In this video Dr. Elder talks about what sciatic pain is and isn’t. He then discusses different treatment options and why it makes sense to try less invasive methods first.
A lot of people who get pain in the leg are told, or think that it is sciatica. The sciatic nerve is a large nerve that runs down the back of the leg. When it comes out from the spine, it comes from from several different parts and they merge and come apart and merge again. Then there are nerves about the size of the thumb that are running down through your buttocks down the side of the leg like a line. If you have a pain that is broad (about the size of your hand) running down the back of your leg, that is not sciatica; it can be a pinched nerve of some kind, but not sciatica.
If it is like a line of fire going down your leg and it is really bad, and goes down the back of your leg and the bottom of your leg, down to the heel and then shoot out the toe, that is what sciatica feels like (or so I’ve been told).
That nerve can be pinched in a couple of different places. It can be pinched because of a muscle that is too tight in the buttocks, it can be where the nerves come out from the spine because the spinal pieces are not lined up properly or somehow smashing and swelling and causing problems on the roots of the nerves themselves.
What I’ve noticed is probably about fifty-percent of my practice is made up of people with low back pain and a high percentage of those have sciatica.
When I adjust their neck, the sciatica goes away.
Now, there have been a few where it has not gone away, but we send them to another chiropractor or therapist to help get the last percentage away. It will go down a little bit with me, their moving better, their other symptoms go away, but the problem is so progressed that they need more than just closing the barn door so to speak. So we send them to someone else, they get the rest of it, and it gets fixed.
In some cases, people do need low back surgery, but please do not rush to that. There is a diagnosis code on the books for failed low-back surgery syndrome because it happens so often. So that should not be the first choice. First choice, look at your posture, look at your nervous system, and get those fixed. If you get to the point where you have to go around in a wheelchair, then you might think about surgery.