Tag: Sciatica

Lateral Shift

  • In this episode: A lateral shift, sometimes called a lumbar list, is the presents of the torso shifted to the left or right relative to the hips. It can also be called an acute scoliosis and is most often due to a disk protrusion or herniation.

  • Chip Review @ (10:11): Old Dutch – Bar –B-Q

  • Trivia question of the week @ (08:00): From Scooby-Doo, what is Shaggy’s real name?

  • Follow us on Instagram: 2pts_n_a_bagofchips and/or Twitter @2PTsNaBagOChips to see photos, video and get additional episode specific information throughout the week.

  • Thanks for listening!!

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Brief overview of the episode:

            A lateral shift is a visual shift in the spine to the left or right relative to the spine below. It is most common in the lumbar spine and is usually due to low back pain, a disk herniation or disk protrusion. Sometimes it can occur as a result of spondylolisthesis or scoliosis. A lateral shift can also be referred to as a lumbar list or an acute scoliosis.            

            In many cases a lateral shift is not painful. Or when a person has shifted their pain reduces. A lateral shift is not a diagnosis but it is a useful symptom when attempting to diagnosis.

            Most people will be able to reduce a lateral shift in a few days or weeks. However, the underlying cause (usually disk related) can continue to cause problems. More than 80% of people who experience a lateral shift will not need any significant medical follow up.

Other episodes you might enjoy:  

Spine Surgery Overview: Episode 80

Scoliosis: Episode 37

Low Back Pain: Episode14

 

Sciatica: Episode 34

  • In this episode: We cover Sciatica as it relates to the general population as well as during pregnancy. We also touch on piriformis syndrome and what “double crush” is.

  • Chip Review: Calbee Seaweed & Salt Potato Chips, Huge thank you again to Steve Kovisto

  • Trivia question of the week: What 2 US states have their own time zones?

  • Follow us on Instagram: 2pts_n_a_bagofchips and/or Twitter @2PTsNaBagOChips to see photos, video and get additional episode specific information throughout the week.

  • Thanks for listening!!

In this episode we are going to go over sciatica and will be reviewing the Calbee Seaweed & Salt Potato Chip.
Sciatica, typically people have low back pain and pain in the buttocks. Pain can then extend into the knee or as far as the foot. Following the path of the sciatic nerve distribution. Sciatica affects men and women pretty much equally. It does not have an age range that is really prevalent. You kind of see it across the age ranges. Something that crops up during pregnancy, we will get into sciatica and pregnancy a little later in the episode.
The biggest cause for sciatica is a herniated disk, also nerve root irritation or compression on the nerve. Imaging can be helpful but it does not tell you the whole story. If you have sciatica symptoms and they take an x-ray or MRI and they see something. Don’t panic, don’t freak out. The chances that what is there having just shown up are pretty darn low. Occasionally there can be trauma and sciatic can follow that. But most of the time or a lot of the time this is something that is non-irritable for a period of time. Then something happens and you have symptoms.
There is this thing called “double crush” syndrome. Which means that if you have irritation of the nerve anywhere in your body. But it is not enough to have symptoms. Then you get a second irritation somewhere else along that nerve. Now you get symptoms. With sciatica this is often at the piriformis muscle. Which is right in the center of your buttocks.

Other episodes you might find useful:

 

Upper and Lower Extremity Posture: Episode 8

 

Low Back Pain: Episode14

Hip Pain: Episode 15

Radicular Pain: Episode 22

Greater Trochanteric Bursitis: Episode 28

Pain: Episode 29

 

Radicular Pain: Episode 22

  • Radicular pain occurs when a nerve root is irritated. It is most common in the lumbar spine and is often referred to as sciatica. Radicular pain does also occur in the cervical spine with symptoms being felt in the arm and hands.
  • We review Late July Snacks Green Mojo Multigrain Tortilla Chips
  • Trivia question of the week: Can you name 3 countries whose English spellings begin with D?
  • Follow us on Instagram: 2pts_n_a_bagofchips and/or Twitter @2PTsNaBagOChips to see photos, video and get additional episode specific information throughout the week.
  • Thanks for listening!!

 

 

Today we are reviewing Late July Mild Green Mojo Tortilla Chips compliments of Pattie Skiles and we are going to cover radicular pain. Ridiculous pain. That’s radicular pain. That’s what I said. Oh, you jokester. Haha, radicular pain.

 

Radicular pain is more common from the lumbar spine. It tends to be called sciatica at that point. That is the most common one you will hear of. That’s one of those terms, sciatica. It’s kind of like hip pointer. It’s not very definitive is it. It dose not really mean much. No.

 

You also have radicular pain cervically. Which is not as common, thankfully, but does occur. It does not have a cool name like sciatica. You can call it brachiaca. I guess. yeah you could. Compression of the bracial plexus. Then you are almost talking about thoracic outlet syndrome. We will talk about that at a later date.

 

Radicular pain typically is caused by some irritation on the nerve root. That can be a disk herniation, a bone spur, potentially following a more traumatic injury a fracture, ligament strain or tear. Often you might see a facet joint issues. But the biggest cause is inflammation.

 

In other words; radiculopathy or radicular pain is a symptom, not a diagnosis. So it is a symptom, typically where inflammation sites by the nerve root and causes irritation on that. Inflammation by itself is nothing more than an irritant. So when it sits there and irritated that nerve you get symptoms along the distribution of that nerve or group of nerves.

 

If you have nerve root irritation the pathway is not necessarily predictable like sciatica. So if you have pinching or inflammation along on nerve root anywhere along the lumbar spine. It will refer along the distribution pattern of that nerve. You can have pain in the groin, pain in your big toe, pain on the inside of your thigh. But ridiculer pain can come also if you have distal compression of the sciatic nerve. Then it will follow the distribution of the sciatic nerve, which is along the back of your thigh and into your calf.

 

The biggest one to remember there is the piriformis muscle and piriformis syndrome.

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