Sciatica

Posted On: February 12, 2020

Sciatica sounds like something out of a Dicken’s novel. The sentence would be: Old Fezziwig suffered from occasional bouts of Sciatica. The name is from the Victorian area and is the result of doctors identifying that the pain going down their patient’s leg was from Sciatic nerve irritation.

Physicians to this day still see a lot of patients with Sciatic pain. Technically the patient has to have pain going down the lower extremity and it has to be confirmed with a Sciatic nerve tension test like the straight leg raise.

Unlike the 1800’s we now recognize that Sciatic pain commonly comes from Sciatic nerve root irritation in the lumbosacral spine. There are typically two age groups that suffer with this, the young adult and the older adult.

Younger individuals with Sciatic pain usually have it as the result of nerve root irritation from a disc herniation and older adults irritate those same nerve roots from degenerative spinal stenosis.

Both types often respond well to physical therapy. If therapy isn’t helpful epidural injections help about 50% of the time. Sometimes surgery is the only option. They key with managing this condition is utilizing a skilled therapy team to properly diagnose and treat this condition.

What our patients are saying

quotes icon

our Health Tips Follow us for the latest information on
pain relief & rehabilitation

blog image
July 7, 2020

Rotator Cuff Tear

You’re a high end North Shore women’s league tennis player. In a tournament final you find your opponent is a younger, aggressive player....
Continue Reading

blog image
June 7, 2020

Rehabilitation of Rotator Cuff Impingement Disorders

Does your upper arm hurt when you raise your hand over head? Does it pinch and sting when you move your shoulder in certain directions? Is it difficu...
Continue Reading

blog image
May 21, 2020

Rehabilitating Trochanteric Bursitis

I remember a Highland Park golfer who came to me saying, “My left hip is killing me when I follow through on my swing.” After examining h...
Continue Reading