A lot of people complain about nerve pain down the back of
their leg. Usually the cause is within the lower
back or pelvis. I'm going to
give you stretches today for the sciatic
nerve. It is the largest nerve in the body. It runs down the back of the leg
and splits into two behind the knee. It runs the whole way to the foot. It can
cause shooting pain, numbness, tingling, dead leg feeling or the feeling that
your leg is falling asleep.
The first exercise is this. It is called flossing. We are
going to sit up nice and straight here. What you are going to do is straighten the
affected leg or the leg with pain.
Stretch that leg out and look up at the same time. As you are
doing this, if you are doing it right and you are doing it on the painful leg,
it could actually make the symptoms travel down your leg. That is ok.
You are putting a stretch on the nerve. We are going to hold
that 5 seconds. Then bend your knee and look down. 5 second hold here. 5 second
hold, 10 times each way. This is called flossing.
The next exercise is called a slump stretch. Same idea here,
as you are doing this exercise, you could experience increased symptoms down
the leg and that is ok.
Outside of the flossing or this exercise, no other exercise
should increase the pain travelling down the leg. Everything else should actually
decrease the pain in the leg and you will experience more pain in your lower
back.
What we do is this:
Feet against the wall, knees straight, fingers interlocked behind
the head. Then you are going to slump forward. So bring your elbows in. There you
go. This should cause pretty sharp symptoms down the back of your leg. It is called
the slump stretch and it is ok to feel increased pain down the back of the leg.
We hold this for 30 seconds and we do 3 of them in the clinic. Now if that is
too difficult, if that is too advanced,
here is what you can do: Place your arms behind you and sit up and arch your
back. What you want to try to do is if that is too much for you, if that is too
intense, you can place your arms behind your back and simply arch your back.
Rock your pelvis forward. That will do the same exact thing
but it is a little less intense than interlocking your fingers behind your neck
and leaning forward. This is a little more basic. So you can modify. The same idea
though 30 seconds, 3 times. If you can at least get yourself to sit up straight
with the legs straight, feet flat against the wall, you are in good shape.
The third exercise you should do for sciatica or symptoms
running down your leg is this:
Realize that with symptoms travelling down your leg, often
there isnt a problem within the leg. The problem is within the lower back or
the pelvis. The sciatic nerve, the nerve roots where it originates is in your
lower back. If you are getting pressure on the nerve roots there either from
disc degeneration, from a herniated disc or, as is also common, a problem
within the pelvis and the sacroiliac joint.
If you have a problem there that is putting increased
pressure on the nerve, that is what creates the symptoms in your leg.
You can think about it like this:
if you have a long garden hose and there is water running
through it and you pinch one end, obviously at the other end you are going to have
less water flow. Same idea in your body.
If you pinch that sciatic nerve, that is what creates the
symptoms. That is what changes what you are feeling down your leg.
The solution isn’t to continually address the problems in
your leg. Or to put heat on your leg or ice on your leg. The solution is to relieve
the pressure on the other end of the garden hose or the other end of the
sciatic nerve. So what you need to do is figure out what is causing the
symptoms down your leg. A good Physical Therapist can help you do that and they
can decipher through testing whether it is coming from arthritis or disc degeneration
or stenosis in your back, a herniated disc or a problem in your pelvis. So the
third exercise that you should be doing is the 3 exercises that are addressing
the cause of your sciatic nerve pain.
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