sacroiliac region where the sciatic nerve pass through sacral foramen
How Traditional Chinese and Physiotherapy Help?
Change of postural habit, appropriate correcting stretching and strengthening exercises.
Acupuncture and Dry Needling1
Pain relief and promote circulation to the affected area.
Release muscle tightness and promote circulation.
Massage and Manual Therapy
Release muscle tightness, correct joint alignment and improve range of motion.
Traditional Chinese Medicine
Improve body energy level, prove balance of health.
Core muscle training, in order to improve Lumbo-pelvic stability
1)The systemic review found acupuncture was one of the treatment modalities gained statistically significant improvement in overall recovery in sciatica patients, and they suggest spinal manipulation, acupuncture may be considered in treating sciatica.
RA, L., NH, W., AJ, S., & et la. (2015). Comparative clinical effectiveness of management strategies for sciatica: systematic review and network meta-analyses. [Abstract]. The spine journal: official journal of the North American Spine Society, 15(6), 1461-1477. doi:10.1016/j.spinee.2013.08.049. (Read)
Generally, treatment is based on the stage of patient's condition. For example, aims of treatment in acute stage include pain and inflammation control. While conditions progress into subacute and chronic stage, target would change to swelling subside, recovery of function, and back to premorbid stages.