Hello. My name is Doctor Hans Delfo, doctor of chiropractic from Los Angeles, California. Today I want to share with you a little bit about how to unpinch the sciatic nerve. The sciatic nerve root begins at the fourth lumbar segment and continues down to the third sacral segment. Now, there's three main cause of sciatic pain. First, the most severe is the disc herniation or disc bulge. Now, in the disc, between the bodies of the vertebra, there's a liquid center. It's called the nucleus populsis. In these cases, the nucleus populsis can protrude through the anurin fibers surrounding the disc. This bulge or herniation can protrude out and put pressure on the nerves causing sciatic pain, causing muscle spasm, low back pain and pain down the buttocks. Second condition is called piriforma syndrome. The piriformis muscle runs from the sacrum through the pelvis and connects to the femur. In about ninety 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 ileum. As you walk and move, they work in a figure eight 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 these 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 muscular skeletal 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 it's a chiropractic case, here are some things that you might expect. First is an adjustment. What we will look for is any kind of mal position with the spine or the pelvis. Resetting those malpositions in the form of an adjustment can help take the pressure off these nerves. Second, we'll look to see if it is a piriformis muscle issue. If it is, we'll teach you how to do some stretching and some other therapies to help alleviate this pain. We can also employ things such as heat or ice, ultrasound or electrical stimulation to the area, to help relieve that muscle spasm. Lastly, is the pelvic misalignment. Through evaluation of leg length, musculature, and motion, we can determine if the pelvis is indeed misaligned. What we can do is restore the function of that pelvis through an adjustment. Correcting the pelvis misalignment can help restore function to the pelvis, correct leg length discrepancy, and alleviate stress on the surrounding musculature. In turn, it'll be relieving stress on the sciatic nerve and decreasing the sciatic nerve pain. My name is Doctor Hans Delfo, and thank you for watching my video on how to unpinch the sciatic nerve.