Smithtown Wellness - Wellness Chiropractor in Smithtown, NY

Sciatica

image of a wallet in a jean pocket
Pain that radiates from your lower (lumbar) spine to your buttock and down the back of your leg is the hallmark of sciatica. Occasionally, sciatic pain in men is caused by sitting on a wallet.

The sciatic nerve is the longest nerve in your body. It runs from your pelvis, through your hip area and buttocks and down each leg. The sciatic nerve branches into smaller nerves as it travels down the legs providing feeling to your thighs, legs, and feet as well as controlling many of the muscles in your lower legs. The term sciatica refers to pain that radiates along the path of this nerve.

What Causes Sciatica?

Sciatica is actually a sign that you have an underlying problem putting pressure on a nerve in your lower back. The most common cause of this nerve compression is a bulging or herniated lumbar disc. Piriformis syndrome is another common cause of sciatica. The piriformis is a muscle that lies directly over the sciatic nerve. If this muscle becomes tight or if you have a spasm in this muscle, it puts pressure directly on the sciatic nerve. Occasionally, sciatic pain in men is caused by sitting on a wallet.

How do I Know if I Have Sciatica?

Pain that radiates from your lower (lumbar) spine to your buttock and down the back of your leg is the hallmark of sciatica. Sciatica may be accompanied by numbness, tingling, and muscle weakness in the affected leg. This pain can vary widely, from a mild ache to a sharp, burning sensation or excruciating discomfort. Sometimes it may feel like a jolt or electric shock. Sciatic pain often starts gradually and intensifies over time. It's likely to be worse when you sit, cough or sneeze.

How is Sciatica Treated?

The vast majority of the time, sciatic pain can be relieved through a combination of stretches, deep tissue massage of the piriformis muscle and chiropractic care. Occasionally, in cases where chronic spasm of the low back or piriformis muscles is causing the sciatic pain, it may be necessary to do a procedure called a trigger point injection, where a medical pain specialist injects a small amount of anesthetic directly into a spasmed muscle to break the spasm cycle. However, this is typically not necessary.

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Reviews By Our Satisfied Patients

  • "I've known Scott for many, many, years but you don't do biz with folks you know so I asked him for a referral to a ENT because I was suffering from vertigo for a few years and it was driving me nuts. He said, "Just come here and let's see what's up." He wanted to run x-rays first so he asked if I was pregnant. I said I wasn't but that we've been trying for about a year. He said that he wouldn't be surprised if I got pregnant after a few adjustments. Well, he was right on all counts! My vertigo was gone after about a visit or two and I was pregnant within the month! ... he's been helping with my pregnancy woes and pains and no reoccurrence of vertigo!"
    Sharon R. - Hauppauge, NY
  • "Everyone at Smithtown Wellness goes out of their way to create a positive environment that is conducive to good health. Dr. Scott is very knowledgable and is always willing to share that information with others. We began seeing Dr. Scott while my partner was pregnant with our second daughter. His expertise facilitated a beautiful home birth by ensuring proper alignment of the pelvis. Our newborn had her first adjustment at just 10 days old!! Smithtown Wellness is more than a business, its a family of people that really care."
    Justin M. - Mt. Sinai, NY