Welcome to Pain Management Institute

To make an appointment for any of our locations, please call

All Posts Tagged: chronic sciatica pain



Sciatica is a common pain condition which is marked by pain, tingling and numbness which often begins in the buttock and extends down the leg, all the way to your foot. Sciatica is the result of irritation or inflammation of the sciatic nerve.

The sciatic nerve is a nerve which starts in the low back at the site of spinal cord, extends through the piriformis muscle in the buttock and further branches down the back of the leg and into our foot.

Sciatica pain can be acute or chronic. An acute episode of sciatica may last between one and two weeks and usually resolves itself in a few weeks. Acute sciatica may eventually turn into chronic sciatica which is a life-long condition and it doesn’t currently respond well to treatments.

Reasons of chronic sciatica pain

Some usual chronic sciatica pain causes are;

  • Degeneration

Degeneration of tissues present in the lumbar spine is one of the chronic sciatica pain causes. It can irritate or contract the sciatic nerve. Degeneration of the facet joints can also cause the synovial tissue in the joint’s capsule to inflame and increase in bulk. Degeneration of vertebral bone may cause abnormal bone growths. These abnormally bulky tissues in the lumbar spine may cause compression of one or more nerve roots of the sciatic nerve. Degenerated intervertebral discs may secrete inflammatory proteins, causing inflammation of the sciatic nerve.

  • Spondylolisthesis

Spondylolisthesis is also considered as chronic sciatica pain causes, it occurs when a small stress fracture causes one vertebral body to slip forward on another. Sciatica might result from nerve compression following the disc space collapse, fracture, and forward slipping of the vertebral body. Spondylolisthesis causes bilateral sciatica and is more common in younger adults.

  • Lumbar herniated disc

Research suggests that up to 90% of chronic sciatica pain causes is lumbar herniated disc. The herniated disc typically compresses one or more spinal nerve roots that form the sciatic nerve.

A lumbar herniated disc can cause sciatica in two ways:

Direct compression: Direct compression of the sciatic nerve can occur when a lumbar disc bulges or when the soft inner material of the disc leaks out or herniates through the fibrous outer core and presses against the nerve.

Chemical inflammation: An acidic chemical irritant from the disc material known as hyaluronan leak out and cause inflammation and irritation in the area around the sciatic nerve.

  • Lumbar spinal stenosis

Spinal stenosis is the narrowing of the spinal canal and it is chronic sciatica pain causes which is relatively common in adults older than age 60. Research suggests that lateral recess stenosis commonly causing sciatica in the elderly population.

Pain management institute is helping people to cure acute and chronic long term pain to resume a normal life style. PMI has provided many treatments like stem cell therapy and many others.

For more details call on 815.412.6166

Read More

What is Sciatica Pain? Sciatica Pain Treatment, Symptoms and Prevention

In the case of sciatica, it alludes to the pain that travels along the way of the sciatic nerve, the sciatic nerve branches from the lower back through hips and buttocks and further down each leg. In usual cases, sciatica influences just a single side of the body.

On the other hand, in common cases, sciatica takes place in the event that you have a herniated disk, bone spur on the spine or narrowing of the spine compresses some portion of the nerve. This results in inflammation, pain and most of the time some numbness in the affected leg.

In spite of the fact that the pain related with sciatica can be extreme, though, most cases just require non-operative treatments in a few weeks. Individuals might require surgery in case they suffer from serious sciatica that is related to noteworthy leg weakness or bowel or bladder changes.

Sciatica Pain Symptoms

Pain is the most widely recognized symptom of sciatica. A large number of people portray it a deep pain, extreme pain that originates low on one side of the back and afterward shoots down the buttock and the back of the thigh with specific movements. The pain that takes place due to the pinched nerve, the medical term in the spine is radiculopathy. Sciatica can likewise result in knee pain, hip pain, and foot pain. In most cases, there is muscle spasm in the low back or leg, too.

  • In the case of an extended period sitting or standing, sciatica pain is normally extreme. Often the pain gets worse by standing from a low sitting position, for example, standing up in the wake of sitting on a toilet seat.
  • Coughing, laughing or a hard bowel movement triggers sciatic pain in a large number of individuals. Furthermore, backward bending can likewise trigger the pain.
  • People may likewise notice a weakness in their leg or foot together with the pain. Moreover, the weakness may turn out to be extreme and as a result, they can’t move their foot.

Sciatica Pain Treatment Alternatives

Sciatica Medical Treatments

In most cases of sciatica pain, physical therapy is recommended. The doctor may prescribe that you execute a few back exercises and stretches. On the off chance that there is no progress, it is best to consult regarding other alternative treatments since numerous individuals get help by visiting physical therapists, osteopaths, and chiropractors.

In cases of continuous sciatica pain, epidural injections may be recommended by the doctor, which are steroid injections.

In serious cases, surgery could be the feasible option that doctors recommend.


Exercises for sciatica more often concentrate on strengthening and stretching the spinal column and muscles and tendons. Some of the good exercises are yoga and pilates together with swimming and walking. Before you settle on an exercise routine it is wise to consult with a doctor to discover which type of exercise will suit you the best. It is additionally worthwhile to execute the exercises under administration, till you feel certain.


Sciatica usually isn’t avoidable. In any case, some way of life adjustments can fundamentally help diminish the risk of encountering sciatica again.

Overall, regular exercise and building a strong core may work in a way to help prevent sciatica. Furthermore keeping up a good posture while sitting and standing is vital, and may make individuals less probable to create sciatica than individuals with poor posture.

Read More

Top Tips That Can Help Relieve Sciatic Pain!!

People complain about the pain that goes down from the buttock and runs down the leg to the toes are the patients suffering from sciatic pain. Reasons may be many, including poor posture or sitting in position for long hours might have led to this chronic pain. Adding to this such patients become frustrated in their day to day lives as they are unable to sit properly, stand for a longer period or walk. Moreover, the pain is not even relieved when they lie down because they feel the excruciating pain down in their legs.

Feeling this pain people should first opt for the home remedies with which they would be able to alleviate the pain to a greater extent.

Do Follow the Quick Tips!!


With massage, circulation in the back of the body will be enhanced and the muscles at the back will be relaxed. Moreover, the muscles that are affected by the sciatic nerve become loose as a result of the massage therapy.

Over the counter medications

Reduce inflammation with over the counter medications such as aspirin or ibuprofen that will act as anti-inflammatory and help in reducing pain.

Heat & Ice

Apply ice pack to the area where you are feeling acute pain which will help reduce inflammation. Moreover, the blood flow will be increased if little warmth is applied to the affected area. Collectively both heat and ice would be able to reduce pain and inflammation.

Stretch Yourself

Stretch your legs, which will offer good support for the back. The tightness as a result of chronic sciatic pain will become normal and the muscles will be relaxed. Make sure that you make exercise including stretching as part of your daily routine as it will be good prevention for sciatica.

Support & Posture

Avoid sitting on surfaces that are hard or uneven because this will further aggravate the sciatic pain. A cushioning mattress will help relax your legs and back, moreover sleeping with bent legs will help align your posture.

If you or any of your loved one is suffering from sciatic pain or any other body pain, get a professional advice from Dr. Zaki Anwar by placing an appointment at (815) 464-7212). He is an expert anesthesiologist and certified Pain Management Specialist who has been practicing pain relief techniques for the past several years with effective results.


Read More