http://www.sciaticaselfcare.com presents: An extremely safe and effective exercise for alleviating sciatica.
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#1 by wkdfrog1 on January 2nd, 2010
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I’ve registered on …
I’ve registered on your website and followed your exercises (thank you for making them available).
Physio hasdiagnosed me with Sciatica in left leg re hern/protuding disc in the lower spine (although no MRI to confirm). It started 6 weeks ago and has shown some improvement.
The mckenzie stretch only creates pain in my left butt, but i have an almost constant tightness in my calf and (some thigh) making moving quicker than a hobble very hard. Your thoughts on why and how to resolve this please?
#2 by riotriotriot55 on January 2nd, 2010
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@ …
@FreedomConstitution1 chiropractors are trained, i’d seek one out..
explain your fears, etc.
#3 by riotriotriot55 on January 2nd, 2010
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i have sciatica and …
i have sciatica and numbness in my left arm.
im sooo worried!
#4 by DrGeorgeBest on January 2nd, 2010
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Chiropractic in …
Chiropractic in general is quite safe, but for those who are fearful of manual manipulation, I suggest checking into low-force techniques such as Activator or ProAdjuster. These techniques use instruments that produce gentle taps that ease the joints back into motion. In my experience, low-force methods take a little longer to get the job done than manual techniques, but they work well in most cases and are a lot less frightening to new chiropractic patients.
#5 by FreedomConstitution1 on January 2nd, 2010
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I’ve been dealing …
I’ve been dealing with lower back pain for years. It also feels like my neck is out as well as between my shoulder blades… I’m afraid to see a chiropractor because it feels like if someone starts torquing on me that they will break me in two. What do u think?
#6 by lilmzthunda on January 2nd, 2010
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k thanks
k thanks
#7 by DrGeorgeBest on January 2nd, 2010
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Unfortunately, no. …
Unfortunately, no. Sciatica with pregnancy is usually due to pressure from the fetus on the sciatic nerve rather than from a bulging disc (which is what this exercise is intended for). Some women with sciatica from pregancy do get relief from low-force chiropractic treatment because it can move the pelvic bones just enough to ease pressure on the nerve. I suggest you consult with a chiropractor who uses either Activator or ProAdjuster. Good luck!
#8 by lilmzthunda on January 2nd, 2010
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im experiencing …
im experiencing this b/c of pregnancy… so um, will this work?
#9 by DrGeorgeBest on January 2nd, 2010
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It’s not so much a …
It’s not so much a problem of overstretching or muscle damage, but it can cause some jamming and/or irritation of the facet joints in the lumbar spine, which in turn can cause some soreness and muscle reaction. This will usually resolve within a few days as you reduce the frequency of the exercise. Applying a cold pack to the low back for about 10 minutes a few times per day helps too. If the soreness remains, it can be alleviated with massage and/or chiropractic treatment.
#10 by wader45 on January 2nd, 2010
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Hey Doc,
This has …
Hey Doc,
This has been a very beneficial exercise, it has really helped me push the nerve anterior as i suffer from sciatica. Although, i think i may be overusing this stretch. Could there be damage to the muscle tissue in the lower back and upper buttock if the stretch is performed too often. Overstretching?
#11 by DrGeorgeBest on January 2nd, 2010
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A couple of …
A couple of possibilities come to mind. The disc may be ruptured so the extension cannot effectively shift the disc material away from the nerve. The other possibility is that you have bone spurring and/or ligament thickening in the joints at the back of the spine. In either case, extension will narrow the space around the nerve and cause greater compression, while flexion opens up the space around the nerve and takes pressure off. I suggest an MRI to further evaluate the situation.
#12 by BoardOnSnoh on January 2nd, 2010
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Hi doctor, Ive had …
Hi doctor, Ive had sciatica for over a year now in my right lower back/leg/calf. The pain is the worst when im stading up and not moving. I thought it has been disc related this whole time but doing the mckenzie method causes my whole leg to go numb. forward flexion causes no pain at all. any ideas?
#13 by DrGeorgeBest on January 2nd, 2010
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I’m glad to hear …
I’m glad to hear you are doing better. Good luck for continued recovery.
#14 by nickster699 on January 2nd, 2010
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Tx Dr. Best
I …
Tx Dr. Best
I have spent 2 1/2months unable to stand up straight because of L5-S1 disc herniation. All this time I had incredible sciatic pain below the knee. It felt like someone hit my left leg with a bat, litterally, 24/7. A week ago, I was prescribed an anti-inflamatory; diclofenac sodium 75mg. After a week of taking it I now stand up straight and the pain is almost all gone!!! Inflamation, I now realize, is a huge enemy.
