Pain that arises due to irritation of the sciatic nerve can cause numbness, tingling and burning sensation along the buttock, back of thigh and may extend into the lower leg. Usually occurring on one side, it is aggravated by prolonged sitting or standing postures, coughing/sneezing, at night or after walking a certain distance. Assessment is aimed at identifying the cause which can be an underlying disc problem, piriformis muscle syndrome, or a more serious problem such as fractures or tumours.
Treatment involves encouraging patients to maintain mobility through low-impact exercises, neural mobilisation techniques/stretching techniques to relieve the pressure on the nerve and to improve nourishment and blood supply to the nerve tissue. Massage relaxes the muscle and joint mobilisation techniques improve movement within the spine.This is followed by strengthening the back and leg muscles with core stability exercises.
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