Video transcription

Hello my name is Dr. Hans Delfo, doctor of chiropractic in Los Angeles, California. Today, I'm going to tell you a little bit about how to treat sciatic nerve pain. Sciatic nerve pain is a very common form of low back pain. It is generally characterized by a pain in the low back, buttocks and sometimes an electrical sensation down the back of the leg in a very specific pattern. Sciatic pain is derived from the fourth lumbar nerve group and down to the third sacral nerve group. There are three main causes for sciatic pain. First, and the most severe is a disc herniation or disc bulge. The second condition is called Piriformis Syndrome. The piriformis muscle runs from the sacrum through the pelvis and connects to the femur. In about 90 percent of the population, the sciatic nerve runs right through that piriformis muscle. If the piriformis muscle is weak or spasming, it can put pressure on that sciatic nerve, giving you the symptoms of sciatic pain down the leg. The third most common cause of sciatic pain is a misalignment of the pelvis. Now the pelvis is made up of three bones, the sacrum, the ischium and the ilium. As you walk and move, they work in a Figure 8 configuration. In some instances, one side of the pelvis can get stuck. The other side can compensate and get stuck in the other direction. That hinders movement and can put pressure on the surrounding musculature and cause low back pain and sciatic pain. In all theses cases, it's very important to get evaluated. A good place to start is to go see your doctor of chiropractic because a doctor of chiropractic is a neurological and musculoskeletal expert, a comprehensive nerve exam, evaluation and history will be performed to figure out exactly what's causing this pain. If it's determined that you're 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 off the sciatic nerve in your activities of daily living. My name is Dr. Hans Delfo, and those are my recommendations for treating sciatic nerve pain.