Stop living with unnecessary pain
Sciatica
How to help sciatica
Written by Simon Gunn in January 2021
If you have ever suffered sciatica you know it can be extremely debilitating.

Sciatica has been slightly misunderstood over the years and actually refers to a set of symptoms that refers to pain, numbness, tingling or weakness in your leg or legs.

Sciatica is a very common form of lower back pain and leg pain. Sciatica however, is not the underlying cause of the pain. It is an indicator of a problem somewhere else within your body that is impacting your sciatic nerve. This is the misunderstood point. 
As you can see from the image above the sciatic nerve (in red) exits the vertebra of the spine and runs through the bum muscles and runs down the back of each leg. But, the sciatic nerve travels down from the brain through the spine before exiting the lower vertebrae. This is an important fact to consider.

When we get "sciatic" pain we are in fact impinging the nerve. What the hell does this mean?

Well, think of the nerves like a hosepipe attached to a tap (your brain is the tap) and the water is the electricity in your body. 

Nerves carry signals from the brain to muscles and back to help create movement. If all is flowing well, you move normally.

But, when a kink in the hosepipe appears, the water starts to slow down - This is an impingement of the nerve, a kink, a disruption of the electrical signal. 

It is at this point we suffer pain of some sort, discomfort and/or lack of movement.

If another kink happens in the hosepipe the water slows even further, maybe even altogether. If another kink happens, there's very little water flowing through at all.

This is pretty much how sciatica happens.

Now, the sciatic nerve is the longest nerve in the body and can be impinged (kinked) in mainly 3 places. Neck and shoulder, Lower vertebrae and bum. If this happens, you really can't move your leg(s) at all and believe me is extremely horrendous! 
Nerves become impinged mainly because of tight muscles either compressing the joint (vertebrae's) or squeezing the nerve as they press onto another muscle too tightly, such as the glutes and piriformis muscle - deep in the bum. 

These usually happen in sciatica due to poor posture when standing or sitting for long periods, carrying a child on your hip frequently, car accidents (or other sudden impact traumas) and even the way you sleep.

After a quick conversation I can quickly identify what's caused it however, the treatment I give is pretty standard to be fair.

The gold standard treatment is to see either/or both a Sports Massage Therapist and a Chiropractor - but this isn't always practical I know. Then to keep yourself supple after treatment and trying to either avoid or tackle the reasons why this occurred in the first place.

Below are a few stretches, suggestions and foam roller techniques to help you. 
Of course, it is important to note that not all of these may be suitable for you depending on your circumstances, pain levels, flexibility, allergies and availability to a foam roller etc. 

If you need any help with this, feel free to email HELP to info@jellyfitness.co.uk

Methods to help ease sciatica.

Number 1: Seek professional help. 
Book a Sports Massage therapist and/or a chiropractor.

The reason I say book both is because the issue is both muscular and mechanical. The Sports Massage therapist will help ease the muscular tension, but will probably not treat the mechanical (the joints which maybe trapping the nerves). Likewise, a chiropractor will probably not spend long enough massaging the muscles.
It is therefore very wise to book both as close together as possible. 
Reason being is if the chiropractor sorts the joints out but the muscles are still tight, they will create the same problem again in a matter of days or weeks depending how tight they are. And vice versa. 

Of course, this is a potentially expensive process, but lets face it, your body is THE most important thing to you.

Once you have found recommended professionals, I suggest you keep seeing them regularly. There is no right time frame between these visits and I always say "how long is a piece of string" when asked when should I see you next.

I see my massage therapist once every four weeks and a chiropractor every 16-24 weeks, but my body is my job. But this is me. You need to figure this out for yourself. But EVERYONE should see a sports massage therapist at least 3 or 4 times a year. The name should be changed to "Tension Release Therapist" in my opinion. 

You desk bound people, mums and dads who carry children should on their hips or really active people and those with impact trauma history aim for around 8 weekly visits in my experience. Invest in your body.

If you are local to Nottingham, have a look at using us as your therapists by clicking here. 
Number 2: Pain Relief.
Solpadeine - If you are NOT allergic!

This can be found at your pharmacy and is AMAAAAZZZING!

Ok, you must only use pain relief if you are not allergic to any ingredient and must check with the pharmacist. 

This works well because of all the ingredients - not just one. It has paracetamol to help ease the discomfort, but the codeine helps relax the tight muscles and the caffeine speeds the process up. This is a really good one, but of course you must not just rely on this alone. You must use this wisely, in conjunction with other methods below. Do NOT use for more than 3 days in a row and ensure you are safe. 

My advice, ALWAYS have some of this bad boy in your medicine cupboard as it is useful for lots of issues. 

Avoid using Ibuprofen! 

Number 3: Head for the balm.
Tiger Balm Red.- If you are NOT allergic!

