Thank you for joining us for today’s livestream where we talked about what sciatica is, what it’s not and a practical definition so that you can get the help you need.

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Sciatica is pain that stems from the lower back, travelling along the sciatic nerve that runs down the back of the leg down into the feet. It’s a description of a symptom. There is a misconception that sciatica cannot be cured, which is simply not true. Sciatica is a lumbogenic leg pain, meaning that an injury is present in the lower back that’s causing you that sciatic pain - accompanied (or not) by back pain.  Slipped discs, bulging discs, spinal stenosis, degenerative disc disease or spondylolisthesis etc, can all cause sciatica.  In a neutral lumbar spine, there’s a normal height of discs and size of the hole where nerves travel through out of the back.  In a forward bending spine, there’s squashing on the front of the disc and inflammation decreases the hole size at the back where the nerves travel. This is where you get disc bulges. This lessening in the size of the hole places pressure in the nerve, causes things like knee hugs and nerve flossing to be prescribed. Knee hugs place more pressure on the front of the disc, although they create a bigger hole for the nerve which is why you’re prescribed them. We often lean forwards because it feels better.  In extension, there is an unloading of the spine. If you backward bend, the hole out the back becomes smaller. You’ll get pain associated with that, but you won’t be making the problem worse.  Exercise is important to rehabilitate the problem for the long-term. A lot of people will feel comfortable with forgoing exercise because of the pain, but feel comfortable about doing their day-to-day activities. The exercises we recommend in the outset are so gentle that everyday activities are harder on your body than these exercises, but they’re actively helping you.

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