Sciatica is very well-known because of the frequency and severity of the pain.
The most common cause of sciatica is the impingement of the sciatic nerve, often through a disc herniation. It triggers a pain that runs through the back of the thigh, calf, and foot.
There is a muscle called the piriformis that runs from the sacrum to the femur, which touches the sciatic nerve. In a third of the cases, the sciatic nerve even passes through this muscle.
Therefore, if the piriformis is over contracted, it can put pressure on the sciatic nerve, causing a sciatica-like syndrome called the piriformis syndrome. This often leads to the misdiagnosis of the patient’s condition.
Consequently, your chiropractor should always check for piriformis tension if you present sciatica symptoms, as the piriformis syndrome can mimic or aggravate back-related sciatica.
The loss of muscle strength, muscle atrophy (abnormal loss of volume in the muscle) loss of sensation in the perineum or the butt area (saddle anesthesia) or sphincter disorders (such as urinary and fecal leakage) are severe alert signals. You should inform your medical doctor and/ or chiropractor of these symptoms so that your health practitioner can recommend the best course of action for you.