Sciatic Pain

Definition in Western Medicine
Sciatica (radiculopathy) is a general term that refers to pain caused by compression or irritation of one or more nerves exiting the lower spine that make up the sciatic nerve, and there are a number of different conditions that can cause this.
Sciatica is a set of symptoms: low back pain, leg pain and tingling, numbness or weakness that travels from the low back through the buttock and down the leg or foot.

Definition in Traditional Chinese Medicine (TCM)
Sciatica Symptoms is called “BiZheng 痹症” in Traditional Chinese Medicine (TCM).
The HuangDiNeiJin in 475-221 B.C.(The Yellow Emperor’s Internal Classic) discussed the syndrome of pain in the low back and leg.

Differential Diagnosis of Sciatica
List of diseases related to sciatica
1 Acute lumbar injury*
2 Lumbar spinal stenosis ***
3 Piriformis syndrome ***
4 Sciatic neuritis ***
5 Spinal tumors*
6 Sacroiliac joint injury (SI joint)*
7 Third lumbar transverse process syndrome**
8 Pelvic inflammatory disease (PID)*
9 Entrapment syndrome of superior cluneal nerve**
10 Entrapment syndrome of lateral femoral cutaneous nerve**
11 Greater trochanter bursitis**
12 Entrapment syndrome of common peroneal nerve***
13 Gluteus medius injury **
14 Herniated Lumbar Disc ***

Accord with sciatica symptoms *** 80-100%; ** 50-70%; * under 40%

TCM Treatment for Sciatica
Acupuncture
TuiNa
Herbs
Traction

Effects of Acupuncture and TuiNa
Balance body energy.
Relieve pressure (decompression).
Reduce pain.
Increase blood circulation in particular areas.
Activate the acupuncture channels (meridians).
Alleviate muscle spasm, relax muscles.
Repair damaged soft tissue.
Adjust joints.

Cautions and Contraindications
At the acute stage, don’t use heavy manipulation (TuiNa) and traction, but you can do acupuncture and herbs .
Surgery for herniated lumbar disc, if one of the following happens:
①If symptoms are very severe, if symptoms occur repeatedly for years, or if alternative treatment is not working.
②If there is central herniation, with compression to cauda equina nerves that causes sphincter dysfunction.
③If there is Nerve root compression with numbness and foot drop.


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