Tiger Bam Red is one of the most amazing products on earth - in my opinion. 

You'll find this waxy ointment on the medicine isle of a supermarket near the Deep Heats and freeze gels. 

Tiger Balm is like Deep Heat but on steroids! - it doesn't contain steroids! 

If you are NOT allergic to any ingredient then apply this to the painful area and surrounding area liberally. For epic results, use overnight. 

This WILL stain your clothes, so wear something old or dark. You MUST wash your hands thoroughly once used and be careful where those fingers and hands go after yea! 

Like Deep Heat it will warm up really quickly and feels incredible!  

Just to give you an indication how good this stuff is, I use it at the weekend after a long week of massage treatments. My hands feel tight, achey and stiff after a week of squeezing and rubbing tight bodies. I apply to the hand and forearm, pop on a disposable glove, cling film the arm and just 20 minutes later have new hands! 

Tiger Balm is great for any muscular aches and pains! Always have this product in your house. 

And for the last time - watch where those hands go afterwards😂😂😂. 

Don't get me wrong Deep Heat, heat patches and such like are ok, but this is the best!
Number 4: Stretches are key!
This is one of the most important! 

There are quite a lot of stretches which you could do, but below I will list the main ones I think you should try. These are in the form or video tutorials.

When it comes to stretching you MUST listen to your body and ONLY do what you can.

A stretch should feel awkward but kind of nice - NOT SHARP! 

Hold each stretch for a good 10 - 45 seconds, without flapping around. It should be static and controlled. If it is too much to bear then ease it off, or change position slightly. If it eases, which it should, try and push it a little further by moving slightly. Each movement you make you will potentially create additional tightness, so be careful.

If unsure - STOP!

When it comes to stretches, the more you do them and the longer you perform them for the better. 

Remember, you are tight and this has probably happened over years, not hours, so 10 minutes of stretching a week will NOT fix you. 

If you are unsure, email HELP to info@jellyfitness.co.uk

These are not in order of importance. Try it, if it helps do it more. 

Stretching the hip area. 
Stretching the bum.
Squat Pose - Divine!
If you struggle with balance, then use a post or something solid to hold on too. 
Pigeon Stretch
If you struggle getting to the floor, use a chair or sofa or bed to get that leg underneath you. 
This is one of the most amazing stretches and I really do advise everyone to do this often. 
Prayer Stretch
After I had debilitating sciatica I did this stretch first thing in the morning and last thing at night every day for 6 months solid. It was delicious!
QL Stretch
Due to the location and role of this muscle, it is wise to try and ease tension in this area. This is especially wise for parents who carry their young children on the hip - which I strongly advise you avoid doing!
Upper Back Stretch
Remember sciatica isn't just the pain at the bottom. That first kink in the hosepipe is most likely at the neck area! Do NOT neglect this area!

Get a Foam Roller!

Number 5: Self Massage!
Purchase AND use a foam roller or hockey ball!

Okay, I know these look like objects of torture, and if you are tight as hell, I am afraid they may feel like torture!

Foam Rollers are simple to use, affordable and highly effective when used in the correct manner. These days you can even pick them up in your local supermarket and are really easy to find now. Believe this or not but Aldi are the best for these and under a tenner! 

If you have never used one, I suggest you buy a smooth, soft (ish) one, NOT a hard, spikey, lumpy one. 

The following videos are the basic ones to use if you have sciatica symptoms. 

As with the stretches, the more you do the better. The longer you spend on it, the better. Just bear in mind that if you are super tight or bruise easily (which means you are far to tight by the way - but that's another story) then give yourself a rest for a day or two between each attempt. 

You are in control of the pressure you apply, and just changing the angle or pressure can make a huge difference. 

If you are unsure or feel sharp pain STOP!

If you are unsure, email HELP to info@jellyfitness.co.uk

These are not in order of importance. Try it, if it helps do it more. 
Upper Back Rollering.
Always do this one when you can, remember that the muscles around the neck and upper back are some of the ones that cause the initial problem and missed when treating sciatica. 
Advanced Upper Back Rollering.
This is particularly important - usually when one side of the hip, lower back and/or bum has an issue in sciatica, the OPPOSITE shoulder area is the cause. - I know, mad!

This is just how the body works. So always tackle the opposite side around the shoulder/neck. 
Do both sides though to ensure balance. 
Bum Rollering.
This is a really good one to do and again you are in control of the pressure and angle you use. Just small movements and changes make the world of difference.
Do NOT work through sharp pain! It wants to feel horrible but lush at the same time. Like it is targeting the pain. Do BOTH sides!
Understand that each side will feel different, that one side may feel tighter higher and the other lower. You will just need to slowly wiggle and adjust to find the tightness.  
Neck
What a position!!! This is LUSH!!!
The neck is always tight and this will benefit headaches, upper back tension and lower back pain. Just ensure no dogs, kids etc will jump on you! 
The longer you stay here, the nicer this feels and benefits you! 

