The sciatic pain, "sciatica", is an extremely common reason for consultation in an Osteopathy clinic.
A patient suffering from lower back pain associated with sciatica feels pain radiating to one or both legs.
Classically the lumbosciatalgia is considered to be the consequence of a compression of the roots of the hernial lumbosacral plexus, in particular at the level of L4-L5-S1.
Osteopathy instead interprets the sciatica as the expression of a general imbalance of the individual.
The solution, therefore, must necessarily be based on the patient's global rebalancing.
There are plenty of examples of cases that have been treated.
One for all the case of a 33-year-old employee who had had a left low back pain for several years, it usually was a mild pain except for some periods when it was more acute.
He had tried to solve this problem for a long time, ie in the acute phases underwent a period of therapy but in reality without ever coming to a final solution.
Osteopathic examination showed the right palatine bone in internal rotation, the liver in the receiver front and the pelvic floor strained on the right side.
So there was a problem on the palate bone, one below the diaphragm and one at the level of the pelvis, three primary lesion outbreaks throughout.
As a consequence, in addition to pain, the patient suffered also a left convex scoliosis a rather pronounced arch support and a lack of support with bilateral digital (not supported in your fingers land on both feet).
Reducing disruptions the picture has changed dramatically in the space of ten days.
Revised after more than a month the patient was fully recovered.
This means that he had perfectly kept the corrections made, and then he presented an absolutely physiologic global dynamic, also scoliotic curves were significantly reduced and the arch support back to normal.
Under these conditions, an improvement of the symptom is to be interpreted as a sign of adjustment towards equilibrium and not as one of many periods of remission waiting for a new crisis.
The problem was solved in a stable manner, and this certainly does not mean that one can't get new lesional acquisitions but the basic framework, which had been undoubtedly present for years, was corrected permanently.
Incidentally there was a massive disc herniation at L5- S1 herniation of that magnitude certainly has not disappeared within a month.
The fact that this patient had stable results that have never undergone any specific treatment for hernia means that it could not in any way be the cause of sciatica.
In all probability, it was also a consequence of the lesional state and, as such, it also subject to a certain degree of recovery after the correction.
This is not to deny the usefulness of a specific intervention when necessary but it is good to know that disc herniations are always the effect of a global perturbation.
Therefore it is useless to intervene on the effects if you do not remove the causes.