#15 by cspace1234nz on January 2nd, 2010
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Just to add….it …
Just to add….it is refreshing for me to come across someone such as yourself with that sound understanding of the issues and I absolutely agree that each person has different requirements for healing and subsequent strengthening and mobilisation, what works for one sometimes doesn’t work for another.
Whilst I don’t wish these complaints on anyone it helps me greatly to have experienced what I have when dealing with people who have similar complaints and was always a problem when seeking help.
#16 by cspace1234nz on January 2nd, 2010
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Yes you are …
Yes you are absolutely correct.
As a long-term yoga practitioner and teacher I specialise these days in low back (and a few other bits) due to some long term injuries I have had to deal with which have included various bouts of very serious sciatica once requiring emergency surgery and various long periods of rehab after relapse.
The fundamental anatomical problem remains but I have never had to take medication and my quality of life has always remained high in spite of these complaints.
#17 by DrGeorgeBest on January 2nd, 2010
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What seems to be …
What seems to be missed by many health care professionals is that you have to handle each patient as an individual (which requires time and attention that is often missing in today’s “managed care” world). Forward flexion may work very well for someone with spinal stenosis due to facet arthrosis, while people with disc protrusions tend to do better with extension.
#18 by cspace1234nz on January 2nd, 2010
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Hey there doc, just …
Hey there doc, just bouncing around your various videos and as mentioned it seems you have a very sound understanding of the issues here when there are an awful lot of “medical professionals” who don’t
McKenzie’s understandings, which I also discovered some years ago, were revolutionary at the time and seems are yet to be discovered by some
There are so many awful videos on youtube that promote the complete opposite, that is, forward bending, which tends to aggravate the various complaints
#19 by DrGeorgeBest on January 2nd, 2010
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I know you asked …
I know you asked about spinal decompression previously, and if you have not already tried that, I recommend you do so before considering surgery. If you don’t get any noticeable improvement within 5 or 6 sessions, then I’d suggest consulting with a surgeon, preferably one who does “minimally invasive” surgery. The advantages are that you get fast pain relief and there’s minimal scar tissue development with this type of surgery. Good luck!
#20 by nickster699 on January 2nd, 2010
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Hello Dr.
I have …
Hello Dr.
I have been plagued with a L5-S1 disc herniation for 2 months now with NO improvments whatsoever; even though I am resting and not working… I cant stand up straight and am living with sciatic nerve pain 24/7.Also I have lost 10 pounds despite the fact that i am eating normally and inactive… How do I know if am gonna need surgery Doc? What do u think?
Thanks in advance
I wrote to u a month ago… Nick
#21 by DrGeorgeBest on January 2nd, 2010
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Depending on the …
Depending on the severity of the underlying disc problem, you might be able to resume your sports, although the more impact your body absorbs, the greater the chance for re-injury. Surgery is the only real option in a few cases, but the vast majority of people can get better without it. In my opinion, surgery is very overused and because it is being used inappropriately in a large number of cases, the overall long-term success is pretty low- about 50%. I advise trying other options first.
#22 by cruorem1 on January 2nd, 2010
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hi dr
ive had …
hi dr
ive had sciatic pain for about 7 months and i was just wondering if more extreme sports such as parkour and skate/longboarding will ever be a possibilty for me because i was doing them quite regularly before i injured myself.also my sports doctor belives surgery is the only way im going to be helped how often is sciatic surgery succesful.
#23 by DrGeorgeBest on January 2nd, 2010
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Surgery is …
Surgery is necessary in a few cases, especially if the disc is completely ruptured or if there is some other source of nerve compression such as a synovial cyst or bone spur. For more detailed infomation about sciatica treatment options, I suggest you sign up on the website shown on the video for the free ebook and video email course. Good luck!
#24 by DrGeorgeBest on January 2nd, 2010
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Doing the …
Doing the piriformis exercise won’t hurt anything, it just won’t help all that much if there is a disc problem. Probably your best bet for strengthening the lower body while you are still having pain from the disc is using a recumbent exercise bicycle with whatever resistance feels comfortable. Once things are feeling better, then leg press, leg extensions/curls, or lunges with hand weights are all good options.
#25 by dirtyjjl1023 on January 2nd, 2010
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Hey Dr,
i watched …
Hey Dr,
i watched your second video on the how to tell if you have true sciatica or piriformis syndrome and i realized that i have been doing the piriformis exercise instead of doing the mckenzie for true sciatica is that a bad thing? Also i was wondering what kinds of lifts or exercises i can do to strengthen my lower body with out harming my herinated disc? Thanks!