How Sciatica Works

Transcripted for robots:
hello Dr. Greg Hutti here with the Be Well Chiropractic in Spring Hill Tennessee today we’re going to go over Sciatica and how it works okay so let’s start with side to the turn ok Sciatica is a nerve that starts from the lower three vertebra in the lower spine okay so the lumbar spine here has five Birds or five bones okay that’s what the vertebra is the bone is fine okay you get five of them the last three l and l the third fourth and fifth one have nerve branches that form a thick nerve called the sciatic nerve which goes down the basically I’ve got a spine here it forms here and goes down kind of the back of the ilium here the pelvis okay got into the buttocks here down the leg it has several branches that break off to different parts of the lower body as well okay so when someone says they have sciatica what they really mean usually is first they have pain going down the legs okay and more technically it’s pressure on the sciatic nerve so they call it Sciatica okay what can call sciatica okay it’s always pressure on the nerve but here’s the thing you have to find out where the pressure is coming from okay in one case let’s say pressure can be coming from one of the bones being out of alignment putting pressure called the inflammation on the nerve okay so it’s getting a pitch here okay the second thing they can call the sciatica is sometimes it’s more of a pelvis issue so the pelvis here consists of the sacrum and the two ileum bones okay so sometimes even though there’s pressure on the nerve is coming more from the pelvis one of these bones is out of a lot of producing pressure on the pelvis or one of these bones is out bruising muscle tightness that causing inflammation on the nerves okay so same sciatica but different parts of the spine is coming from but that makes sense physical therapists some medical doctors label some psychic and coming from a piriformis type of sciatica they’ll call it piriformis syndrome now piriformis is a muscle piriformis runs from the top of the ilium down to the hip okay it makes this guy go out and back it also helps the leg go back when you’re walking a little bit okay sometimes this muscle is really tight now the importance of that is when that muscle gets really tight it will produce tension on the sciatic nerve okay having those affects down the leg now here’s where a terrifying difference from that muscles are not controlled muscles are controlled by nerves as well okay so if you just stretch that muscle out if you just focus on that piriformis muscle and you don’t focus on the alignment okay it’s almost like brushing the teeth without flossing you’re only hitting half of it okay because the muscle itself is an effect of something underlying out of alignment in chiropractic even muscles or effects of what’s going on to the structure does that make sense okay for instance let’s say a patient walks in and they say to have a piriformis syndrome they’ve got real tight piriformis gluten ebloom max okay they’ve got sign of going down the leg okay one of course our treatment may be to massage that muscle and stretch it okay which maybe the patient will achieve relief for a short period of time okay but again it does not solve what’s causing the piriformis muscle to get tight okay what controls the piriformis muscle which makes it be tight if you have a pinched nerve up here that’s also going to the piriformis you can keep stretching that muscle outlets and continue to get tight because the nerve pressure is causing the muscle to get tight which again puts more pressure on the sciatica so it’s like a never-ending circle okay so we here what we do here be well chiropractic is we do address the muscle but we also address the underlying calls that either the peel us being out of alignment okay the two million bones or the tailbone you know either three of those or something the lumbar spine without side to nerve rigid comes from though most often the case it’s in the lower lumbar spine okay so we also do muscle work and stretches but we also focus on freeing up the calls where it all coming from okay that in conjunction with stretching and exercises produces the best results again because we’re getting at the cause of the issue okay so here would be well chiropractic if someone comes in with a sciatica diagnosis from little with PS or physical therapist or if they come with pain down the leg the first thing I need to do is do an exam first I need a history consultation to see check my basis make sure I do accept their case and then the next step would be to do an exam and finding out is it’s from the lumbar or the lower part of the pelvis here okay and then start correcting those misalignments to give the pressure off the nerve and then having them doing stretching and also strengthening here’s the thing – usually in every case there’s a tight side and sciatica usually it’s the back of the hip and lower back which is tight but guess what every muscle has an opposite muscle bicep triceps right from the tag missing muscle so usually you have muscles that are tight and you have muscles that are weak and the most of that are weaker in the front okay so after we get to the pressure off the nerve we want to do stretching exercises for the ones that are tight right the ones that are typing with stretch and release the ones that are weak we want to strengthen so we bring balance to this area stability this area so it doesn’t come back instantly okay so any pressure off the nerves the first phase is like a cavity phase the next phase is the exercises where we focus to strengthening the circuit area okay it’s almost like if that’s the cabin pains a cavity the next step is like the braces okay and then maintaining that so nothing else so we don’t get into trouble and get basically okay so hopefully again that explains what side is so you know for sure the anatomy of it how it works and how we approach careful that I did individual patient alright guys we’ll do it again on Friday this week we’ll let you know take care of go

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