sciatica surgery - Sciatica or Piriformis Syndrome - Which is It?
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Sciatica or Piriformis Syndrome - Which is It?

A large amount of confusion and misunderstanding exists concerning the conditions sciatica and piriformis syndrome. There are some who insist that the two conditions are actually the same thing, but even though they can have symptoms that are very much alike, the underlying causes differ.


But since the most effective treatment for the two conditions varies signficantly, it is important to determine the correct diagnosis if at all possible. In most cases there is an easy way to distinguish between sciatica and piriformis syndrome.


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 About the Author:

Dr. George Best is in private practice in San Antonio, Texas. For more information, check out Dr. Best's free e-book and online video course to assist in understanding and treating sciatica and piriformis syndrome, including in-depth instruction on sciatica exercises at http://www.SciaticaSelfCare.com .

When it returns it usually gets worse with each episode and this is why so many people complain about constant nagging back pain. Sciatica commonly becomes more severe as the time passes and eventually surgery becomes the only valid option. If you fail to address all the factors that causes your sciatica you will suffer when you get older.

7. Give Your Legs A Lift Try to keep pressure off the lumbar region of your spine, from which most sciatica pain radiates. It is recommended lying on your back with your lower legs resting on a chair or a low table such as a coffee table. Your knees and hips should be bent at about 90-degree angles. Do this as needed for relief.

Sciatica is one type of back pain affecting a large number of people these days. It is characterized by pain in the hip and buttock region and sometime includes referred pain down the leg. This can go down one or both legs into the thigh, calf, ankle and foot. Stretching is often prescribed for back pain and sciatica but rarely provides any lasting relief .

Piriformis syndrome, also known as "pseudo-sciatica" (meaning "false sciatica"), is actually referral pain and other symptoms (tingling, numbness, etc.) caused by tightness and knots of contraction in the piriformis muscle, which runs from the upper femur bone to the edge of the sacrum, the triangular pelvic bone that is below the lumbar spine. The symptoms of piriformis syndrome are very similar and may be indistinguishable from true sciatica.

It is important to distinguish between sciatica and piriformis syndrome, because the treatment for the conditions varies, and getting the diagnosis right typically leads to more effective treatment.

The second maneuver is done in two parts. First, from the sitting position one bends the leg and pulls the knee on the painful side towards the same-side shoulder. In all but the most severe cases, there is usually no major increase in pain in this position. The second part of the maneuver is to pull the knee toward the opposite side shoulder. An increase in the sciatica-like symptoms is a strong indication of piriformis syndrome.

The solutions are simple: 1. Release tension in the muscles which can be accomplished by stretching (most important is to know when and how to stretch). You need to warm up a beat before doing any stretching because your muscles need to have their blood supply and nerve stimulated. This saves time and reduced the chances to get some minor injuries while stretching.

Back pain is caused by numerous reasons, primarily muscle imbalances from injury, diet, obesity, posture, exercise and more. Back pain treatments vary depending on the diagnosis of your pain and can vary from a passive mobilization, to drugs all the way to surgery .

1. Adjust Your Seat Most people position the car seat too far back when they drive. You put a lot of strain on your back when you have to stretch to reach your pedals. You should be able to press the gas pedal just by flexing your ankle. Your hips should be at about 90-degree angle, and your back should be in neutral, not bent, not perfectly straight, but comfortable.

Some natural steps for back pain relief are: Lose Weight - Try to stay slim. If you have excess weight on your upper body, it will overload on your back. Practicing yoga or tai chi are natural ways of back pain treatment that can also assist with weight loss.

Raymond Lee is one of the foremost experts in the health and fitness industry and is the Founder of Bodyfixes Group specializing in body health, muscle development and dieting. He is currently the author of the latest edition of "Neck Exercises and Workouts." Visit http://www.bodyfixes.com for more information.

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In some cases, piriformis syndrome may cause true sciatic nerve irritation, as the sciatic nerve may run underneath or even through the middle of the piriformis, so contraction of the piriformis may produce sufficient compression of the sciatic nerve to produce actual nerve symptoms. This is one of the main sources of confusion when it comes to distinguishing true sciatica from piriformis syndrome.

Joints must move correctly and your pelvis needs to be well balanced. Your muscular system will fail if your joints do not improve. The same thing goes for your pelvis ? if it does not improve your muscular system will continually fail.

As mentioned earlier, the symptoms of true sciatica are very similar to piriformis syndrome. Both cause pain, tingling, burning, "electrical shock" sensations, and/or numbness down the leg, often all the way to the foot. In addition, both sciatica and piriformis syndrome tend to be at least partially related to biomechanical functional problems in the joints of the back and pelvis and they may even be present simultaneously in the same person, so it an be difficult to tell them apart.

Eat Healthy - Vitamins and minerals are important for your overall health. So, try to eat as much healthy food as possible to help get rid of stress in your body and get relief from back pain.

Sciatica pain relief in a few simple and very easy steps. If you know what to do, and most importantly, what to target, sciatica pain relief can be simple, easy and quick.

