Sciatica is Common in Runners and People Who Sit for a Living
Sciatica is a Symptom Not a Diagnosis

Pain in to the back of your leg (Sciatica) and your buttock is a sign that you are putting pressure on your Sciatic nerve.

  • The most common cause of this nerve compression is a bulging or herniated disc in your low back.
  • Click here for more information about this cause. 

The second most common cause of nerve compression is piriformis syndrome.

  • Piriformis muscle is a deep muscle in your buttock and lies directly over the sciatic nerve.
  • When this muscle tightens or spasms, it puts pressure directly on the sciatic nerve.
  • When this muscle causes pressure on the nerve it can lead to leg symptoms.

 

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What are the Symptoms of Sciatica
  • Pain
  • Paresthesia
  • Numbness beginning in the gluteal region and radiating along the course of the sciatic nerve. 
  • Symptoms are often provoked by holding any one position for longer than 15-20 minutes - particularly prolonged sitting or standing.
  • Patients may report increasing discomfort when walking, running, stair climbing, riding in a car, or arising from a seated position. 
What is Management of Piriformis Syndrome
  • Stretching
  • Myofascial release
  • Correction of underlying biomechanical dysfunction
  • Patients may need to temporarily limit provocative activities, including hill and stair climbing, walking on uneven surfaces, intense downhill running or twisting
  • Patients should avoid sitting on one foot and take frequent breaks from prolonged standing, sitting and car rides. 
  • Stretching of the piriformis muscle is crucial and may be performed with seated, prone or quadruped maneuvers.
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