NEWSLETTER
May 2012
Greetings!

 

Topic of the Month

Sciatica

 sciatica

The term sciatica describes the symptoms of leg pain and possible tingling, numbness or weakness that originates in the lower back and travels through the buttock and down the large sciatic nerve in the back of the leg.

 

Sciatica is often characterized by one or more of the following symptoms:

  • Constant pain in only one side of the buttock or leg (rarely can occur in both legs)
  • Pain that is worse when sitting
  • Burning or tingling down the leg (vs. a dull ache)
  • Weakness, numbness or difficulty moving the leg or foot
  • A constant pain on one side of the rear
  • A sharp pain that may make it difficult to stand up or to walk
 

Sciatica symptoms occur when the large sciatic nerve is irritated. The sciatic nerve is the largest single nerve in the body and is composed of individual nerve roots that start by branching out from the spine in the lower back and combine to form the "sciatic nerve".

  • The sciatic nerve starts in the lower back at lumbar segment 3 (L3).
  • At each level of the lower spine a nerve root exits from the inside of the spine and then comes together to make up the large sciatic nerve.
  • The sciatic nerve runs from the lower back, down the back of each leg
  • Portions of the sciatic nerve then branch out in each leg to innervate certain parts of the leg - e.g. the buttock, thigh, calf, foot, toes.

 

Treatment for Sciatica

 

Heat/Ice 

For acute sciatic pain, heat and/or ice packs are readily available and can help alleviate the leg pain, especially in the initial phase. Usually ice or heat is applied for approximately 20 minutes, and repeated every two hours. Most people use ice first, but some people find more relief with heat. The two may be alternated.

 

Pain Medications 

Over-the-counter or prescription medications may also be helpful in relieving sciatica. Non-steroidal anti-inflammatory drugs (such as ibuprofen, naproxen, or COX-2 inhibitors), or oral steroids can be helpful in reducing the inflammation that is usually a contributing factor in causing sciatica pain.

 

Epidural Steroid Injections

If the sciatica pain is severe, an epidural steroid injection can be performed to reduce the inflammation. An epidural injection is different from oral medications because it injects steroids directly to the painful area around the sciatic nerve to help decrease the inflammation that may be causing the pain. While the effects tend to be temporary (providing pain relief for as little as one week up to a year), and it does not work for everyone, an epidural steroid injection can be effective in providing relief from an acute episode of sciatic pain. Importantly, it can provide sufficient relief to allow a patient to progress with a conditioning and exercise program.

 

Chiropractic/Manual Manipulation 

Spinal adjustments and manual manipulation performed by appropriately trained health professionals (such as chiropractors, osteopathic physicians, physical therapists) are focused on providing better spinal column alignment, which in turn should help to address a number of underlying conditions that can cause sciatic nerve pain. Manual manipulation done to address the right indications by appropriately trained health professionals can create a better healing environment and should not be painful.

 

Acupuncture 

The practice is centered on the philosophy of achieving or maintaining well being through the open flow of energy via specific pathways in the body. Hair-thin needles (that are usually not felt) are inserted into the skin near the area of pain. Acupuncture has been approved by the U.S. FDA as a treatment for back pain, and the National Institutes of Health recognized acupuncture as effective in relieving back pain, including sciatica.

 

Massage Therapy 

Certain forms of massage therapy have been shown to have a number of benefits for back pain, including increased blood circulation, muscle relaxation, and release of endorphins (the body's natural pain relievers).

 

 

For most people, the good news is that sciatica usually will get better on its own, and the healing process for most will only take a few days or weeks. Overall, the vast majority of episodes of sciatica pain heal within a six to twelve week time span. Following initial pain relief, a program of sciatica physical therapy and exercise should usually be pursued in order to alleviate pain and prevent or minimize any ongoing sciatic pain.

 

Click here to learn more about Sciatica!

Recipe of the Month
salad 

Myth: Salads are always the way to go!

