The predominant symptom in case of hernia is the irradiated pain in the lower limb, also called sciatic pain or sciatica. We can talk about sciatica when we feel pain in the back of the buttock, thigh and leg down to the foot. If it is due to a disc problem, this pain can worsen in an upright position and when sitting down, while it disappears or is greatly reduced by lying down. Often coughing or sneezing increase symptoms. Analyzing which movements or positions increase or alleviate the symptoms, together with specific tests that confirm or not the instrumental examinations (first of all MRI) is a fundamental step to identify the original site of this disorder.
Generally, sciatica is caused by an irritation of the sciatic nerve due to the presence of a herniated disc. Other compressive phenomena along the nerve can increase the symptoms.
Discovering the cause is essential to set the specific treatment.
We start from the diagnosis and the indications of the doctor and we take care to investigate the entire pathway of the nerve to find out where the irritation hides. Often compressions causing sciatica are multiple and must be discovered and treated all, to have a truly effective treatment. Nerve mobility is restored through a particular kind of passive mobilization called Neurodynamics. Nerve irritation is instead treated through DNS Neuromodulation (Deep Nerve Stimulation) which uses a particular type of current specific to nerve tissue. In the specific case of a herniated disc, the protocol also provides for the treatment of inflamed or painful tissues surrounding the nerve.
An important application of this treatment is in the post-surgical phase, where it is essential to prevent the formation of adherences that could entrap the nerve, creating further disorders.