According to my Injury classification system, Sciatica usually develops because of different misalignment patterns at the level of the pelvis and lower back, therefore is considered Level 1 Injury, as per the main dysfunction being found at the first Alignment protective layer with associated nerve entrapment. Sciatic may also be classified as a Level 4 injury when there is a disc disorder compromising the neurological structures.

The sciatic nerve is made up by several nerve roots from L4 to S3, therefore misalignment in any of these spinal segments may contribute to the cause of the sciatica.

Patients usually reports of a sharp linear type of pain from the lower back down into the lower extremity associated with pins and needles, numbness, and weakness in the leg. Increased muscle contraction and intermittent lower back and buttocks spams may also develop.

Sciatic pain location and the corresponding levels of dysfunction

Misalignments from L5 to S3 segments usually cause the linear nerve pain at the back of the leg

L4 misalignments usually cause a linear nerve pain at the back but more towards the side of the leg

Chronic injuries as seen in spinal degeneration may also narrow the nerve passage due to the scar/fibrotic tissue at the superficial fascia and by the osteophytic bone formation from the underlying bones.



Neurological examination

Spinal/Pelvic clinical assessment to identify the dysfunctional vertebral segments that contributed to this condition.

Xray analyses

Anteroposterior (AP) and Lateral spinal views are essential to accurately diagnosed and visualise the patterns of dysfunction.

MRI analysis

Important exam to verify the level of narrowing of the nerve passage and the exact point of irritation

Rule out any other condition; There are rare disorders that may create similar patterns of dysfunction, is advisable to rule out these conditions prior to the start of the treatment.


Treatment protocol

Specific spinal adjustment to relief the nerve root irritation

Low level laser application from the lower back following the path of the sciatic never down the leg

Neuromobilization techniques is used once the direct compression of the nerve is reduced.

Specific therapeutic essential oils are applied to reduce nerve inflammation and enhance healing.

Depending on the level of nerve compromised and chronicity of the misalignment a minimum of 6 weeks up to 12 weeks of treatment care may be necessary to resolve this deformity.

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