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Physical Therapy for SciaticaIn Louisville, Evansville & Southern Indiana

Sciatic is a term that describes the pain and other symptoms that occur when the sciatic nerve is compressed.

The pain, as well as numbness and tingling in some cases, is felt in the low back, buttock, and down the back of the leg. This kind of pain, called neuropathic pain, can be highly uncomfortable and can interfere significantly with activities. The good news is that a physical therapist can help cure sciatica! Sciatica physical therapists aim to address the root cause of the pain and to help you establish routines and body mechanics that will prevent the sciatic nerve pain from returning.

How is Sciatica Diagnosed?

Pain and paresthesias (numbness and tingling) in the low back, buttock, and down the back of the leg, sometimes all the way to the ankle can indicate sciatic nerve pain, but it is important to rule out other potential causes of your symptoms. Before starting treatment, your physical therapist will ask a series of questions and perform tests to confirm the cause of your symptoms. Once the therapist has confidently determined the root cause, they will develop a plan to efficiently address the problem and you will be well on your way to eliminating your sciatic nerve pain.

Common Causes of Sciatica

Sciatica can be caused by compression of the sciatic nerve close to the spine. It can also be compressed by a very tight piriformis muscle, or various other tight muscular and fascial structures. Postural problems or poor body mechanics while sitting or standing at work can create tightness that impacts the sciatic nerve. Problems in the lower back such as tightness, disc herniation, or degeneration can also cause symptoms that mimic sciatica, so it is important to have a therapist evaluate you to decide on the correct course of treatment.

How a Physical Therapist Can Help Sciatic Nerve Pain

A sciatica physical therapist is a great way to decrease pain and get back to your normal activities. Some things your therapist may use to decrease your sciatic nerve pain include modification of your posture and body mechanics, stretching of the nerve and the muscles around it, and massage of the affected muscles. Stretches for sciatica aim to improve the mobility of the nerve and reduce symptoms of compression. Strengthening and aerobic exercise may also help reduce your sciatic nerve pain!

Who Benefits From Spine Care at ProRehab?

Patients who have acute and chronic low-back and neck pain, muscle-tension headaches, pain extending into the arms or legs, general arthritic spine complaints, lumbar spinal stenosis, and work-related spine pain may benefit from physical therapy at ProRehab. In addition, post-surgery physical therapy is critical for successful and faster recovery from operations such as laminectomy and fusion.

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Physical Therapy for Sciatica Locations

Frequently Asked Questions

  • A physical therapy visit lasts about 40-60 minutes. The actual contents of the visit vary based on your diagnosis/need, but typically what happens is:

    1. You check in with the receptionist, make any appointments necessary, and we discuss your health insurance benefits with you.
    2. You go into the gym. You can change clothes if you need to, then begin therapy.
    3. You perform 6-8 various exercises and stretches. These can include therapeutic band exercises, light body weight exercises, or minimal weights. The stretches will promote strength, stability, improved range of motion, and pain relief.
    4. We can initiate other techniques to include manual work, taping, cupping, and dry needling as needed.
    5. The therapist makes recommendations based on your progress. These can include altering the frequency of visits, making additions/alterations to your home exercise plan, or things to do before your next visit.
  • We recommend budgeting 40-60 minutes for a typical therapy session. The only exception to this will be your first visit, which can take about 20 minutes longer due to the physical therapy evaluation your therapist will provide. We also recommend showing up about 10-15 minutes early to your first visit. This way, you can complete the paperwork before your visit time and streamline the process.

  • If we are asking you to do something that is hurting too much, let us know! Physical therapy should not be severely painful. It is not common to be so sore that patients are in pain or it affects their daily life. If this ever happens during or after an appointment, let us know and we will adapt your program.

  • During your initial evaluation, your therapist may ask you a number of questions to determine what the cause of your pain is. This can include questions about your sleep habits, activity level, and work environment. They will also ask for a medical history, and then typically ask direct questions about where and when you experience pain.

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"After just 4 visits…I feel like a brand new person. Before, I could barely walk for 15 minutes without my back screaming in pain. Now I’m zooming through therapy and going on walks at home."

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Thank you so much! I love you guys and the care I received!

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While experiencing some pretty intense back pain I tried a number of exercises and rehab techniques, but couldn’t seem to get the irritating aching to go away. Well, I chose ProRehab and fortunately this was the only stop I had to make to begin my journey getting back to life faster. They talk you through why and how the exercises they have you do are beneficial. I appreciate the ProRehab family for all they have and continue to do!

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