ONE OF THE MOST OVER DIAGNOSED
OF THE COMMON ACHES AND PAINS
BUT THAT TWINGE MIGHT NOT BE
WHAT YOU THINK IT IS --- WE
ARE JOINED TODAY BY HEAD
TRAINER DEREK MARSETTEFROM
DISTRICT ATHLETIC CLUB
PERSONAL TRAININGTO TALK ABOUT
THE COMMON MISCONCEPTION AND
HOW TO PREVENT BACK PAIN. -----
WHAT IS SCIATICA?HOW CAN THIS
BE MISDIAGNOSED?HOW CAN WE
PREVENT BACK PAIN?-----
SCIATICA- ONE OF THE MOST
COMMON MISDIAGNOSIS. PEOPLE
ARE OFTEN TOLD THEY HAVE
SCIATICA WHEN IN FACT THEY
USUALLY JUST HAVE TIGHT
PIRIFORMIS MUSCLE. THERE ARE
SPECIFIC STRETCHES TO DO IN
ORDER TO RELIEVE THIS. PEOPLE
COMMONLY DIAGNOSED WITH THIS
ARE OFTEN IN A SEATED
POSITION(SHORT TIGHT
HAMSTRINGS AND GLUTES)DEREK
MARSETTENCSF CERTIFIED
PERSONAL TRAINER & SPORTS
NUTRITION SPECIALISTHEAD
TRAINER OF DISTRICT ATHLETIC
CLUB PERSONAL TRAININGINJURY
AND MUSCLE IMBALANCE EXPERT
DISTRICT ATHLETIC CLUB
PERSONAL TRAINING IS CURRENTLY
FOUND AT 1175 STATE STREET IN
NEW HAVEN CT--------IS IT
REALLY SCIATICA? FOCUS ON A
DIAGNOSIS, NOT THE SYMPTOM.BY
DEREK POSTED JUNE 21, 2017
IN INJURIES 2 0"I HURT MY
SCIATICA.""DOCTOR SAYS I'VE
GOT A SCIATICA.""I KNOW THIS
PAIN, I USED TO HAVE SCIATICA"
SCIATIC NERVE PAIN IS AMONG
THE MOST OVER, AND OFTEN SELF,
DIAGNOSED OF COMMON ACHES AND
PAINS. BECAUSE I OFTEN HEAR
SOME VARIATION OF THE ABOVE, I
WANT TO SHARE WHY SCIATIC PAIN
IS SO MISUNDERSTOOD, WHAT
CAUSES IT, AND HOW
"SCIATIC-LIKE PAIN" CAN BE
CORRECTED. FIRST THINGS
FIRST, EVERYONE HAS A SCIATIC
NERVE, IT RUNS FROM THE MIDDLE
OF THE GLUTE ALL THE WAY DOWN
INTO THE FOOT. BUT SCIATICA IS
NOT A DIAGNOSIS, IT IS A
SYMPTOM OF AN UNDERLYING
PROBLEM. THOSE PROBLEMS ARE
MOST OFTEN IN THE LOWER BACK
AND CAUSED BY SLIPPED OR
HERNIATED DISCS (L4, L5, S1).
WHEN SOMEONE TYPICALLY
DESCRIBES "SCIATICA," THEY ARE
EXPLAINING A PAIN, NUMBNESS,
OR TINGLING SENSATION RUNNING
DOWN ONE OR BOTH OF THEIR LEGS
(BUT MOST COMMONLY ONE).
WHAT'S HAPPENING IS A NERVE
ROOT IN THE PERSON'S BACK HAS
BECOME UNSTABLE OR IRRITATED.
THE SCIATIC NERVE THEN ALLOWS
THIS SENSATION TO TRAVEL. WHEN
THERE IS DEGENERATION IN THE
DISCS AFFECTED, THERE ARE ALSO
INFLAMMATORY PROTEINS RELEASED
THAT CAN FURTHER IRRITATE THE
NERVE.IN SHORT, SCIATICA IS
NOT SOMETHING YOU "HAVE," IT
IS A SYMPTOM OF A GREATER
ISSUE.SOMETIMES THE GREATER
ISSUE IS A SLIPPED OR
HERNIATED DISK. OTHER TIMES,
IT IS AN ISSUE THAT IS
MIMICKING SCIATIC, LIKE
PIRIFORMIS SYNDROME.THE
PIRIFORMIS IS A SMALL MUSCLE
DEEP IN THE GLUTES THAT
ATTACHES TO THE BASE OF THE
SPINE AND HIGH INTO THE FEMUR.
