Sciatica Treatment

Chiropractic and Acupuncture for Sciatica

Our Fairfax chiropractor can help you recover from your sciatica by providing integrative treatment of chiropractic and acupuncture for the root condition causing the sciatic nerve pain or nerve pain caused by herniated disc.

What is Sciatica? sciatica nerve pain

Sciatica is a medical condition of pain going down the leg from the lower back. Typically, symptoms are only on one side of the body. Certain causes, however, may result in pain on both sides. Lower back pain is sometimes but not always present. Weakness or numbness may occur in various parts of the leg and foot. Sciatica is typically caused by irritation of the sciatic nerve.

Sciatica is usually due to a spinal herniated disc pressing on the lumbar or sacral nerve roots. Other problems that may result in sciatica include spondylolisthesis, spinal stenosis, piriformis syndrome, and pelvic tumors.

The discs of the spine function both as shock absorbers and spacers to separate the bones of the spine. Thereby the discs allow more space for the spinal nerves to exit from the spinal cord without being “pinched.”

Causes of Sciatic Nerve Pain

The disc can be damaged through a major trauma like lifting something that is very heavy. The disc also can be damaged by repetitive micro-trauma over a period of time. The result of these traumas can be that the disc will thin out, degenerate, bulge, or herniate.

The cartilage of the outer walls of the disc are damaged or weakened to varying degrees due to trauma. As pressure is put onto a disc, the inner material of the disc (nucleus pulposis) is pushed outward. If the cartilage wall that is trying to hold in this nucleus pulposis has been weakened, then the nucleus pulposis can:

  1. Disc Degeneration | Spinal Stenosis – Slowly leak past the damaged cartilage fibers. The amount of material that leaks out will determine the remaining thickness of the disc. Disc degeneration (thinning and dehydrating disc) has less shock absorption and the less space for the spinal nerves to exit from the spinal cord. This causes a greater likelihood of the nerve being “pinched”.
  2. Bulging Disc – Push out the cartilaginous wall of the disc causing a bulging disc (like a bubble in a tire). This bulging disc can put pressure against the spinal cord or can take up space that the spinal nerves need to exit from the spinal cord. This can cause a greater likelihood of the nerve being “pinched”.
  3. Herniated Disc – Suddenly have a large volume of material push (herniate) through the cartilaginous wall causing a herniated disc. The herniated material can lodge against the spinal cord, the nerve root or reduce the space the nerve has to exit from the spinal cord. This causes a greater likelihood of the nerve being “pinched”.

Normal disc vs herniated disc

Western Medical Approach

Sciatica Pain may be of nociceptive, neuropathic, or psychogenic types. For neuropathic pain due to herniated disks, drugs [aspirin, non-steroidal anti-inflammatory agents (NSAID) and opioid analgesics] offer few benefits. Use of drugs do not change the underlying condition [herniated disc], they only mask the symptom. Most patients are simply told to relax at home, stay confined to bed, and take drugs as needed for pain. If the pain persists, more and more drugs are needed, thereby creating more side effects and complications. If the pain becomes worse, invasive treatment such as surgery is often suggested.

Common side effects of aspirin and NSAID’s include gastric ulcer, duodenal ulcer, gastrointestinal bleeding, tinnitus, blurred vision, dizziness and headache. Serious side effects of newer NSAID’s, also known as Cox-2 inhibitors such as Celebrex (Celecoxib), include significantly higher risk of cardiovascular events, including heart attack and stroke. Side effects of opioid analgesics such as Vicodin (APAP/Hydrocodone) and morphine include dizziness, lightheadedness, drowsiness, upset stomach, vomiting, constipation, stomach pain, rash, difficult urination, and respiratory depression resulting in difficult breathing. Furthermore, long-term use of these drugs may lead to tolerance and addiction.

Integrative Treatment Approach

Treatment of sciatica is a sophisticated balance of art and science. Proper treatment of pain requires a careful evaluation of the type of disharmony (excess or deficiency, cold or heat, exterior or interior) and characteristics (phlegm, qi and/or blood stagnations). Furthermore, optimal treatment requires integrative use of acupuncture, herbs, chiropractic, physiotherapies and myofascial release. For certain condition, spinal decompression therapy may be incorporated to reduces pressure inside the discs of the spine and facilitates the transfer of nutrients and oxygen back into the disc. As a result, spinal decompression allows the herniated and bulging disc to eventually go back into normal position.  All these therapies work together to tonify the underlying deficiencies, strengthen the body, and facilitate recovery from acute or chronic pain.

Chiropractic and Acupuncture are effective For Sciatica Pain

Depending on your individual diagnosis, our chiropractor can help you recover from your sciatica by providing integrative treatment for the root condition causing the sciatic nerve pain. Chiropractic care is a particularly effective treatment for most of these conditions because it optimizes spinal alignment to remove pressure from the sciatic nerve, thus providing pain relief.

Acupuncture and TCM will not only work to relieve your sciatica nerve pain, but will treat the underlying sciatica cause of pain. Acupuncture is a highly promising and effective treatment for sciatica symptoms.  Our Licensed Acupuncturist will provide sciatica relief treatment and also improvement in the disability that often results from sciatica symptoms.

In addition, our chiropractor may suggest physiotherapy modalities to provide relief from muscle spasms and to reduce inflammation. Therapeutic exercises can also help, particularly as you strengthen your core muscles to better support spinal alignment. Therapeutic exercises can prevent future sciatica attacks.

Acupuncture is very effective to treat the sciatica nerve pain, and chiropractic and myofascial release are effective to correct the structural cause.  By addressing both symptom and cause, Integrative therapies often achieve immediate and long-term success. Furthermore, Integrative therapies are often associated with few or no side effects. Integrative use of acupuncture and chiropractic care is excellent for sciatica and herniated discs of mild to moderate severity. When applied properly, they are often very successful to treat sciatica, correct the underlying problem, and restore normal physical functions.

Best care for sciatica pain relief is to understand all available options from western, chiropractic, and Traditional Chinese Medicine, and utilize the most effective modality for each specific condition.

Please call our office at 703-277-9897 to schedule appointment.