Sciatic Leg Pain
Sayer Clinics London Sciatica specialist treatment Clinics in West London W8, West End W1 and Moorgate City EC2.
What is Sciatica - Sciatic nerve referred leg pain?
Sciatica Nerve Pain and low back pain
Causes, effects and treatment of sciatica
At Sayer clinic we perform chiropractic, orthopaedic and neurological tests and may take Digital Computerised X-Rays if necessary while the patient stands, so that major curvature and disc compression can be shown. An X-ray can also detect any congenital spinal deformities, bone cancer and osteoporosis (brittle bones).
Treatment for referred leg pain, depending on the cause, may involve physical therapy (ultrasound or low-intensity laser), medical acupuncture, gentle and specific spinal mobilisation or manipulation of other areas of the spine to balance mobility, soft-tissue massage therapy or acupuncture. Where examination indicates a large disc prolapse with major neurological symptoms and signs an MRI scan will be arranged and neurosurgical referral will be made without delay.
Comparative effectiveness of spinal manipulation for sciatica
A recent network meta-analysis of treatment strategies for sciatica has concluded that spinal manipulation provides significant improvement compared with inactive control or conservative therapy. For further details, please read the RCC Research Committee's Research Bulletin.
We achieve good outcomes or refer responsibly for MRI and neurosurgery where appropriate.
Sayer Chiropractors, Physical Therapists and Acupuncturists in London W8, W1 & EC2 since 1983.
Each of our 3 Clinic offers services for:
Treatments include: Chiropractic, Medical Acupuncture, Physical Therapy Laser / Ultrasound and Therapeutic Massage.
True Sciatica or Sciatic nerve pain involves the posterior aspect of the thigh, calf or foot and is caused by irritation or compression of a branch of the sciatic nerve, the main nerve into the leg. Pain may originate where the nerves pass through and emerge between the lower bones of the spine (lumbar vertebrae) or as the nerve passes through the Piriformis muscles in the pelvis. There may be numbness and weakness of the lower leg muscles and loss of reflexes.
Sometimes, pain in the leg from a variety of causes is misnamed or misdiagnosed as sciatica. These causes include referred pain from lumbar muscle spasm, ligament strain, lumbar facet or sacroiliac joint strain or arthrosis.
Sciatica leg pain is often combined with low back pain. The order in which the symptoms appear may vary. Back pain often precedes leg pain and sometimes will follow.
The most common cause of true sciatica is a “slipped disc, prolapsed disc, twisted or bulging disc“. The discs (or inter-vertebral discs) are the cushions which separate the bones of the spine (vertebrae).
The majority of what is often mis-diagnosed as ‘sciatica’ is pain referred to various parts of the leg from locked or inflamed spinal facet joints, sacroiliac joints, muscle spasm or inflamed ligaments.
Low back and leg pain may cause the sufferer to bend forward or sideways in an attempt to avoid further nerve compression (antalgia).
Treatment of referred leg pain, depending on the cause, may involve physical therapy (ultrasound or low-intensity laser), medical acupuncture, gentle and specific spinal mobilisation or manipulation of other areas of the spine to balance mobility, soft-tissue massage therapy or acupuncture.
Where examination indicates a large disc prolapse, with major neurological symptoms and signs, an MRI scan will be arranged and neurosurgical referral will be made without delay.
We strive to either achieve good results or refer responsibly for MRI and neurosurgery where appropriate.
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