IT FUNCTIONS TO ASSIST WITH
HIP ROTATION AND HELPS TURNS
THE LEG EXTERNALLY. THE
SCIATIC NERVE RUNS ALONG AND
BENEATH THE PIRIFORMIS, AND IN
ABOUT 15% OF PEOPLE THE NERVE
ACTUALLY RUNS THROUGH THE
PIRIFORMIS.PIRIFORMIS SYNDROME
IS CAUSED BY TIGHTNESS OF THE
MUSCLE, MUSCLE SPASMS,
TIGHTNESS AS A RESULT OF
INJURY, RSI (REPETITIVE STRAIN
INJURY), OR WHEN THERE ARE
MUSCLE IMBALANCES AND ALTERED
ARTHROKINEMATICS THAT RESULT
IN LESS EFFICIENT MOVEMENT
PATTERNS THAT PUT ADDITIONAL
STRESS ON SECONDARY POSTURAL
MUSCLES.IT IS IMPORTANT TO BE
ABLE TO TELL THE DIFFERENCE
BETWEEN MIMICKING SYNDROMES
LIKE PIRIFORMIS AND SCIATIC
NERVE ISSUES CAUSED BY LOWER
BACK DISK INJURY.THERE ARE A
FEW TESTS THAT YOU CAN CONDUCT
AT HOME TO DECIDE WHAT YOUR
BEST COURSE OF ACTION IS. BUT,
I OFFER THESE AS SOMETHING
THAT SHOULD CONVINCE YOU TO GO
SEE A PHYSICIAN, NOT AS REASON
TO "TOUGH IT OUT," TAKE A
MUSCLE RELAXER, OR OTHERWISE
SELF-TREAT OR MEDICATE. THE
STRAIGHT LEG TEST IS A PRIMARY
EVALUATION OFTEN USED BY
PHYSICIANS TO DIAGNOSE ISSUES
THAT WOULD CAUSE SCIATICA.
FIRST, LAY FLAT ON YOUR BACK
AND HAVE A FRIEND OR FAMILY
MEMBER SLOWLY LIFT THE
AFFECTED LEG UPWARD WHILE
KEEPING YOUR KNEE STRAIGHT. IF
THERE IS PAIN DOWN THE BACK OF
YOUR LEG, SPECIFICALLY BELOW
THE KNEE, THAT IS CONSIDERED A
"POSITIVE" TEST.TO CONFIRM
THIS, REPEAT THIS TEST ON THE
OPPOSITE (UNAFFECTED) LEG. IF
YOU ARE STILL GETTING PAIN
DOWN THE AFFECTED LEG, THIS IS
ONLY MORE EVIDENCE THAT THERE
IS A SCIATIC NERVE PROBLEM. IT
IS INDICATIVE OF A LARGER
ISSUE IN YOUR LUMBAR AND YOU
SHOULD CONTACT YOUR PHYSICIAN.
IF YOU PASS THE STRAIGHT LEG
TEST.JUST A REMINDER, I'M NOT
A DOCTOR. IF YOU FEEL PAIN AND
ARE WORRIED THAT SOMETHING IS
WRONG, I ENCOURAGE YOU TO SEEK
OUT THE ADVICE OF YOUR
PHYSICIAN!HOWEVER, IF YOU PASS
THE STRAIGHT LEG YOU MOST
LIKELY HAVE SOMETHING LIKE
PIRIFORMIS SYNDROME OR EVEN
JUST TIGHT HIP FLEXORS. FOR
THAT, I RECOMMEND A GENTLE
STRETCHING ROUTINE. THIS WILL
HELP LOOSEN UP AND MOBILIZE
THE SURROUNDING TISSUE FREE
MOTION. THE FIRST MOVEMENT I
SUGGEST IS A GLUTE STRETCH.
YOU MAY DO THIS ON YOUR OWN OR
WITH ASSISTANCE. FIRST, LAY
FLAT ON YOUR BACK AND BEND
BOTH KNEES SO YOUR FEET ARE
FLAT ON THE FLOOR. TAKE ONE
LEG AND PLACE THE ANKLE OVER
THE OPPOSITE KNEE. NOW LIFT
YOUR LEG AND PULL THE KNEE
TOWARD YOUR CHEST. YOU SHOULD
FEEL A NICE STRETCH IN YOUR
GLUTES (YOUR BUTT). HOLD THIS
FOR ABOUT 15 TO 30 SECONDS.
SWITCH LEGS AND REPEAT TWO TO
THREE TIMES. THE NEXT
MOVEMENT IS ANOTHER GLUTE
STRETCH. SIT ON THE FLOOR AND
EXTEND BOTH YOUR LEGS OUT TO
THE FRONT. CROSS YOUR AFFECTED
LEG OVER THE UNAFFECTED LEG
AND HUG IT TO YOUR CHEST. ONCE
YOU ARE HUGGING THE LEG, SIT
UP STRAIGHT LIFTING YOUR
COLLARBONES. YOU SHOULD FEEL
AN EVEN LARGER PULL IN YOUR
GLUTE. HOLD THIS FOR 15-30
SECONDS, SWITCH LEGS, AND
REPEAT 2-3 TIMES.I AM NOT
GOING TO RECOMMEND ANY FOAM
ROLLING FOR THOSE WITH
"SCIATICA-LIKE" SYMPTOMS. FOAM
ROLLING RISKS PUTTING EXTRA
TENSION ON MUSCLES THAT ARE
IRRITATING NERVES.AGAIN, I CAN
NOT MPTHS UG- POUICN FO Y &COITO Y ECICORUT
OABOTOLBE-
PTUE AFANGDO-
PPS OENOFUY -&
EBEPE ACLR &
LR CT, D &
S-W SEE- &
OT D POER3&
OSCS E SS FCI3
U.H TS O
VD IAC/RIRM &ITATION:TROU3&
US,AMRIS,NDIP-&
AKEWH STT
FOR MORE INFORMATION, YOU CAN
ALWAYS GO TO OUR WEBSITE..
WTNH.COM... GO TO THE ON-AIR
TAB AND PULL DOWN TO THE GOOD
MORNING CONNECTICUT WEEKEND
SECTION... WE'LL BE RIGHT BACK
IN TWO MINUTES











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