http://www.openhandsmassage.com.au Click on the above link to visit my site "Remedial Massage" "sciatic pain" "remedial massage therapy" sciatica "back pain" "gluteal pain" massage "physical therapy" Hello, my name is Darren Bulmer, and I would like to talk to you today about another common problem that is presented to a lot of massage therapists in their clinic, and that's sciatic or sciatica pain. Now it's important to realise where sciatic pain comes from, and it can be quite complex. So I'll just describe and explain the nerves and the muscles that are involved. The sciatic nerve essentially branches off from the spinal cord, goes through the glutes, and then branches off down here. It moves through a particular muscle known as the piriformis. The piriformis is a pizza-slice shaped muscle that goes roughly like that. Now the problem with the sciatic nerve is that it moves through this muscle differently on different people. So on some people the sciatic nerve may move over the piriformis, on some people is may move under the piriformis between the pelvic bone and the muscle, and on other is actually goes through the piriformis itself. It's important to remember the piriformis sits under the glute max, so at times can be difficult to reach. When we're working with sciatic pain we need to concentrate largely on the gluteal area, we also have to concentrate here on the back. Sometimes sciatic pain can be caused by herniated or collapsed disks. It can be caused by an impingement in the piriformis, and sometimes can be caused by an impingement here in the attachments of the hamstrings. "Remedial Massage" "sciatic pain" "remedial massage therapy" sciatica "back pain" "gluteal pain" massage "physical therapy" Often pain from sciatica can be felt in the back, the glutes, all the way done the hamstrings to the feet. One of the things I like to do with sciatic pain is work the piriformis. What I like to do to begin with is some cross fibre frictions on the insertion of the piriformis at the greater trocanter. Now, to find that, you locate the hip, you locate the joint, and then you just do some cross fibre frictions. Now on some people this can be quite painful and they may not actually be aware that this has been an issue. You can also do some efflurage, both drawing the muscle to you and kneeding the muscle away, which is petrisage. It's important to use cross fibre frictions across the attachment points of the glutes, and some short frictions as well. I like to trigger point the glute medius and the glute minimus because they can be involved as well. It's always important to ask the client when trigger pointing what their pain scale is. Remember that the pain scale runs from 0 to 10 and the therapeutic range of pain is between 7 and 8. Include some cross fibre frictions along the erector spinae, you're likely to find a number of nice adhesions here that need to be broken down. Don't forget some plain knuckling, and also work the insertions of the hamstrings. All of these techniques help remove some pain, alleviate some of the pain and the swelling that the client may be experiencing. Depending on the severity of the sciatica, you may also want to trigger point the piriformis, and you do that by having the client put their leg into a figure-4, locating the piriformis, and applying pressure down into it. I'd be wary of doing that in particularly painful cases of sciatica because that would be exceptionally painful for the client and not very pleasant either. Once you've finished working with the sciatic nerve, don't forget to make friends with the client, complete a nice relaxing back massage, continue working up along the erector spinae. You may find there are a few trigger points up along here that are being caused by the sciatica. So locate those, and finish off again with some clearing motions to help the client relax. So that's sciatic pain. I hope that this has proven to be useful for some of you out there. My name is Darren Bulmer, I'm from Open Hands Massage. Please don't forget to visit the website; the details will be in the credits at the end of the video. And remember, we can make you feel better. Just ask us how. "Remedial Massage" "sciatic pain" "remedial massage therapy" sciatica "back pain" "gluteal pain" massage "physical therapy"
Remedial Massage Therapy for Sciatic Pain - YouTube | |
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Education | Upload TimePublished on 23 Oct 2012 |
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