I get two common questions in my practice about sciatica. If you know the answers to these will help you getting directions to solving your back problems. Although back pain may be a pretty complex issue it can be solved using very simple solutions.

Back pain is a major problem these days for people all over the western world. It has been estimated that at any one time 20% of the population suffer from lower back pain and that doesn't take into account all the other forms like sciatica, upper back pain, mid back pain and neck pain. It is a huge interruption in a sufferers day to day life and costs the world billions of dollars in productivity.

 
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5. Flex Your Pelvis Pelvic tilts allow you to gently move the lumbar region of your spine, increasing circulation in the area. It is recommended to follow these instructions. Lie on your back with your feet on the floor and your knees bent. Tilt your pelvis so that your back flattens against the ground, then lift it up. Hold for 5 seconds and relax. Continue tilting and lifting and relaxing five to six times every hour when sciatica flares up.

There are various back pain relief measures both natural and pharmaceutical available. Chronic and severe back pain may require temporary medication to allow the acute back pain to settle. However if you take a natural healing approach along with the medication, you should get a better longer lasting result.

4. Take A Seat The Right Way When you do have to sit, make sure that your posture does not make your sciatica worse. Your knees and hips should be bent at about 90-degree angles. Your weight should be on the ischium tuberosity - the sitting bones - and not on the tailbone.

There are certain other techniques like yoga, exercise, massage acupuncture and chiropractic that prove to be effective back pain treatments for some sufferers. Others prefer to take medication prescribed by their doctor to lessen the irritation of back pain but they are not good for health. Adopting the natural approach to get back pain relief is therefore considered to be the most sensible approach to take if you can find someone skilled enough to do the job.

Sciatica refers to irritation of the sciatic (often mis-spelled as syatic or psyatic) nerve, that arises from nerve roots in the lumbar spine. The most common cause of sciatic nerve irritation, or "true" sciatica is compression of one or more of its component nerve roots due to disc herniation or spinal degeneration in the lower lumbar region. Sciatica usually begins in the buttock area and, depending on the severity of the underlying nerve comression and inflammation, may extend down the entire leg to the ankle and foot.

It is pain in the butt quite literally. It can also be a pain in the hip, the thigh, the lower leg, or even the foot. In fact, the condition known as sciatica can send pain shooting anywhere in your lower body. What is causing all the commotion is the sciatic nerve, which is not one but a group of nerves bound together in a single sheath. The sciatica nerve runs from your lower back down each leg all the way to the foot. When it is injured, inflamed, or irritated, it can produce pain at any point or every point along its route. The most common cause of sciatica is a herniated disk. Disks separate the vertebrae in your spine. The result is excruciating pain. On rare occasions, sciatica can result from other health problems. Some are serious, such as diabetes, blood clots, and tumors. But others are minor. You can even get sciatic pain from sitting too long in an awkward position. So have your pain checked out before you proceed with self-care. Here are some tips that you can consider to adopt to relieve your pain.

First question: What are the Simple Steps to Follow? If you want to get rid of the sciatica pain you need to find the main factors that cause this. If you don?t find all the factors, the pain will return soon or will never leave.

6. Write Your Own Prescription Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen remain the treatment of choice for sciatica. They can reduce any nerve inflammation caused by the pressure of a herniated disk. These medications won't cure your pain, but they will make it more tolerable.

2. Don't Get Crossed You tend to cross the same leg all the time. That means you are always sitting on the same buttock, which puts a lot of pressure on the sciatic nerve on that side. Ideally, you should not cross your legs at all. But if you must, at least try to switch sides from time to time.

Two simple maneuvers will distinguish sciatica from piriformis syndrome in the majority of cases (when the problem is one versus the other and not both conditions at the same time). First, in a seated position, if one straightens the leg on the painful side (so that the leg is parallel to the floor), and the sciatica symptoms increase, this is usually a sign of true sciatic nerve irritation.

3. Go For Yoga Practicing certain yoga exercises can help ease sciatic pain. It is recommended to try out this exercise. Lie on your back with your claves resting on the seat of a chair. Your hips and knees should be bent at about 90-degrees angles. Cross your arms over your chest and place your hands on your shoulders, not on your neck. Inhale, then begin a long, slow exhalation. During the exhalation, tilt your pelvis so that your lower back moves to the floor as you flatten your abdomen. Raise your shoulders 6 to 10 inches off the ground. Lower your right shoulder to touch the floor. Repeat, this time lowering and raising your left shoulder instead. Do this five to six times per side.

The techniques necessary to solve the sciatica problems and the lower back pain are easy to use, quick to apply, takes almost no time and ca be used daily and compared to back pains this surely won?t rule your life.

Massage - Massage a common choice for people trying to get relief from back pain. It also acts as great stress reliever. But if you have acute back pain, do consult a skilled back pain therapist before going for a massage.

See, these very simple, painless and quick ways to evade the sciatica pain by keeping your pelvis and joints in a good shape.

Learn more about the various sciatica pain relief methods. Discover what are the best physical therapy for sciatica.


Charles Yu

 
 
     
 
 





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