The Power Of Baths!

Number 6: Hot Soak!
The most underrated object in your house!

Having a hot soak is super easy and one of the best things you can do!

Now, if you're one of those strange people that says "but you're sitting in your own dirty water", then have a shower before and even after if you have too. Just stop making excuses because I am sorry, if you're in pain and do NOT do this beauty, the pain cannot be that bad!

A 20 minute hot soak is just amazing for you! The heat relaxes the muscles, the water takes pressure off the joints and the process chills you mentally! Winner. 

Now, if you can, get yourself some Epsom Salts. 
These can be found at most Home Bargains, B & Ms and supermarkets for less than £3... do not be ripped off.

Now then, lots of people will say these are a waste of money and do not work, but I am yet to come across a single person who has ACTUALLY used these when it comes to sore, stiff, painful muscles and not fell in love with them!

And lets face it, for £2.49 a bag - which will easily get you two baths is worth it!

The BEST time to stretch and/or foam roller your body would be after a 20 minute hot soak as your blood is seeping through those muscles and relaxed, so will hurt less!

Get dry quickly, lock in the heat by getting dressed and get on that roller!

And Finally...Help Yourself!

Once you are in a decent, pain free ish place, it is important to try and prevent this happening again.

You should as mentioned above keep seeing your massage therapist and chiropractor, having at least weekly hot baths, stretching and foam rollering - the ones you find most beneficial, and the below!
Yoga!

Yep, Yoga. No it isn't just for women or old people!!!

EVERYONE will benefit from regular Yoga sessions, everyone!

With the digital age in full swing there are oodles of amazing Yoga instructors out there on YouTube, Instagram and Facebook. 

Find someone who doesn't annoy you and subscribe to their channel or follow on social media. 

Aim for at least 20 minutes once a week. 

Yoga will help you in way more ways than just keeping sciatica at bay, from better sleep, less aches, pains and twinges to better bowel movements and everything in between!
Invest in a leg pillow!!!

Yes, you read that right, leg pillow! You can get a pillow for your legs!

This is by FAR the best thing anyone has ever brought me!

Ok, let me explain.

When you sleep on your side you tend to end up like the top part of the above picture, because of the discomfort your knees feel when they touch. This in turn creates pain and inflammation around the lower back in what is called your SI joint (sacroiliac joint). This is a big issue with sciatica.

Having a pillow or rolled up towel or normal pillow between the thighs eliminates the discomfort between the knees and the movement of your body to the above position. 

I spent years with a normal pillow between my knees until some clever so and so made these leg pillows!
Now there are lots of versions and are epic! 

I cannot recommend these highly enough!

In fact, I would try and get one with a strap, so you do not lose it in the middle of the night and is still there when you roll over!

I adore mine and wouldn't sleep without it now!

Have a look on Amazon, or those stands at the end of the isles in the shops. 
Sort Your Posture Out!
This isn't an easy task as you have created habits you probably aren't even aware of!

Mums in particular - Get your child off your hip! After office workers you are my most frequent client for this very reason. You are totally screwing up your hips and body by doing this each day which will affect you for years to come.

If you need to carry weight, whether it is on your hip with a child, or bags on your shoulders for work, try and distribute the weight. Use a front or back baby carrying method or a rucksack or wheeling case for those carrying for work. 

Office workers, get a desk assessment, ensure your chair is correct for you. Sort your screen out so it is the right height or position for you. Try and get a standing desk. 

Look at how you are standing for long periods of time. Are you leaning over your hip?

Look at how you sit on the sofa watching Netflix. Are sitting with one leg under the other?

Look at how you drive. Are you leaning or tilted or twisted on the centre console or arm of the seat or the door?

Changing all these little habits will make a huge long-term. 

How Long Is  Piece Of String?

Remember, the more time and effort you put into relieving your sciatic pain the quicker and easier it will ease and disperse.

Recap:
Seek professional help. - No need for the Drs. 
Never work through sharp pain when stretching or using a foam roller.
• Do what you can and make small progressions when stretching etc.
• Movement is good for you. 
• Get heat to the area - Tiger Balm, Hot Bath, Deep Heat. 
• Use a pain relief wisely - don't use ibuprofen. 
• Look at your posture when standing, sitting and laying. 
• Take your child off your hip!
• Try to distribute any weight you are carrying more evenly  - Try a rucksack. 


Email "HELP" to info@jellyfitness.co.uk

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Simon Gunn BA (Hons)
Jelly Fitness Human Performance
E: info@jellyfitness.co.uk

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