Imagine this: you wake up one morning with a searing pain shooting down your leg. It's sciatica. In this video you will understand how certain positions can actually worsen the numbness and the pain in your foot and lower leg. You will learn a technique that will help you determine if you are doing the correct exercises and the positions that you need to avoid based on your x-ray and MRI results.
Doctor of Physical Therapy ( Utica, New York)/ Licensed Physiotherapist in the Philippines and United States/ Clinician/ Content Creator/ Speaker
This channel also aims to create Physical Therapy awareness and offer its benefit to the public. The medical information herein is to be used as a guide and in no way should replace personal consultation from a licensed medical professional. Facebook page: https://www.facebook.com/Doc-Cherry-DPT-107282241004413/ Instagram: Twitter:
Do you know that certain movements, specific positions, and even back exercises can actually
worsen the pain and the symptoms you feel in your lower leg and foot? Imagine waking
Waking up early in the morning and you feel this sharp, shooting type of pain in your lower leg.
That is called sciatica, and it actually affects millions of people worldwide. However, sciatica
Works like a puzzle. You need to do the proper exercises and you need to do the proper movements.
so you can get better. That's why in this video, I will share with you a very important concept.
that will help you determine and gauge whether you are performing the correct motion and the correct
exercises. Stay with me until the end because I will also teach you the specific movements that
You need to avoid certain activities based on your X-ray and MRI results. Hi, this is Dr. Sherry again.
Doctor of Physical Therapy, teaching you practical health tips and home exercise programs
that you can surely benefit from. This video is meant to answer two questions from our subscribers.
How would you know if you're improving with sciatica, and what positions should you avoid?
Before that, let me briefly tell you and discuss with you what this pain and numbness in your
lower leg and in your foot, and why is it there? Sciatica is a condition that causes pain, numbness,
and even a tingling sensation in your buttocks, the back part of your thigh, and your lower leg, and
even your foot. So across this area here, it is considered sciatica because it is actually your
sciatic nerve that innervates the muscles located here and is responsible for sensation in this area. Now,
This occurs if there is something like osteophyte formation, a bone spur, or even a disc problem.
actually compresses your sciatic nerve. You can think of it as the discomfort and the pain that
you feel due to a compressed nerve. Are you getting better? I've told you before that the
Treatments for sciatica are not the same. They are actually based on your X-ray and MRI results.
or, in the absence of an X-ray or MRI, the positions that make you feel better or give you relief
comfort. That's why it is very important for you to be educated and informed about the positions that
you need to promote and the positions that you need to avoid. In this case, I will be discussing
with you a very important concept that will help you determine and gauge whether you're doing the
Perform correct exercises at home regardless of the cause of sciatica. This is the principle of centralization.
and peripheralization of symptoms. For example, if before performing a specific movement or exercise,
you feel the pain and discomfort in your foot, but after doing a particular exercise,
The pain is now located in your lower leg, which means there is centralization of symptoms.
Centralization of symptoms means that the pain is now closer to the spine. When you're experiencing
centralization of symptoms—this will tell you that you are doing something right because this
actually means that there is reduced pressure in the compressed sciatic nerve, which is actually
what you really need for recovery. On the flip side, peripheralization of symptoms means that
the pain is moving farther away from the spine. For example, if before doing the exercise,
you feel the pain and the numbness in your lower leg, but after performing a certain movement, you now feel
Pain in the foot is a red flag sign that tells you you're not doing something right.
Right, and you need to re-evaluate your position, your activities, and even your back exercises.
because this will tell you that the condition or sciatica is actually worsening. Now what is
Your takeaway from this concept? This will tell you that if you feel numbness and pain in your
lower leg or foot caused by sciatica, you really need to be mindful of how certain
positions actually lead to relief of your symptoms. Before we continue with the specific
movements that you should avoid based on your X-ray and MRI results, I would like to ask a small question
I kindly ask you to please click the like button below if you're learning something from this.
video, and if you think this video is able to guide you in recovering your health. Thank you.
much, which is deeply appreciated. Now to continue, at home, I want you to go back and check the
If you have seen something like lumbar spondylosis, osteoarthritis in your X-ray results
Changes, bone spur formation—you need to perform the flexion exercise shown in this video here.
If you have not yet had your X-ray and you feel better when you bend your trunk forward like
this, you also need to do the flexion exercise in this video, which I will put the link to below
description box below so it will be easier for you to return to it later after watching this
video. With this flexion exercise, you need to avoid extending your trunk like this because
This will actually worsen and further compress your sciatic nerve. Now I want you to check on
If your MRI result indicated disc herniation, disc bulge, or disc protrusion, you need to do the
extension exercises shown in this video here. In the absence of an MRI, if you feel better when
You extend your trunk like this; you also need to do this specific exercise, which I will put down.
link in the description box below as well. If this is the cause of sciatica, what you need to
Avoid bending your trunk forward like this. This will actually further compress your sciatic.
nerve and will worsen your condition. So if you need to pick something up from the floor, bend your knees instead.
Your knee, not your waist. This is to ensure that we prevent further worsening of your symptoms.
So to recap, since this may be something new to you, if the cause of sciatica and the result
Your X-ray indicated lumbar spondylosis, osteoarthritic changes, and bone spur formation.
Perform the flexion exercise shown in this video. Do it four to five times a week. You can do it at any time.
of the day and try to observe whether your symptoms are centralizing or even decreasing in pain,
the intensity, and the frequency of your symptoms. You need to avoid extending your
your trunk like this, as this will make your symptoms worse. Now, if your MRI results indicate
disc herniation, disc bulge, disc protrusion, I want you to do the extension exercise shown in
Watch this video four to five times a week. You can do it at any time of the day and try to observe.
centralization of your symptoms, reduction in pain and intensity, and even the frequency of
Your symptoms. That's it for this video. I hope this video is able to help and guide you.
If you have reached the end of this video, please feel free to comment in the section below.
Now, if you are confused or should you have any questions or are uncertain about the diagnosis,
Just type in the comment section below what is written in your X-ray and MRI results. I would
Really try to spend time on this and try to give you the best possible options you have. Just
Comment below. Thank you very much for watching. I hope you have a great day. Stay
Stay healthy because your family needs you. I'll see you in our next video. God bless you.