Tens treatment for sciatica

Índice
  1. Bed exercises for sciatica
  2. How to unblock the sciatic nerve in 30 seconds?
  3. What type of massage is done on the sciatic nerve?
  4. Which leg does the sciatic nerve affect?
    1. 3 exercises for sciatica you didn't know about
    2. Ejercicios para la ciática
    3. Masajeador para nervio ciatico

Bed exercises for sciatica

As with many spine conditions, pain can be significant. Low back pain is also one of the most challenging conditions because there are so many pain-generating sources. Common causes are a bad disc irritating a nerve, joint inflammation, arthritis, muscle strain or spasm, sacroiliac joint pain and stenosis.

Many patients present to our spine center with ongoing pain, despite having undergone surgery. In these cases, the pain may be linked to chronic nerve inflammation, facet joint inflammation, surgery-related scar tissue, degenerative disc disease or stenosis. Unfortunately, many patients have more than one "pain generator" and there is another painful structure that was not corrected by surgery.

How to unblock the sciatic nerve in 30 seconds?

Lie on your back with your knees bent, hold one leg at a time, bringing the knee close to the chest, while you feel the lumbar spine extend. Then you should do the same with the other leg, even if you have no pain in it. Hold this stretch for about 30 seconds. Repeat 3 times.

What type of massage is done on the sciatic nerve?

A massage for sciatica pain that is very suitable is the traditional Thai massage. This technique has been used and perfected over the millennia and is now one of the most traditional treatments to relieve various pains.

Which leg does the sciatic nerve affect?

This nerve begins in the lumbar region and runs down the back of each leg. This nerve controls the muscles of the back of the knee and lower leg. It also provides sensation to the back of the thigh, part of the lower leg and the sole of the foot.

3 exercises for sciatica you didn't know about

Applying warm compresses, massaging the region where the pain is present and performing some stretching exercises are excellent treatments that can be performed at home while waiting for a medical consultation, or also as a complement to the physiotherapeutic treatment.

Sciatica pain arises when the sciatic nerve is inflamed, which usually happens when there is a compression of the nerve, which can arise due to natural aging, but also due to bad habits such as having an incorrect posture.

When the pain begins to subside, to avoid a new pain crisis in the sciatic nerve it is necessary to strengthen the abdominal musculature and that is why Pilates exercises indicated by a physiotherapist are the most indicated. You can start with:

A good home treatment to relieve pain and inflammation caused by the sciatic nerve is to place a hot water bottle on the spine or on the place of pain, as this relaxes the musculature and increases the release of endorphins that promote well-being.

Ejercicios para la ciática

Puede ser más útil combinar un masaje suave con el hielo. Túmbate boca abajo y pide a alguien que masajee suavemente la zona dolorida con un cubito de hielo grande. Si el hielo se aplica directamente sobre la piel (en lugar de una compresa fría), limítelo a 8 o 10 minutos para evitar una quemadura por hielo.

A algunas personas les resulta útil alternar el frío con el calor. Si utiliza una almohadilla térmica, túmbese boca abajo y coloque la almohadilla sobre la zona dolorida durante un máximo de 20 minutos. Evite quedarse dormido sobre la almohadilla, ya que podría sufrir quemaduras en la piel.

Dado que la mayoría de los episodios de dolor incluyen algún tipo de inflamación, los antiinflamatorios no esteroideos (AINE), como el ibuprofeno o el naproxeno, pueden ayudar a disminuir la inflamación de la zona afectada.

Puede inyectarse un anestésico local y un corticosteroide directamente en el músculo piriforme para ayudar a disminuir el espasmo y el dolor. El objetivo de una inyección suele ser disminuir el dolor agudo para permitir el progreso de la fisioterapia.

En caso de espasmo piriforme persistente resistente al tratamiento con inyecciones de anestésicos/corticosteroides, puede ser útil una inyección de toxina botulínica (por ejemplo, Botox®), un agente debilitador muscular. El objetivo de la inyección es ayudar a relajar el músculo y reducir la presión sobre el nervio ciático.

Masajeador para nervio ciatico

4. Porchet F, Wietlisbach V, Burnand B, Daeppen K, Villemure JG, Vader JP. Relationship between severity of lumbar disc disease and disability scores in sciatica patients. Neurosurgery 2002; 50: 1253-9.

10. Savage NJ, Fritz JM, Kircher JC, Thackeray A. Valor pronóstico de las pruebas electrodiagnósticas en pacientes con ciática que reciben fisioterapia. Eur Spine J 2014 22 de julio (Epub ahead of print).

15. Lewis RA, Williams NH, Sutton AJ, et al. Comparative clinical effectiveness of management strategies for sciatica: systematic review and network meta-analyses. Spine J 2013 4 de octubre (Epub ahead of print).

16. Luijsterburg PA, Verhagen AP, Ostelo RW, van Os TA, Peul WC, Koes BW. Effectiveness of conservative treatments for the lumbosacral radicular syndrome: a systematic review. Eur Spine J 2007; 16: 881-99.

22. Bronfort G, Hondras MA, Schulz CA, Evans RL, Long CR, Grimm R. Manipulación espinal y ejercicio en casa con asesoramiento para el dolor de piernas subagudo y crónico relacionado con la espalda: un ensayo con asignación adaptativa. Ann Intern Med 2014; 161: 381-91.

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