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Sciatic Pain – A Pain in the Behind!

A person holding the back of the hip, highlighted in red

Sciatic pain can be anything from a nuisance to debilitating. It runs along the path of the sciatic nerve, from the lower back or buttock down the back of the leg, and it can have several different causes. That's why it's best to have it examined.

Common causes

  • A disc problem in the lower back, such as a bulging or herniated disc pressing on a nerve root
  • A tight piriformis muscle (piriformis syndrome). This muscle deep in the buttock stabilizes the pelvis and helps rotate the leg; the sciatic nerve runs right next to it. Long hours sitting at a desk or driving, poor posture, an altered walk from another injury, sitting with your legs crossed or exercising without stretching can all tighten it.
  • Narrowing of the spinal canal (stenosis) or arthritis in the lower back, especially as we age

At your visit we'll examine you to sort out the likely cause and what's keeping the problem going.

Stretches for a tight piriformis

These stretches are commonly used for piriformis tension. Move slowly, hold each for about 30 seconds, and stop if your pain gets worse or spreads further down the leg. It's best to have us check that you're doing them correctly.

A person lying on their back pulling one knee toward the opposite shoulder
Lying on your back, pull one knee toward the opposite shoulder.
A seated stretch with one ankle crossed over the opposite knee
Seated: cross one ankle over the opposite knee and gently lean forward.
Lying on the back with one leg crossed over the body
Lying on your back, cross one leg over your body toward the floor.
Get emergency care for numbness in the groin or inner thighs, new loss of bladder or bowel control, or rapidly worsening leg weakness.

This article is general information, not medical advice. Our doctors are doctors of chiropractic (D.C.), not medical doctors. If you have a medical emergency, call 911.

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