http://www.sciaticaselfcare.com presents: An explanation of the most common causes of sciatica.
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#1 by DrGeorgeBest on November 29th, 2009
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One of the best …
One of the best exercises for knee problems is bicycling – either on an actual bicycle or stationary bike. I suggest starting out pretty easy to avoid irritating the cyst and gradually build up time and/or resistance. You may want to try applying cold packs to the knee for about 10-15 minutes every few hours to try to reduce inflammation. A sports chiropractor may also be able to help because the knee can get misaligned and that may produce irritation. Good luck!
#2 by antiaeos on November 29th, 2009
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LOL, learned more …
LOL, learned more from you than MD, Ins.rep says MD has to explain MRI. Know more of what to ask now. I am still concerned about the Bakers cyst thou, As Im becoming more active since the spasms my knee is gradually hurting more, I experience pain for 5 mths, then happened to twist a certain way, after which came the spasms. Is there a safe excersize for my knee too that may help this problem. My job requires constant movement, lifting and changing directions without notice, Love it! but hurts.
#3 by DrGeorgeBest on November 29th, 2009
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In some cases, …
In some cases, inflammatory swelling will produce pressure around the nerve in conjunction with the disc bulge, so you can’t eliminate the disc as a possible cause just because the MRI didn’t show nerve compression. The other possibility is that it’s either piriformis syndrome or trigger points in the gluteus minimus muscle. Stretching and massage will help with either. MRI doesn’t tell much about the piriformis – diagnosis of piriformis syndrome is by physical examination.
#4 by antiaeos on November 29th, 2009
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Thank you so much …
Thank you so much for replying. The spasms were from the buttocks down, would build in intensity but the most intense pain seemed to centered at my knee, then would ease off. Could Piriformis Syndrome be the cause? Havent had that intense spasm in 2 weeks but lesser ones, Im afraid something I might do will cause it again and If the MRI was read right there appears to be nothing indicating a problem with nerve root dispacement. Can an MRI diagnose Piriformis? Im really getting down over this.
#5 by cspace1234nz on November 29th, 2009
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Good answer and I …
Good answer and I tend to agree through experience. I found relief, at least partly, from sitting for a period in a cross-legged forward bend.
I did find that as time went by it’s almost as if the piriformis was simply in shock at the constant stress and clinching that was going on with the pain from compression. Whilst this is clearly not very technical in terminology I guess you know what I mean.
I will see if I can find your “Sciatica Exercises Part 2″ video.
#6 by DrGeorgeBest on November 29th, 2009
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Piriformis syndrome …
Piriformis syndrome can exist alone or in combination with nerve compression from a herniated disc or other condition that narrows the nerve canals. Because it often accompanies true nerve compression, some make the assumption that it always relates to true nerve compression. If this were true, the exercise shown in my video “Sciatica Exercises Part 2″ would never relieve symptoms for anyone, but I can assure you that it does when the muscle is a stand-alone problem.
#7 by DrGeorgeBest on November 29th, 2009
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A popliteal cyst …
A popliteal cyst can sometimes cause irritation of the sciatic nerve. In my experience, the symptoms will only be from the knee down if the cyst is the problem. If you have pain all the way from the buttock area down, the low back is probably the culprit.
#8 by antiaeos on November 29th, 2009
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Very easy to …
Very easy to understand! I was having spasms down my right leg, have had popliteal cyst in R knee so thought it was related. MD said no was my back. MRI showed minimal central disk bulge @ L5-S1, trace minimal disk bulges @ mult levels, reactive changes in Ant/Inf L2 vert. No abn. to visualized portion of distal thor. spinal cord or within cauda equina. shows osteophytes at mult. levels. MD is blowing it off as arthritis. No mention of piriformis syndrome, Could this be related to knee?
#9 by cspace1234nz on November 29th, 2009
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Interesting video, …
Interesting video, thanks very much.
One thing though, there seems to be two completely different views on what is being called “Piriformis Syndrome”, there are some equally intelligent professionals who claim it is not a valid complaint, for want of a better word, and that it all really has to do with the “circuitry”
Would you please comment on this as it gets to a pint where you don’t know what to believe or who to believe.
Thanks.
#10 by DrGeorgeBest on November 29th, 2009
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The lumbar lordosis …
The lumbar lordosis is the normal front to back curve in the lower spine. “Flat” means that your spine is curved less than normal. Calcification of the pelvis means that there is additional bone around the pelvic joints. This is likely due to altered mechanical stresses from the separation. The calcification could cause irritation of certain nerves. You may also be having muscular reaction to altered movement patterns in the joints. Massage may help somewhat if the muscles are involved.
#11 by Luvmypets123 on November 29th, 2009
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Hi Doctor George …
Hi Doctor George Best,
Thanks for your advice.I have had the results of my scan and I have a flat lumbar lordosis and my pelvis is separated and calcified.Also my nerves are damaged in my pelvis. The doc said it is my pelvis what is causing the pain in my thigh.
What is Lumbar Lordosis and calcification of the pelvis ? THANKS YOU.