 

Many people think salads are the epitome of health. Who wouldn't with all those veggies piled high on a plate? The reality is most salads start out healthy, but it's all the add-ons that reduce the health value. Fatty dressings, cheese, processed meats and candied nuts are common culprits, so be aware. For example, the typical fast food Caesar salad can have more fat and calories than a fully loaded burger. Opt instead for salads that are mostly vegetables and use an oil and vinegar-based dressing or ask for dressing on the side so you can moderate it. You don't have to skip on cheese, just choose lower fat cheeses like feta or goat cheese.

 

 Click here for an easy salad dressing recipe!

Exercises of the Month exercises

 

Here are 5 simple exercises you can do anywhere:
 

1. Tricep Dips. Sit on the edge of a chair or bench with your hands next to your thighs. Lift your body out just in front of the chair, with your feet flat on the floor and your knees bent. Lower yourself down so your elbows bend no more than 90 degrees and push yourself back up.

* Start off with a few small sets and build up from there. 

* Straightening your legs increases the workout.
 

2. Pushups. Everyone knows the standard pushup position, so let's try some things to change it up a bit.

* You can do pushups with your hands wider than shoulder width to get more of a shoulder and chest workout.

* If you bring your hands together into a diamond shape near the center of your chest you will work more of the triceps and shoulders.

* Working half pushups - either going only half way down and then back up, or starting from the floor and only pushing up half way and then going back down - will intensify your pushup workout.

 

3. Crunches. Crunches are great for your abs if you do them correctly. Done incorrectly, they can put undue stress on your neck and back. To avoid injury, be sure to use the correct techniques.

* The biggest risk is if you jerk your neck to give you the force to crunch. While doing crunches, keep your hands behind your head and your elbows back while using your stomach muscles to lift your head and chin towards the ceiling.

* Once you've mastered this technique, try lifting your legs off the ground or assuming a bicycle position with one leg bent and the other straight off of the ground.

 

4. Squats. Body weight squats are a great exercise you can do anywhere and a fantastic way to learn proper technique. Start off your squat workouts by lowering yourself only a foot or so. Then work up to deeper squats as your muscles become accustomed to the exercise.

* If you're feeling a bit advanced and in need of a more intense workout, grab two 2-liter bottles filled with sand and try performing squats while holding one in each hand.

 

5. Calf Raises. Calf raises can be done wherever there is a raised surface, such as a stairway. If you need balance, hold onto the railing. Facing the stairs, stand with only your toes on the stair and your feet extending out past it. Standing straight up, lower your body down below the level of the stair and then back up onto your toes.

* Even though it seems as if this is an ankle exercise, it also works out your calf muscles.

* The biggest emphasis on this exercise is the ability to go from an extreme negative position with ankle below toes to an extreme positive position, ankle fully raised.

 

 

With these five exercises, you have a full body workout. Remember to pay attention to your body and take it easy at first. Soreness is a good thing, but pain means you need to stop. Try these exercises out today and feel the healthy difference of fitness on the run.

 

Brain Teaser of the Month

 The Stroop Test brain teaser

 

 

 

Quick! say aloud what color you see in every word, NOT the word you read.

 

 

 

 

Expla­na­tion: The Stroop test is used in neu­ropsy­cho­log­i­cal eval­u­a­tions to mea­sure men­tal vital­ity and flex­i­bil­ity, since per­form­ing well requires strong atten­tion and self-regulation capability.

 

About The Doctor 

 

Dr. Hessam Khatami is certified in various soft-tissue techniques and is working toward his Chiropractic Sports Physician Certification.  He provides certified treatments in the areas of sports injuries, difficult cases of spine pain with numbness and tingling, migraines and more.
   

His office is located in Atlantic Gove in Delray Beach, FL, and can be reached at 561-455-4850 or email him at drkhatami@atlanticgrovechiro.com.

 

We hope you enjoyed our newsletter this month. Please visit our website at: www.atlanticgrovechiro.com for more information.

 

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Sincerely,

 dr k pic

Dr. Hessam Khatami

 

Atlantic Grove Chiropractic & Rehabilitation