Busting Common Myths About Sciatica
Sciatica is a common condition. However, it is surrounded by myths and misconceptions regarding the possible causes and treatment, which means it can often be difficult for sufferers to know when and where to seek help.
A lot of people know that sciatica causes discomfort in the legs, but this understanding is too broad. It often leads to the belief that the root cause of many types of leg pain is sciatica. In reality, sciatica is specific to the sciatic nerve, so leg pain that is not associated with this nerve should be assessed differently.
Along with the definition of the diagnosis of sciatica, there are several myths about the treatment and prognosis. Clearly, it is important that sufferers and healthcare providers have a clearer idea of what sciatica is so that the outcomes can improve.
At the Whole Body Clinic, we frequently see patients with sciatica and treat them with various physiotherapy methods and techniques. We wish to dispel some of the myths and lay out the truths to help you better understand the issue and find relief.
What Is Sciatica?
Sciatica is more of an indicator that there is an issue in the region rather than a health condition that causes symptoms. When the sciatic nerve is irritated or compressed, it can cause a range of symptoms in the lower back, buttocks, legs, and feet. It is the conditions that affect the nerve that generally result in sciatica.
The sciatic nerve is a large nerve that begins in your lower back, moves down your buttocks and the back of your legs, and ends in your feet. This nerve, which is the largest in your body, plays a crucial role in providing sensation and motor function to the lower body, including the thighs, calves, and feet.
Some of the conditions that can affect the sciatic nerve and cause sciatica include:
- A herniated or bulging lumbar disc in the spine (the most common cause).
- Spinal stenosis.
- Degenerative disc disease.
- A bone spur.
- Spondylolisthesis.
Signs And Symptoms Of Sciatica
The most common symptom associated with sciatica is a shooting pain that radiates from the lower back and down behind one or both legs. This pain can be severe, making it difficult to walk, sit, or stand for long periods of time. Other common symptoms include a burning or tingling sensation, numbness, and weakness in the affected leg or foot. In some cases, sciatica can also cause bladder or bowel dysfunction, which requires immediate medical attention. Symptoms generally remain present for a few weeks. For some people, sciatica can reoccur.
Common Sciatica Myths
Because sciatica has a range of symptoms and is a result of an underlying condition, there is often misunderstanding and confusion surrounding the issue.
Some myths that are attached to sciatica include:
1. Rest is beneficial.
In the past, patients with sciatica were advised to carry out a period of bed rest. However, this is no longer the recommended management in most cases. In fact, staying active is considered a fundamental factor for recovery.
Our physiotherapists can develop a personalised treatment plan for you and guide you regarding an appropriate approach to movement and exercise. This may include elements such as nerve mobilisation, and strength and motor control exercises.
2. A scan will provide a diagnosis.
Imaging is generally not advantageous when it comes to sciatica, apart from eliminating other suspicions, such as fractures. The results do not provide specific information that aids in treatment.
Our physiotherapists will undertake a thorough discussion with you regarding your symptoms and history and conduct a physical assessment. These steps are generally more helpful than scans.
3. Pain medication is required.
Sciatica can be very painful. However, many prescribed medications provided may not be highly beneficial for the symptoms. Some medications typically recommended include anti-inflammatory drugs, opioid analgesics, and corticosteroids.
4. Surgery is necessary.
Treatment for sciatica usually does not involve surgery. If the issue does not resolve with more conservative treatments, possible advantages of lower back surgery in specific cases may be considered.
Sciatica Recovery With Physiotherapy
Sciatica can be a difficult and multifaceted issue to deal with and subsequently, there are several myths based on misunderstandings. However, with a thorough assessment and personalised treatment by experienced healthcare professionals, sciatica can be improved in many cases.
There is not a one size fits all solution for sciatica. Our physiotherapists are experienced in developing treatment plans that incorporate underlying factors, and your symptoms, lifestyle, and goals to help you find relief. If you are dealing with back or leg pain, please organise an initial consultation with one of our friendly physios to find out how we can help you.