Last month I had two patients who came to my clinic because they thought they had sciatica pain. One of the patients has self diagnosed himself and the other patient was diagnosed by a medical doctor. Both of these patients had excruciating pain in their lower back, which radiated down to a lower extremity. It is very common that many patients will wait for their pain to go away with rest, anti-inflammatory and pain medication. As a result, pain symptoms will get worse and get to the point where pain medications will stop working.
The first patient was a male in his early 60’s. He came to my clinic on his crutches. The pain level was so intense that he was not able to support his upper body. The pain would shoot all the way down his right lower extremity past the knee level but did not effect his toes. After thorough examination it was evident that his right SI (sacroiliac joint) was about 2 inches lower than the left SI joint. All of the nerves that were exiting from sacral foraminas (openings) were very irritated and inflamed. Every time this gentleman would place a load on his legs he would cry and I could see tears of pain on his face. After three sessions of full spine chiropractic adjustment, physical therapy (moist heat and electrical stimulation) and deep tissue massage from my CMT (Certified Massage Therapist) he was completely free of pain. I have recommended him to stop by once or twice a month for maintenance care in order to avoid future flare up and pain.
Everyone is experiencing lower back pain sooner or later in their lifetime. However, when that time come many sufferers are ready to do anything for the pain to go away. Over the past ten years I have seen people doing all kind of things by an advice of a friend, neighbor or a close relative. My mind was always wondering: “How is that supposed to help a soft tissue injury or misaligned vertebrae?” Some of these recommendations will do more harm to lower back than help. Dr. Orly Avlzur advises to avid the major none professional recommendations.
Bed Rest is not a good idea at all. During prolonged bed rest lower back muscles loose their tone and can lead to a greater pain. Also prolonged supine position can cause loss of lumbar lordosis. One must move around and stretch. That is correct, physical activity is in favor against resting state. Do you remember those days when you get up from a bed and everything is sore in your body. As a day progresses thing seems to get better and the pain level goes significantly down.