Sciatica is a common problem for many people, and presents itself as varying levels of pain radiating along the route of the sciatic nerve. Pain typically originates around the lower back through the hip and buttocks and down the leg. Generally, the pain is isolated to one side of the body. Many cases of sciatica are mild, and with treatments from an efficient rehabilitation center can be resolved in a few weeks. However, long-lasting sciatica pain may require the need for chronic sciatica treatment or pinched nerve treatment depending on the cause and severity of the issue.
At the NY Dynamic Neuromuscular Rehabilitation we understand that sciatica pain, especially chronic sciatica pain, can affect our patient’s overall quality of life. It can also develop into more serious problems if not addressed through proper chronic sciatica treatment methods. It not only causes permanent nerve damage, but may also result in reduced strength in the affected leg, numbness or loss of feeling, and in more serious cases can even contribute to bladder or bowel control issues.
A variety of problems contribute to the development of sciatica, and understanding the cause of sciatica pain is essential for providing the right treatment, such as with pinched nerve treatment or piriformis syndrome therapy. The causes can be broken down into three main types, sciatica from spinal pathology (diseases that affect the spine), sciatica from external factors like irritation or compression, and sciatic-like conditions that while not directly affecting the sciatic nerve, produce similar symptoms.
Sciatica caused by spinal pathology typically revolves around herniated or bulging discs and pinched nerves. A herniated or bulging disc often places pressure on a nerve, pinching it and causing pain. The pain originates from the nerve root, causing radicular pain, or pain that radiates to the lower extremities along the path of the nerve root. Pinched nerve treatment is necessary to reduce the pressure and relieve the pain. Other pathology includes ligamentum flavum hypertrophy (inflammation or thickening of the ligaments supporting the spine) and spondylolisthesis (slipped vertebra).
There are several external factors that can contribute to sciatica, but one of the most common is piriformis syndrome. The piriformis muscle is a flat muscle located near the hip joint in the gluteal region. Piriformis syndrome develops when this muscle places pressure on the sciatic nerve, which we can address through piriformis syndrome therapy. Other external spinal factors include obturator syndrome and ischial tunnel syndrome.
Sciatic-like conditions vary, from sacroilliac joint dysfunction and side effects from hernias to more uncommon causes like infections or tumors. With so many potential causes of sciatic pain, it’s never been more important to work with highly experienced physical therapy and chiropractic professionals to get an accurate diagnosis for sciatic nerve physical therapy.
Many professionals working in sciatica physical therapy focus on a mixture of physical therapy exercises and prescription medications to treat pain, along with more invasive treatment procedures like surgery. While these procedures can be successfully used in sciatic nerve physical therapy, we expand on these options with more non-invasive approaches in both physical therapy and advanced chiropractic care, including treatments typically only found in research facilities and military hospitals, such as the CAREN system.
Our clinic holds the first private CAREN system in the United States. CAREN, or Computer Assisted Rehabilitation Environment, is a virtual reality environment that uses a multi-sensory experience for treatment and to record important data about spinal stability, posture, balance and back pain. The device uses a computer operated platform with six degrees of freedom, projection screen, motion capture, motion base and special D-Flow and human modeling software to create real-time repeatable situations and environments. These features allow for precise and advanced physical therapy that can’t be duplicated by any other method. The results are fast and effective and can be used on everything from increasing athletic ability to treating back pain and sciatica.
Dynamic neuromuscular stabilization is a strategy that combines treatments and exercises to help return strength, stability and healthy posture for sciatic nerve pain therapy. With the breakthrough scientific basis of DNS, our clinic is often able to treat cases where others have failed. This is largely due to the individualized nature of DNS, which combines chiropractic and physiotherapy to target the movement control centers of the brain. Targeting these centers helps correct issues like poor posture and body alignment that can contribute to the development of sciatica.
Our clinic is one of the few in New York that utilizes extracorporeal shock wave therapy (ESWT). With ESWT we can activate the body’s natural self healing abilities through high frequency sound waves which, accelerates cell growth and tissue repair while reversing chronic inflammation.
In order to determine which chronic sciatica treatment method will be most successful, it’s essential to start with a proper diagnosis. Our New York clinic offers professionals with years of experience treating individuals with sciatica, using their clinical experience to connect nerve pain symptoms with a proper diagnosis. Our clinic also offers advanced diagnostic techniques such as diagnostic musculoskeletal ultrasounds that allow a detailed look at the nerve conflicts inside the spinal discs as well as in the pelvis and hip area. Electromyography and nerve conduction may also be used to record electrical activity and determine possible nerve pain causes for later sciatic nerve pain therapy.
With the associated risks of nerve damage, sciatica requires both effective and prompt treatment to reduce potential side effects. At our clinic, we provide options beyond traditional physical therapy services or medical clinics. Between state of the art diagnostic and treatment equipment and experienced professional staff, we provide individual treatment options that not only address spinal and nerve problems but work to prevent future pain and nerve damage. This is all done while using less invasive approaches through our sciatica physical therapy programs. Use our services to ensure individual patient care and faster results, leading to a better quality of life post-treatment.