Understanding Sciatica: Beyond Muscle Tightness

The Importance of Neural Mobilisation

Sciatica is not simply a muscle tightness problem. In many cases, symptoms are related to increased mechanosensitivity or reduced mobility of the sciatic nerve. Traditional stretching alone may aggravate symptoms if the neural tissue is irritated. This is why neural mobilisation (nerve gliding) is commonly used in physiotherapy.

Why Neural Mobilisation Matters

Neural mobilisation techniques focus on improving the movement of the sciatic nerve. They can help alleviate discomfort and enhance mobility. Have you ever felt tightness that just wouldn’t go away? That could be your nerve signaling for help.

Exercises Shown in This Video

1. Supine Lumbar Rotation Stretch

   This exercise helps reduce lumbar stiffness and protective muscle guarding. It’s a gentle way to ease tension.

   
   

2. Sciatic Nerve Mobilisation (Supine)

   This involves rhythmic knee flexion and extension combined with ankle dorsiflexion and plantarflexion. It progresses to a 90° hip flexion nerve glide for controlled neural movement. This method is effective in promoting nerve health.

   
   

Key Principles of Neural Mobilisation

• Movements are rhythmic, slow, and symptom-free.

• No aggressive end-range stretching is involved.

• The goal is to improve nerve excursion, not to force flexibility.

  
  

Have you tried these exercises yet? If leg pain worsens or persists, I recommend seeking a professional assessment. It’s essential to listen to your body and take action when needed.

The Benefits of Physiotherapy for Sciatica

Physiotherapy offers a personalized approach to managing sciatica. It helps you regain control over your body and reduces reliance on medication. Through tailored exercises and techniques, you can work towards a pain-free life.

Understanding Your Pain

Chronic pain can be overwhelming. It’s crucial to understand what your body is experiencing. By identifying the root cause, you can take steps to address it effectively.

The Role of Evidence-Based Practices

At Co Recare Physio, we focus on evidence-based practices that prioritize your unique needs. Our goal is to help you overcome persistent pain and injuries naturally, without medication or surgery.

Encouragement for Your Journey

Remember, recovery is a journey. It may take time, but every small step counts. Celebrate your progress, no matter how minor it may seem. You’re not alone in this process.

Incorporating Lifestyle Changes

In addition to exercises, consider incorporating lifestyle changes that support your recovery. Staying active, maintaining a healthy diet, and managing stress can all contribute to your overall well-being.

Seeking Professional Help

If you’re unsure where to start, don’t hesitate to reach out for professional help. A physiotherapist can provide guidance tailored to your specific needs. Together, we can create a plan that works for you.

4️⃣ Reference

• Butler DS, Shacklock MO → Neural tissue requires movement for normal function.

• Coppieters MW et al. → Neural mobilisation shown to reduce pain and improve mobility in patients with lumbar-related leg pain.

• Cleland JA et al. → Neural gliding commonly used in conservative management of sciatica.

  
  

By understanding sciatica and the importance of neural mobilisation, you can take proactive steps toward recovery. Embrace the journey, and let’s work together to restore your active lifestyle!