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Sciatica

How to recognize sciatica and what you can do

Sciatica is a pain that often starts in the lower back and extends through the buttock down into the leg and sometimes all the way to the foot. The pain can feel different, from sharp jabs and shooting pains to numbness and a dull ache. The cause is irritation or compression of the body's longest nerve, the sciatic nerve.

The discomfort can significantly impact daily life, making it difficult to sit, stand, walk, or sleep. For many, it resolves within a few weeks, especially if one stays active and avoids too much rest. However, for some, the problems can become long-lasting, requiring self-care and aids to relieve the pain, such as back supports that provide relief for sciatica.

Common causes of sciatica

A common cause is a herniated disc in the lower back, where a disc presses against a nerve root, causing pain. Other causes can be narrowing of the spinal canal or worn joints in the back. Sometimes the discomfort is due to tight muscles in the gluteal area, which is often called false sciatica.

Symptoms of sciatica

Sciatica often causes radiating pain that extends from the back down into the leg. Some people also experience numbness, tingling, or muscle weakness. Sometimes it can be difficult to sit for long periods or find a comfortable sleeping position. The intensity of the pain and how far down the leg it is felt can vary depending on how the nerve is affected.

  • Pain radiating from the lower back down into the leg
  • Numbness or tingling in the leg or foot
  • Weakness in the leg or foot
  • Difficulty controlling movements or reflexes in the leg
  • Ache that worsens with coughing, sneezing, or prolonged sitting

When it is important to seek medical care

Most people with sciatica get better on their own, but there are times when immediate help should be sought. This applies if the pain suddenly becomes very severe or if you lose sensation or strength in the leg. Problems with controlling urine or feces should also always be assessed acutely, as these can be signs of a more serious condition. You can contact 1177 to consult about your symptoms and proceed with an examination.

What you can do yourself

Regular movement is often better than rest. Walks, swimming, and simple mobility exercises can reduce pain and aid healing. Many find that heat, such as from a heating pad or a warm bath, provides relief. If needed, over-the-counter pain relievers can be used for a short period.

For some, supportive aids such as back belts or seat cushions are a great help, especially when needing to sit or stand for extended periods.

Exercises that can relieve sciatica at home

There are several simple exercises you can try at home to reduce pain and stiffness. Start gently and gradually increase as it feels better.

A good start is to lie on your back with bent knees and slowly pull one knee towards your chest, hold for 20 seconds, and switch legs. You can also try sitting on a chair and slowly leaning forward until you feel a stretch in your lower back and buttocks.

Another exercise is to lie on your stomach and gently push your upper body up with your arms, without lifting your hips off the floor. This can reduce pressure on the nerve and increase mobility in the back.

For those who want to work on strength, a simple bridge exercise can be effective. Lie on your back with your feet on the floor and lift your hips upwards until your body forms a straight line from your knees to your shoulders. Hold for a few seconds and slowly lower back down.

Doing these exercises a few times a day can provide gradual relief and also prevent the problems from returning.

The difference between true and false sciatica

In true sciatica, the nerve itself is irritated or compressed, often by a herniated disc or a spinal stenosis. This causes clear radiating pain that can extend all the way to the foot. In false sciatica, the pain originates from the muscles in the gluteal area and usually does not radiate as far.

Preventive advice

Building core strength in your abdomen and back reduces the risk of new discomfort. It is also good to be mindful of how you lift and carry, and to vary your working positions throughout the day. If you have a sedentary job, a good chair and a height-adjustable desk can make a big difference.

Our products that can help you

We offer aids selected to reduce pain and facilitate daily life with sciatica. Back supports that provide relief, heat bandages that relax muscles, and seat cushions that reduce pressure on the nerve are some of the options you can choose from.

Many of our customers say that the right support makes a big difference after the very first use. Take a look at our recommended products and find what suits your specific needs.

Frequently Asked Questions (FAQs)

How do I know it's sciatica and not just regular back pain?

Sciatic pain often radiates down the leg and follows the nerve's path, while regular back pain often stays localized in the lower back.

Can sciatica go away on its own?

Yes, many people become symptom-free within a few weeks with proper self-care, but sometimes medical treatment is required.

What exercises are best for sciatica?

It depends on the cause, but stretching the glutes and back, as well as strengthening core exercises, are often helpful.

When should I seek emergency help?

If you experience numbness in the genital area or lose control of your bladder or bowel, you should seek emergency medical care.

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Text created by:

Mats Siljehag, Certified Chiropractor

Mats Siljehag is an experienced chiropractor and physiotherapist with over 20 years of industry experience. He has worked as a chiropractor for the national basketball team and has extensive experience in treatment and education.