Sciatica

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Pain that radiates from your lower (lumbar) spine to your buttock and down the back of your leg is the hallmark of sciatica. Occasionally, sciatic pain in men is caused by sitting on a wallet.

The sciatic nerve is the longest nerve in your body. It runs from your pelvis, through your hip area and buttocks and down each leg. The sciatic nerve branches into smaller nerves as it travels down the legs providing feeling to your thighs, legs, and feet as well as controlling many of the muscles in your lower legs. The term sciatica refers to pain that radiates along the path of this nerve.

What Causes Sciatica?

Sciatica is actually a sign that you have an underlying problem putting pressure on a nerve in your lower back. The most common cause of this nerve compression is a bulging or herniated lumbar disc. Piriformis syndrome is another common cause of sciatica. The piriformis is a muscle that lies directly over the sciatic nerve. If this muscle becomes tight or if you have a spasm in this muscle, it puts pressure directly on the sciatic nerve. Occasionally, sciatic pain in men is caused by sitting on a wallet.

How do I Know if I Have Sciatica?

Pain that radiates from your lower (lumbar) spine to your buttock and down the back of your leg is the hallmark of sciatica. Sciatica may be accompanied by numbness, tingling, and muscle weakness in the affected leg. This pain can vary widely, from a mild ache to a sharp, burning sensation or excruciating discomfort. Sometimes it may feel like a jolt or electric shock. Sciatic pain often starts gradually and intensifies over time. It's likely to be worse when you sit, cough or sneeze.

How is Sciatica Treated?

The vast majority of the time, sciatic pain can be relieved through a combination of stretches, deep tissue massage of the piriformis muscle and chiropractic care. Occasionally, in cases where chronic spasm of the low back or piriformis muscles is causing the sciatic pain, it may be necessary to do a procedure called a trigger point injection, where a medical pain specialist injects a small amount of anesthetic directly into a spasmed muscle to break the spasm cycle. However, this is typically not necessary.

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Wyandotte Office

Monday:

8:30 am-12:00 pm

1:30 pm-7:00 pm

Tuesday:

8:30 am-12:00 pm

Wednesday:

8:30 am-12:00 pm

1:30 pm-6:00 pm

Thursday:

Closed

Friday:

8:30 am-12:00 pm

1:30 pm-6:00 pm

Saturday:

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Sunday:

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  • "Definitely The Best Experience

    Dr. Silbert is a caring, compassionate and extremely knowledgeable practitioner. My appointments not only relieved my pain but also my mind, as he patiently gave me more insight as to what was really happening in my body. He was very reassuring and confident that he could help my condition. Definitely the best experience I have ever had with anyone in the medical field."
    Kate J.
  • "Active Release Therapy

    I found the staff at this office to be very friendly and helpful. They made me feel like an old friend. Surprisingly I was recommended by an ER doctor for “Active Release Therapy ” on my back and was surprised to learn that Dr. Silbert is the only chiropractor within about an hour drive that does this therapy. It is a slow process and I’ve only had 2 appointments but I would recommend them to anyone. Thank you."
    Cindy R.
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    While home training this summer, I began to encounter discomfort while working out. The joints around my knee were giving me pain. My greatest fear was I would have to give up my bobsled racing. A family friend recommended I see Dr. Silbert. After one visit I noticed a difference right away. My body is moving better and my training has resumed my competitive level. The success of my office visits has made my teammates want to see Dr. Silber."
    Valerie S. USA Women Bobsled Team