sciatica groin pain - Referred Pain from the lumbar spine?
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Referred Pain from the lumbar spine?

A Pain deep in the cheeks of your bottom can be referred from the lower back. There does not necessarily have to be pain in the lower back as well for pain to be referred into the buttocks.


Apply electrical stimulation in the form of a Tens machine or Interferential. Apply ultrasound treatment. Operate on a slipped disk if neurological signs (nerve related symptoms) continue or worsen.


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 sciatica groin painDeep tissue sports massage techniques can be applied to the lower back and buttocks to release muscle tension, particularly in chronic conditions. Acupuncture or dry needling can also help reduce chronic tension in muscles.

What other injuries are related or similar? Piriformis syndrome Sciatica Sacroiliac joint pain. The Sacroiliac joint Is? The Sacroiliac Joints are located at the bottom of the back. You have one either side of the spine. The Sacroiliac joints help make up the rear part of the pelvic girdle and sit between the sacrum and the ilia.

What are the symptoms of pain referred from the back? An aching in the buttocks that is difficult to pinpoint. The slump test may reproduce buttock pain which is eased when the neck is relaxed back (extended).

What is Spinal Stenosis? Spinal stenosis is a medical condition where the spinal canal becomes narrow. This narrowing can put additional pressure and compression on the spinal cord and can cause a pinching of the nerve roots. If the narrowing is in the lower part of spinal cord it is referred to as lumbar spinal stenosis and if the narrowing is in the upper part of the spinal cord then it is referred to as cervical spinal stenosis. While stenosis can also occur in the thoracic or upper back region, the lumbar and cervical areas are the most common.

For example, while commonly recommended to people with sciatica, exercises such as hamstring stretches and the yoga position, "downward facing dog" can be beneficial as part of managing one's condition once the pain is reduced, these exercises can place tension on the sciatic nerve and aggravate an already inflamed and sensitive condition. In general, any exercise that causes pain to increase in the leg and/or extend further down the leg should be completely avoided during the acute phase of sciatica.

Due to the risks involved, many doctors will resort to surgical treatments only after non-surgical treatments have been tried first. This article is not meant to replace the sound advice of a personal physician. Patients should discuss with their doctor all their treatment options before taking any medical course of action.

Who Can Get Spinal Stenosis? Although some people are born with spinal stenosis, the condition is usually seen in people over the age of 50 who already have some disc degeneration. Often, spinal stenosis results from the wearing down on the spine from normal activities. As we get older, our spinal ligaments can calcify, bone spurs may form, and we can get herniated or ruptured discs. All these conditions can lead to a narrowing of the spinal canal which can compress and pinch the spinal nerves.

Spinal Stenosis Symptoms Symptoms of spinal stenosis can include back pain radiating to the legs, numbness or pain in the buttocks that worsen when walking or exercising, leg weakness, decreased physical endurance, loss of balance, and leg and neck pain.

These joints can often get stuck or in some cases one half of the pelvis can glide forwards or backwards, which is often referred to as a twisted pelvis. When this occurs it often irritates the Iliolumbar ligament which results in Inflammation. This is usually indicated by tenderness around the bony lumps which you can feel if you place your thumbs either side of your lower back.

Use electrotherapy equipment to treat affected tissues. If indicated and safe to do, level the pelvis via manipulation. Articulate sacroiliac joint and restore normal function.

Sciatica is a pain that starts in the back and radiates down one of the legs. It is quite a common complaint and is sciatica is caused by pressure on the sciatic nerve which runs down into the leg. The medical term is acute nerve root compression. The cause of pressure can be varied from a Slipped (Prolapsed) disk to muscle tension (Piriformis syndrome) or something less common such as a tumors, bony growths and infections.

Occasionally there may be referred pain into the lower limb which can be mistaken for sciatica. Classic symptoms are difficulty turning over in bed, struggling to put on shoes and socks and pain getting your legs in and out of the car.

A position or exercise that results in symptom centralization is one that will be beneficial, even in situations where symptoms increase for a time in areas closer to the spine. For example, if you had sciatica and low back pain and tried one of of the McKenzie exercises and the sciatica completely went away but the back pain got worse, the exercise would still be considered beneficial and it would be recommended to continue using it. In the long run, a sciatica exercise that produces centralization will usually eventually result in improvement in all symptoms, even if more central (closer to the spine) symptoms get worse at first.

Sciatica Symptoms Acute low back pain. Pain radiating down the leg. This pain may be sharp and accompanied by pins and needles and / or numbness.

Use sports massage techniques to relax tight muscles. Gently apply mobilization techniques to the spine. Use traction or advise on the use of and Inversion Table.

They quite happily allow flexion and extension (bending forwards and backwards), lateral flexion (sideways movement) and twisting. However a combination of the two can put excess stress on the spine and damage the discs. This is particularly common in people who may lift heavy objects and twist with them for example unloading heavy boxes off the back of a lorry.

