A frequent condition that I see in practice is what’s called Sciatica. Sciatica is pain or other symptoms that affect the legs that originate in the lower back where the sciatic nerve originates. Sciatica that affects both legs is less common than one sided sciatic nerve pain. When the sciatica affects both legs the symptoms can be highly variable. Some patients demonstrate pain only. While others experience numbness, tingling, weakness or achy pain in different areas of the lower back, buttocks, legs and feet.
Being an upper cervical chiropractor many people cannot understand how I can get such good results with lower back and leg pain. But the truth is one of the most common conditions that I see in my practice is lower back pain with or without leg pain or sciatica.
So what does the neck have to do with the lower back and legs?
Upper neck misalignments cause the posture of the body to be altered. Accidents and injuries to the head and neck will tear loose the tissue that holds the spine in place which will create a weakness and allow the spine to break down and lock into a stressed position.
The most movable bone in the body is located at the base of the skull and is called the Atlas. When the Atlas has lost it’s normal position the weight of the head is shifted to one side or the other.
Once this shift has taken place the body will begin to compensate. One of the shoulders will typically become lower and the pelvis will distort in order to compensate for lack of balance in the upper neck.
This Functional Pelvic Distortion is the underlying factor in many sciatic cases. This twisting and tilting of the pelvis causes a tethering on the sciatic nerve or nerves, inflammation and muscle spasms in most cases.
Here is an example from my office just last month.
Jim had lower back pain for years and was seeking help for severe degenerative disc disease in the lower back from a spinal decompression center in the area. After receiving the spinal decompression treatment his lower back pain increased and eventually he began getting intense sciatica down both legs.
He was referred to our office by a friend and came in quite sceptical that an upper cervical correction could help his lower back and legs. But at the encouragement of his friend he decided to give it a shot.
He had a history of severe head and neck traumas including several concussions and a auto racing crash at 145 mph.
He was assessed and found to have significant postural problems originating from the upper neck. His head and neck were markedly off to the right side and his pelvis was severely tilted and twisted 3 degrees from level. His thermographic scans showed severe inflammation in the upper neck and lower back.
He had lower back pain mostly on the left side and leg pain from the buttock to the foot on the left and sporadically on the right as well. He also had numbness and tingling on both sides worse in the feet.
He noticed if he moved his head back into extension it would increase the leg pain.
He was barely walking, could not sit for more than 5 minutes and was taking 4 Codeines and 12 Advil per day!
His x-rays showed significant disc degeneration in the lower back and neck and a very complicated and unstable upper cervical misalignment.
We began working on him and results were slow because of the instability of his misalignment. Once he began to hold his correction and the pressure remained off of the nerves for prolonged periods of time, his pain began slowing improving. A 30% reduction in the pain and the majority of the numbness in the legs was gone in the first month. He is in his second month now and his corrections are holding better and better. His hips stay level for weeks at a time and now he is completely off of the pain pills and able to sit for long periods of time again and his pain has gone from a constant 10/10 pain to a sporadic 3/10 pain that has localized to one leg. He and his wife just left on a week long cruise and he is very happy!
I never did any treatment on his lower back! I only corrected the underlying postural problems in the spine that were causing the lower back pain and the sciatica. By balancing out the head and the neck the pelvis is able to stay level and the pressure stays off the nerves.
Who do you know that has recurring lower back pain or sciatica? Who do you know that is considering surgery, decompression, injections or other overpriced and dangerous options?
The best questions to ask to see if upper cervical chiropractic could help you is…
Have you had head or neck traumas in the past?
Do you have obvious postural issues? Head tilts to one side, shoulders uneven, etc.
The results that I see are common in upper cervical offices. If you google upper cervical and sciatica you will see many of the patients who have been helped with sciatica across the country.
To find out if upper cervical chiropractic is right for you go to www.nuccawellness.com, www.nucca.org or www.upcspine.com and find a doctor in your area today.
Dr. William R. Davis Jr., D.C. is a Carlsbad Chiropractor and Upper Cervical Specialist. He is in private practice in Southern California in the city of Vista. He specializes in correcting problems in the upper cervical spine (upper neck). This vital area is intimately connected to the central nervous system and problems in this area have been shown to be an underlying cause of a variety of different health problems. More information can be found on his website at http://www.nuccawellness.com
There is no explicit evidence demonstrating the impact neck position may have on pre-existing sciatica. Poor posture–slouching–has, however, been shown to increase pressure on the lower back. A sciatica patient should, therefore, keep his head, neck, and torso well aligned as much as possible.
I see the evidence everyday in my practice. The importance of proper spinal alignment and health is becoming more and more understood each year. When the pelvis is not properly balanced the sciatic nerve is frequently effected.
This could be what my problems is then. I have always sat with my head tilted to the right and if I lay flat on my back one hip sticks up higher than the other. I woke out of bed one morning with muscle spasms and twitching in my right leg and then later in the day it was in my left leg. It’s worse in the right leg along with right hip/butt pain. All the pain is down the back of my legs. I really wonder if this is my problem. Any advice you can give to help improve posture or something at home to relieve the pain?