Introduction

Structure of spinal disc

What causes sciatica?

Treatment options

How do we treat sciatica?

Why are we different?

What our patients say

 

Introduction

Pain in the back which radiates in the buttock, back of thigh and outer

part of calf muscle along the course of sciatic nerve is termed sciatica.

 

Structure of spinal disc

An inter-vertebral disc consists of concentric fibres at the periphery ( annulus fibrosus)and a gel like substance(nucleus pulposus) in the centre. The disc can well be related similar to a water filled balloon placed between two blocks. When the vertical pressure on the disc increases, there is a diffuse bulge in the disc, which gradually leads to its degeneration. This can happen if the person’s routine involves much sitting. Also, if the shoulder and upper body muscles are weak, it can lead to disc degeneration.

 

What causes sciatica?

All sciatica pains are not because of disc prolapse.

Sciatica pains can be because of disc prolapse, or tight muscles/ bursitis in the buttock region.

A degenerated disc can progress to protrusion and herniation (commonly referred as prolapse or slip disc). Protrusion means the inner gel like substance bulges to one side, but still remains contained within its walls. Whereas herniation means that the gel like substance finds way to the periphery. In both the cases, there can be a compression on the nerve root and the sufferer feels pain in the thigh and leg. 

Tight muscle in the buttock can compress the sciatic nerve which passes underneath, and cause sciatica. People who sit for long hours also develop sciatica because of ischaemic compression of the sciatic nerve.

 

Treatment options
Most of the sciatica pains respond positively to conservative management. Physiotherapy, acupuncture, dry needling, kinesiotherapy, along with anti-inflammatory medication  and diet modifications are the preferred methods of treatment.

Though surgery is being advised rampantly these days, but NOT all cases respond to surgery. The ideal cases for surgery are those who develop bladder and bowel problems with pain or those who develop progressive weakness in legs. A Unites States medical Insurance company reported that US people were reporting decline in self-rated spinal health after surgeries. Also it noted that spine surgeries for spinal degenerative disc problems are out of sync with the scientific evidence regarding risks and benefits of this form of surgery.

 

 How do we treat sciatica?

As all sciatica pains do not originate in the spine, we evaluate the patient thoroughly. The cause is identified by clinical assessment and supportive investigation. We use one or a combination of following techniques for the treatment of sciatica: 

  • Myo-fascial release
  • Mobilization and manipulation of spine
  • Manipulation of sacro-illiac joint
  • Kinesiotherapy
  • Electro-therapy
  • DRS therapy
  • Exercise therapy
  • Ultrasound therapy
  • Ergonomic modifications
  • Regenerative therapy (PEMF)
  • Acupuncture
  • Dry needling

Why are we different?

  1. We attend to the root cause of the pain
  2. We give you lasting results
  3. We do not prescribe any medicines or surgery
  4. We are cost-effective

What our patients say about us?

  1. Thank you Dr Alpana. Your team and you made my life pain-free and saved me from surgery……...Read more
  2. I had too many medications and physiotherapy sessions of back treatment for my leg pain, but no relief. My one session of therapy at Total-Rehab made life easy by 30-40% for me……Read more

 And More….

 

Call +91 9382725422 for immediate appointment