Going to see a Massage Therapist will help alot. They can show you some stretches you can do at home to loosen up your muscles in your low back ,legs and butt, that will help out alot.

Eliminate medical diseases such as Ankylosing Spondylitis.. Treat the cause as well as the symptoms. Prescribe anti-inflammatory medication (e.g. ibuprofen) and rest.

Oil of wintergreen, which contains methyl salicylate, is widely used externally for its anti-inflammatory activity for arthritis, rheumatism, sciatica, and sore muscles.

Never put ice directly on your skin, but try putting it into a ziptop bag, put that into a damp clothe, and put that onto you effected side buttock for about 20 minutes. This should help relax the piriformis, which could be in spasm, causing sciatic nerve pain.

Symptoms include: Pain located either to the left or right of your lower back. The pain can range from an ache to a sharp pain which can restrict movement.

Apply heat or a hot bath may help to relieve muscle spasm. Use a heat retainer or back brace can provide support in the early stages. See a sports injury specialist or doctor.

After the acute painful phase Restore pain free movement to the back through mobilization and stretching techniques. Ensure posture and correct lifting techniques are learned and maintained.

Depending on where the sciatic nerve is pinched will determine where you feel the pain which can radiate to the front of the knee or right down the back of the leg to the foot. The L5-S1 disc is the disc most commonly damaged and the L4-L5 disc the next most commonly damaged.

Laminotomy. This is a partial removal of the lamina which can be done to widen the spinal canal and relieve compression on the nerve roots. Foraminotomy. Removal of bone, scar tissue, or other obstructions that are compressing the nerve root exiting the spinal canal.

The pain may radiate out into your buttocks and low back and will often radiate to the front into the groin. Occasionally it is responsible for pain in the testicles among males.

About the Author:

Dr. George Best has been treating sciatica patients for over 15 years. For a free e-book on sciatica exercises and to access his informational online video series on sciatica and the treatment options for it, visit his website on sciatica self care.

Ilia rotation - this assesses weather the ilia is rotated on one side creating imbalance. What can a Physical Therapist or GP do? Use diagnostic tests to discover the cause of the problem.

Stiffness in the lower back when getting up after sitting for long periods and when getting up from bed in the morning. Aching to one side of your lower back when driving long distances.

Sciatica exercises are an important part of both short and long-term treatment, but it is critical to choose the right exercises. Even commonly-recommended exercises for sciatica may not be indicated during times of severe acute symptoms, and some exercises may only make things worse.

Begin an exercise programme that will stretch and strengthen the muscles supporting the lumbar spine. Stretch the gluteal muscles and hip rotator muscles.

Surgery for sciatica might be warranted if the sciatic nerve pain is severe and has not been relieved with appropriate manual or medical treatments. Patients should seek immediate medical attention if they have any symptoms of progressive lower extremity weakness, loss of bladder or bowel control.

 
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What can a Physical Therapist professional do? Manipulate and mobilize the segments of the lumbar spine. This is a good way of assessing whether the lumbar spine is a cause of buttock pain. If it is then symptoms will be relieved.

A prolapsed disc or slipped disc as it is sometimes known is not simply a disc that has 'slipped' out of place. Intervertibral discs separate the bones of the spine (or vertebrae) and their function is to act as shock absorbers or cushioning for the spine and allow movement.

There may be muscle spasm in the lower back. Tenderness in the lower back when pressing in. Pain on the straight leg raise test which is not apparent when just stretching the hamstring only.

During the acute phase of sciatica pain, McKenzie exercises provide one of the best and safest treatment approaches available - more effective than medication and epidural steroid injections in many people. Though often associated with spinal extension and mistakenly called the "McKenzie Extension Exercises", McKenzie method may involve any number of spinal positions/movements. The whole point of the McKenzie method is to evaluate different positions/exercises to find what best produces "centralization" of symptoms.

If the pain is acute, then surgery may be needed in order to widen the spinal canal and to correct the conditions that are contributing to the nerve compression. Some of the surgical procedures used to treat spinal stenosis are:

Inflammation of the sacroiliac joints and associated ligaments are very common, especially following pregnancy where the hormone relaxing is released and this results in the relaxation of ligaments in preparation for childbirth. In most cases the causes of sacroiliitis are mechanical, however there may be other medical inflammatory conditions present such as Ankylosing Spondylitis as well as others which will need attention.

Pain is often triggered by a minor movement such bending over to pick something up. Pain may be worse by sitting, lifting, coughing or sneezing.

McKenzie practitioners use the word "centralization" when the pain and other symptoms are relieved in the areas the greates distance away from the spine. To give an example, in a person with sciatica all the way down the leg to the foot, centralization might occur in which the pain left the foot and lower leg and then only extended down to the knee. Or, if sciatica symptoms started out going as far as the knee, centralization would be if the symptoms left the thigh and only went as far as the hip area.

