We have been providing treatment for low back pain and sciatica in the SF Bay Area for over 20 years now. We use a combination of chiropractic adjustments, massage, motion extension traction, custom exercises, deep tissue laser therapy, and nonsurgical spinal decompression when indicated. During this time we have helped over 5000 patients with low back pain and related disorders.
A primary cause of low back pain and sciatica is a “Pinched Nerve” in the low back. Pinched nerves are generally caused by herniated or bulging discs in the lumbar spine, most commonly at L5-S1.
Nerve tissue is very sensitive to pressure. In fact, just the weight of a pencil erasure on a nerve can alter it’s ability to function by 60% and cause severe pain and dysfunction.
The sciatic nerve is the largest nerve in the body…it can be the diameter of a quarter at it’s greatest circumference. Bulging discs, herniated discs, spinal stenosis, disc degeneration, and various conditions like “Piriformis Syndrome” can put pressure on the sciatic nerve or nerve roots causing “pinched nerves”.
Typically, a patient will feel various combinations of low back pain, leg pain, numbness, tingling, aching, weakness, and muscle stiffness and spasms that become progressively worse over time. There can also be pinched nerves with no symptoms at all…for a while and then BOOM…when you least expect it lightning strikes. This is fairly common actually, and can be very alarming.
The solution for pinched nerves in the low back depends on the nature and severity of the problem. Conservative chiropractic, massage, laser, and ice are always the first thing we try. That is of course unless the patient is unable to handle it. In rare cases such as this we do laser and ice to try to reduce inflammation and then maybe some muscle stim and light massage.
Spinal decompression with the DRX9000 is also an option in the beginning as it is very safe and gentle. The DRX is designed and built to treat neurovascular compression syndromes such as bulging and herniated lumbar discs. However, the cost is greater than chiropractic as is the time commitment…so typically we try more conservative chiropractic first.
In any case, many chiropractors that have included disc decompression and deep tissue laser therapy into their protocols (such as us) have become “one stop shops” for pinched nerves due to herniated and bulging spinal discs.
If you or someone you know requires treatment for a pinched nerve in San Francisco, please call 415-392-2225. Mention this blog post for a complimentary consultation.