Acupuncture has been shown to be an effective treatment for sciatica without the side effects of prescription pain medications like NSAIDs and muscle relaxers. It is also a safe, non-surgical treatment option that can relieve sciatica pain.
Patients with acute sciatica may find relief within two to three acupuncture sessions. On the other hand, patients with chronic sciatica usually require about eight to 12 treatments depending on what caused the problem (e.g. disc herniation, stenosis, bone spurs).
According to traditional Chinese medicine (TCM), sciatica belongs to the gallbladder meridian of the foot-Shaoyang (GB) and the bladder meridian of the foot-Taiyang (BL), and the Yanglingquan (GB 34) and Huantiao (GB 30) are two key “acupuncture points” (acupoints) for treating sciatica [5].
Stretching and physical therapy
One of the best ways to treat sciatica pain and to prevent sciatica in the future is through physical therapy and stretching. With physical therapy, we can target and strengthen the surrounding muscles in your back to take the pressure off your sciatic nerve.
Sciatica is a condition often accompanied by neuropathic pain (NP). Acupuncture and dry needling are common treatments for pain, and the current literature supports acupuncture as an effective treatment for sciatica.
Acupuncture is very effective to treat the sciatica nerve pain, and chiropractic care is effective to correct the structural cause. By addressing both symptom and cause, integrative therapies often achieve immediate and long-term success.
Alternating heat and ice therapy can provide immediate relief of sciatic nerve pain. Ice can help reduce inflammation, while heat encourages blood flow to the painful area (which speeds healing). Heat and ice may also help ease painful muscle spasms that often accompany sciatica.
While sciatica pain can be debilitating, chiropractic treatment can relieve it gently and naturally. This care entails treating the pain without costly and harmful side effects.
If you were in the acupuncture clinic for acute pain or sports injury, you may notice the pain relief almost instantly from the first treatment. For chronic pain, it may take up to 2 or 3 sessions to notice the pain subside.
Along with acupuncture, your acupuncturist may also perform trigger point therapy, which is a technique for releasing knots in the muscles to ease the pain and tension. People who have a pinched nerve from poor posture and muscle tension can benefit from this particular treatment.
Walking is a low-impact exercise that can additionally be used as a first-line treatment for existing sciatica. Any weight loss, muscle growth, and movement improvements can support natural recoveries. Meanwhile, walking is shown to reduce inflammation, which is one of the leading causes for actual pain.
It can be worse when coughing or sneezing or sitting a long time. Usually, sciatica affects only one side of the body. Some people also have numbness, tingling or muscle weakness in the leg or foot. One part of the leg can be in pain, while another part can feel numb.
So what factors trigger sciatica and make it worse? Anything that puts more pressure on the sciatic nerve can cause sciatica symptoms to flare up. This includes sitting too much, wearing uncomfortable footwear or too tight pants, sleeping in a wrong position, and being inactive.
Sciatica pain is caused by an irritation, inflammation, pinching or compression of a nerve in the lower back. The most common cause is a herniated or slipped disk that causes pressure on the nerve root. Most people with sciatica get better on their own with time and self-care treatments.
Sciatica usually resolves on its own without treatment within a month or two. However, that doesn't mean it's gone for good. If you don't resolve the underlying condition that caused sciatica, it may recur and even develop into a chronic pain condition.
Since the most common causes of sciatica involve pressure being placed on your nerves by something, physiotherapy for sciatica focus on reducing this pressure when cause by spinal joints as well as alleviate the muscle tension in the buttocks, legs and back associated with pain to help restore mobility.
If a needle hits a small nerve, muscle, or blood vessel, you may feel some pain or a more intense sensation. A single sensation is OK as long as it's brief. Points on the extremities are more likely to produce stronger reactions in the form of dull aches or tingling sensations.
The needles used in acupuncture are inserted into your body's pressure points to stimulate the nervous system. This releases endorphins, your body's natural painkillers, in the muscles, spine, and brain. This technique changes your body's response to pain.
"Acupuncture is really good at restoring blood flow and stimulating the body's nerve pathways," Kulas says. "It can also help with nerve regeneration and preservation. If there has been nerve damage or diminished sensation, we target treatment in these areas to re-stimulate those nerve fibers."
When you're searching for the right treatment option for a trapped nerve or sciatica, the two types of health care providers who are typically recommended for the treatment of these issues include a chiropractor and an osteopath, both of whom can help ease your pain and heal the condition that you're suffering from.
The risks of acupuncture are low if you have a competent, certified acupuncture practitioner using sterile needles. Common side effects include soreness and minor bleeding or bruising where the needles were inserted. Single-use, disposable needles are now the practice standard, so the risk of infection is minimal.