10/09/2021
My patients with sciatica feel worst in the morning or when sitting, standing, coughing or sneezing. 🤧 It’s a debilitating condition and a literal pain in the butt! 🍑
Sciatica refers to pain that radiates along the path of the sciatic nerve, which branches from your lower back through your hips, buttocks and leg.
🔍 Finding out the true cause of sciatica can be tricky. There are five structures that can irritate the sciatic nerve. The structures are
1) a disk herniation
2) a tight muscle
3) an irritated joint
4) a narrowing of the space where the nerve roots exit the spin
5) a space-occupying lesion (any kind of growth, such as a tumor) impinging on the sciatic nerve
A MRI scan is often used to identify the cause, but should really only be used as a guiding tool. 🤔
A detailed clinical assessment to identify structures that reproduce symptoms will be more accurate and useful in determining the cause. 💯
My fellow super physios, what's your take on this?