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Saturday 12th October

5 Things That Could Be Causing Your Sciatica

Many people have heard, or experienced sciatica, but what is the cause of it?

Most sciatica is caused by problems that affect the nerve roots by the 4th or 5th lumbar vertebra, or the top of the sacrum. The impact on the nerve can vary, from being compressed to irritated, but usually occurs due to the surrounding disc, bone, joint, or ligament.

Herniated disc

One of the most common causes of sciatica is a herniated disc in L4, L5 or S1. It’s also called a slipped disc, though there’s no slipping going on.  It happens when some of the disc material (the softer part between your vertebra) pushes out and onto the nerve.  The pressure on the nerve causes abnormal signals to be sent to the brain, and you get sciatica.

A herniated disc can happen at any age, but becomes more common in middle age and beyond.

Spinal Stenosis

The spinal canal protects the spinal cord and the nerves that run up and down the spine. Spinal stenosis is the narrowing of that spinal canal.  If this canal is narrows (most commonly caused by degeneration of the disc,  osteoarthritis of the facet joints or thickened ligaments), pressure can be put onto the nerve.  As the lumbar verte­brae undergo the most consistent stress and support the most weight, lumbar stenosis is the most common type of spinal stenosis.

Spondylolisthesis

The bones of the spine are stacked on top of one another, separated by discs. Spondylolisthesis occurs when one of your vertebrae moves forward on top of the vertebra below it.  When this happens, the nerve that is in between the two vertebrae get compressed, pinched or irritated.

Trauma

Any type of trauma could cause issues with the nerves that make up your sciatic nerve, including falls or car accidents.

Pregnancy

You may experience muscle or joint aches, especially around your pelvis.  This is due to the hormone relaxin.  Its job is to help muscles in your cervix and uterus relax and help promote a healthy placenta, but its affects also cause muscles in your low back and pelvis to loosen too.  As your spine, and the weight it has to bare, changes, it can cause pulling or pressure your lumbar (low back) spine and cause therefore irritate the nerves too.

Heal > Adapt > Evolve

Ellie Pennycook

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