02 Jan False Sciatica
False Sciatica is a condition which presents with pain down the sciatic nerve distribution, but without any lumber spine (lower back) involvement.
First lets talk about “True Sciatica” True sciatic pain usually presents as a result off a dysfunction within the spine (i.e disc bulge / protrusion or facet joint irritation) impinging (pinching) the sciatic nerve in your lumbar spine (lower back). Symptoms of sciatica includes:
- Lower back pain.
- Pain in the back of the leg that gets worse when sitting.
- Burning or tingling down the leg.
- Weakness, numbness, or difficulty moving the leg or foot.
- A constant pain down one side.
- A shooting pain that makes it difficult to stand up.
False sciatica on the other hand occurs when there are dysfunctions such as muscular imbalances within structures that the sciatic nerve passes along, irritating the nerve resulting in pain, an example of this is the Piriformis syndrome.
The Piriformis is a muscle that is located under the Glute Max, connecting the femur (tight) to the sacrum (tail bone). In most people the sciatic nerves passes under this muscle, whilst in some people the full nerve pass through the Piriformis.
Although the nerve passes through the muscle in some population, it doesn’t mean you will be in pain as most of these people are asymptomatic (showing no symptoms). Factors such as prolong postures, type & frequency of activities & muscular imbalances can cause the sciatic nerve to become irritated.
Release technique for Piriformis Syndrome
Lacrosse Ball Myofascial Release
- Find your the hip bony point at the side of your leg
- Feel down the bottom of your spine until you reach the tail bone
- Work both hands together until they meet.
- This will be your starting point
- Work in and around that area until you find a tender spot, hold it in that position untill the pain eases of or 10 – 20 seconds
- If you find this too painful start with a foam roller