Sciatica is a condition in which pain shoots down an leg or arm as a result of a pinched nerve. Pain that runs along the course of the sciatic nerve is referred to by laypersons as sciatica. It especially appears in the back of the thigh also causing pain in the lower back, buttocks, hips, and/or adjacent parts. Sciatica is pain caused by general compression and/or irritation of one of five nerve roots that are branches of the sciatic nerve. The pain is felt in the lower back, buttock, and/or various parts of the leg and foot.

Pain is usually relieved by lying down, often on one side. Pain is often better in the morning after a nights rest. Scoliosis or an S shaped or bent spine as seen from behind is often present with the patient bending away from the side of pain.

Strengthen the core stabilizing muscles of the spine.

Terry O'Brien

http://www.BackTrouble.co.UK

The simplest of the McKenzie exercises for alleviating sciatica is done by simply lying on one's stomach on the floor or a firm surface and propping one's chest up on the elbows. This places the lower spine in a gentle extension, which can help relieve sciatica by pushing bulging spinal discs forward, and away from the nerve roots that form the sciatic nerve, reducing pressure and irritation. Although you can maintain this position for relatively long periods of time, I recommend doing it for short periods of one or two minutes with a rest break of at least a few minutes in between. The frequent breaks prevent the low back muscles from tightening up as much, and yet still allows for good overall results. For more complex sciatica exercises, getting detailed instructions either through an illustrated guide or an experienced health care practitioner is advised.

Rachel Broune writes articles for Sciatica Pain. He also writes for Skin Care and Health Care

Specific assessment tests: The Stork test - to assess weather the sacroiliac joint is moving correctly. Leg length difference measurements - both straight leg and bent leg assessments.

Try ibuprofen,( if you are not pregnant) it helps a bit sometimes, and a hot water bottle, and lay down for a while. Also hot bath sometimes helps.

What are the similar or related injuries and conditions? Ankylosing Spondylitis Myofascial pain Low back pain Coping with Sciatica

The intervertebral discs are filled with a soft liquid in the middle called nucleus pullouts and when a disc prolapses this liquid squeezes out and puts pressure on the spinal cord compressing the nerve routes and causing pain.

Generally, sciatica is something older people have to endure. Perhaps it's a simple matter of a hip or pelvic bone out of place. Sciatic pain is more commonly due to a back problem not a leg or knee problem. Have you had an MRI of your lower back, I would ask your Dr. about that, especially at your young age.

The single most useful thing is a back rehabilitation course. It consisted of exercises which strengthen the spinal muscles and surrounding muscles. Also try and find a pain support group which you can attend. Others in the same situation can be a great support. Some groups also have relaxation sessions, hypnotism and other alternative remedy sessions to help their members.

Sciatica treatment A Short Rest in bed if necessary in a position that is comfortable. A doctor may prescribe NSAID's (non steroidal anti inflammatory drugs) such as ibuprofen. Should always be taken under the direction of a doctor and do not if the patient has asthma.

Unfortunately, if you don't get professional help, it is a condition that can worsen over time and will certainly not heal itself. You can find chiropractors in your area that are willing to adjust their pricing according to your needs and income.

Decompressive laminectomy. This is used for treating lumbar spinal stenosis and involves removing the top of the vertebra to create more space for the nerves.

Sports massage will help relieve any soft tissue tension in the area. Use injection therapy. Advise Ice and cold therapy to reduce inflammation.

Stay active and go outside. As annoying as it is sometimes to not relax on the sofa, it is really good for you to stay active. If that means walking then fine. Well, there is a fairly new one-time treatment called Atlasprofilax. This treatment really seems to stop a main cause of sciatica, and I know of some persons who got rid of all symptoms within a short period of time.

Begin extension exercises as soon as pain allows. What can a Physical Therapist or GP do? Determine the cause of the sciatic pain. Prescribe anti-inflammatory medication e.g. ibuprofen or muscle relaxants.

There are torsional or twisting forces applied to the pelvic girdle when the lower limbs are moved. These limbs act like long levers and without the sacroiliac joints and the pubic symphysis (at the front of the pelvis) which allow movement, the pelvis would very likely be subject to a fracture.

Treating Spinal Stenosis In general doctors tend to take a conservative approach when initially treating spinal stenosis. Drug therapy such as pain relievers and anti-inflammatory medications to reduce swelling are usually prescribed first, along with bed rest and reduced physical activity. Steroid injections can also be use to help reduce swelling although the pain relief is normally temporary. Traction and spinal decompression may be prescribed, along with physical therapy which can be used to help increase flexibility as well as build endurance.

Areas of the lumbar spine may be tender and have poor mobility. Tight gluteal muscles and other muscles of the buttocks. What can I do? See a Physical Therapist who can identify the problems in the lower spine.

About the Author:

For more information on spinal stenosis treatments and alternatives to back pain surgery see DRX9000 spinal stenosis treatment at http://www.drx9000-spinal-decompression.com, a popular site with free information on DRX9000 spinal decompression and other back pain treatments.


 
 
     
 
 





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