Video transcription

Hello, my name is Dr. Hans Delfo, doctor of chiropractic from Los Angeles, California. Today, I want to talk to you a little bit about how to heal a sciatic nerve. The sciatic nerve root begins at the fourth lumbar segment and continues down to the third sacral segment. Now, there are three main causes of sciatic pain. The first cause of sciatic pain, and the most severe, is a disc herniation or a disc bulge. What happens in this case is that the center of the disc is liquid, nucleus pulposus. This liquid protrudes through the tougher annular fibers that surround it. This protrusion can cause muscle spasm or pressure on the nerves which would cause the pattern of sciatic pain. The second cause of sciatic pain is Piriformis Syndrome. The piriformis muscle runs from the sacrum through the pelvis and connects to the femur. It is the main external rotator of the leg. In 90 percent of people, this sciatic nerve runs right through the piriformis muscle. If there is any stretching of the muscle or spasm, it can put pressure on that sciatic nerve causing the pattern of sciatic pain. The third cause of sciatic pain is a pelvic misalignment. The pelvis is made up of three bones, the sacrum, the ischium and the ilium. These three bones work together in a Figure 8 when we move or walk. Sometimes one side can get stuck and the other in compensation can get stuck in the opposite direction. This malposition can actually cause stress on the sciatic nerve and create sciatic pain. The best thing you can do if you have sciatic pain is to visit your doctor of chiropractic. Chiropractors are neuromuscular experts and are trained to treat and diagnose sciatic pain. What you can expect in a visit to the chiropractor is an exam, history and a diagnosis to find out exactly where this pain is coming from. If it's determined that you are a chiropractic candidate, your chiropractor will recommend a course of treatment for you which may include the following, adjustments to correct misalignments of the spine or pelvis, therapy such as stretching, strengthening exercises, ice or heat or ultrasound to help alleviate the pressure and spasm of the muscles. Also a posture evaluation may be performed to see how you can incorporate relieving stress of the sciatic nerve in your activities of daily living. My name is Dr. Hans Delfo, and thank you for watching my video on how to heal sciatic nerve pain.