Here’s another question from a patient:
Hello Dr. Hyman,
I’ve been experiencing an annoying pain that originates
in my glute and goes down the back of my leg. You treated
a friend of mine for sciatica (I’m assuming that’s what
this is). Can you help me and how?
“Sciatica” refers to pain in the sciatic nerve’s
distribution, down the back of the leg. It’s caused
most commonly by one of two problems:
Pressure on the nerve from a bulging disc.
Pressure on the nerve from the muscles in the area.
The muscular cause is way more common.
The first step is to perform a thorough examination
and make sure your problem is not caused by a
herniated disc. If it is, that can be treated,
but treatment is different.
If I determine that the pain comes from the muscles,
I will identify the muscles involved and release them.
I do this by applying gentle tension to the muscle and
combining that with specific movements. This is
known as Active Release Technique®, which I am
certified to provide (I’m also an ART instructor).
If the joints in your low back and pelvis
are stiff and contributing to the problem,
they may be adjusted. Adjustments are a
gentle way to loosen joints. Very little
force is used with adjustments and they
usually feel great.
The first step is to make an appointment and let
me determine what’s causing your sciatica, then
we can determine the correct treatment plan.
On average, 4-8 visits are required.
If anyone that you know is suffering from
sciatica, tell him or her to call us at
303.300.0424. We can help.