#12 by DrGeorgeBest on November 29th, 2009
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Regular X-rays are …
Regular X-rays are usually not sufficient to fully evaluate the spinal discs. I suggest you have an MRI to get a more thorough diagnosis. Once you have the MRI results, I think it will be easier to determine what your best treatment options are.
#13 by Jozex on November 29th, 2009
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Hello Dr.
I would …
Hello Dr.
I would like to ask you something…
I am 21 years old and I had sciatica problems for 2 years now! I tried acupuncture, massages, working out and quiropractors! none of them work! also I had some x rays and they revealed no severe damages! just some small bendings… what do you think I should try now? (they say I´m too young to experience such pain) sometimes my mom has to dress me and take me somewhere to get a shot because I cannot move!!!
thanks a lot for you explanation
#14 by DrGeorgeBest on November 29th, 2009
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I have heard …
I have heard similar stories regarding NHS from other people. Since that’s all you have to work with, all I can tell you is to be persistent and keep after them to get things done. Good luck!
#15 by Luvmypets123 on November 29th, 2009
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They damaged me …
They damaged me more then and I went downhill from there.I also have Palindromic Rheumatism
Sorry to be a pain ! I’ve had it bad with the NHS here ! I’m 44.
#16 by Luvmypets123 on November 29th, 2009
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DrGeorgeBest; Thank …
DrGeorgeBest; Thank You so much for your advice. I will let you know when I get the result of the scan. The NHS are not very forthcoming about what the trouble is, especially as they caused my pelvic separation. I’m in agony at the moment and it making want to go to the loo a lot. I also had a ooperectomy & hysterectomy 4 years ago for Endometriosis. I was awake a I have asthma and they put me in stirrups and I screamed.
#17 by DrGeorgeBest on November 29th, 2009
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Hello. I suggest …
Hello. I suggest you view my video, Sciatica Exercises Part 2, which gives a tip on how to determine if you have true sciatica from a disc problem or piriformis syndrome. Good luck!
#18 by DrGeorgeBest on November 29th, 2009
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I would not expect …
I would not expect the pelvic separation to cause true sciatica, so my guess is that the pain is either due to a disc herniation and/or trigger points in the glutes and/or piriformis. Assuming the new MRI includes the lumbar spine, it will tell if there is a disc herniation that is likely to be causing the sciatica. If there’s no disc problem then I’d recommend seeing someone who does myofascial release or trigger point therapy to see if that’s the problem. Good luck!
#19 by watchensee on November 29th, 2009
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I have sciatica. I …
I have sciatica. I don’t know exactally what causes mine? What I do know is it hurts like a, SON OF A when it flears up!
#20 by Luvmypets123 on November 29th, 2009
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PART 2
For the past …
PART 2
For the past 2 years I have suffered severe sciatica and agonising back pain. I an hardly walk and use a crutch and wear a brace. A MRI scan 2 years ago showed my pelvis was still separated. For the past 8 months I have suffered severe stabbing pain in my left thigh and when I dry myself with a towel the middle of my back is painful and the thigh pain comes on.I have just had another scan and am awaiting the results. I live in the U.K.
#21 by Luvmypets123 on November 29th, 2009
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Hi, PART 1
I had a …
Hi, PART 1
I had a diastasis symphysis pubis when I gave birth to my son 19 years ago. I had to learn to walk again, but use a brace and suffered back pain and a limp. For the past 2 years I have suffered severe sciatica and agonising back pain. I an hardly walk and use a crutch and wear a brace. A MRI scan 2 years ago showed my pelvis was still separated.
#22 by STNSSpinalCenter on November 29th, 2009
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Sneezing causes …
Sneezing causes rapid forward flexion of the upper body and also causes a rapid change of pressure in the spinal canal. These two forces can irritate a herniated disc and any nerves that it may be pressing against. When this occurs, the body will often automatically assume a forward flexed posture as this creates more space in the openings where the nerves exit the spine and thereby reduces pressure on the irritated nerves. Trying to stand up straight reduces the space and increases pain.
#23 by alokkimbo on November 29th, 2009
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dr.george can i …
dr.george can i know the reason whenever i get common cold sneezing mostly …i cant stnd on my feet next day fully i.e. 9o degree straight. i feel lower back pain but there is no nerve pain and i had a sciatica before…
#24 by DrGeorgeBest on November 29th, 2009
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The back and leg …
The back and leg symptoms definitely sound like they are disc-related to me. I suggest you try the exercise in my video “Sciatica Exercises, Part 1″, and get my free ebook from my website (shown on the video). I also recommend asking your doctor about getting an MRI on your low back to find out for sure what’s going on. It would also be a good idea to get some lab work and nutritional testing done to see if a cause can be determined for your other health issues. Good luck!
#25 by DrGeorgeBest on November 29th, 2009
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The symptoms could …
The symptoms could resolve on their own eventually, but you can probably get faster improvement with some professional treatment. I suggest consulting with a chiropractor who also offers massage therapy, as this can be very beneficial for residual symptoms like yours. Good luck!