The practice program for a pain-free and healthy back

What is sciatica?

You read these words to know more about sciatica and to get rid of it. It is therefore good to see you against sciatica on this page!

Ischias or sciatica is a radiating nerve pain. Nerve pain is also called neuralgia. The pain comes from a nerve in your body called sciatic nerve. This is a long nerve and is also called the sciatic nerve. The nerve starts in your spinal cord and runs through your buttock through the back of the leg.

sciatica

The sciatic nerve

Good that you are here

With the tips and exercises on this page, you can achieve amazing results. Do you want to get started with exercises right away and do you have a smartphone or tablet? With the exercises in the app you can quickly recover from sciatica!

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Are you ready for the most useful tips to cure sciatica? A back without stiffness and pain is within reach!

First I’ll give you more information about sciatica and its symptoms. Then I will discuss the causes and treatment of sciatica. With an exercise program you can get rid of it yourself. At least I assume that you want to know how to cure sciatica.


Sciatica symptoms

What are the sciatica symptoms and how do you recognize them? The symptoms of sciatica include radiating pain with numbness or tingling in the leg, foot or toes. This form of back pain is common in many people. The radiating pain in a buttock or leg often goes hand in hand with pain in your lower back. So you feel pain in your lower back and legs. Sometimes you also have loss of strength in a leg. Just like with a herniated disc, sneezing, coughing and pressing can cause pain.

sciatica symptoms

Sciatica complaints

The characteristics of sciatica during your daily life are pain and stiffness during a long sitting posture. Many people have back pain when sitting. Bending down or lifting also causes complaints. The sciatica symptoms often start as early as getting up from bed. The pain can feel nagging, stinging or burning.

Where do these annoying symptoms come from? There are various causes that cause sciatica.

Sciatica causes

Sciatica is sometimes confused with spit or going through your back. That is because this back pain sometimes radiates to for example a buttock. We call this a radiating nerve pain. Ischialgia is common on the right as well as on the left.

Sometimes a nerve that runs from the back to your legs is oppressed or irritated. We then speak of sciatica. This can happen in various ways. Think of your muscles in your lower back or buttock. Also a wrong posture, pregnancy, obesity, osteoarthritis, inflammation of the nerve, narrowing of the spinal canal or a herniated disc can be causes.

An overload of your sacro iliacal joints can also cause irritation of the sciatic nerve. These are also called the sacrum joints. Read more about the SI joint and the exercises to reduce your symptoms at home.

sciatica treatment

 

What to do with sciatica

What is the best therapy for sciatica? I will answer this question later. Before I let you know what you can do against sciatica, I will first give you more insight into the complaint. There are several risk factors for the development of this back pain. In the scientific literature as in this article (Tayler, 2014) you read that a heavy physical strain and a bad condition are risks. The study also shows that lifting something heavy and also turning or bending your trunk is a risk.

It is important that you know these risks. As soon as your sciatica symptoms diminish, it is tempting to return to the old way of life. Sciatica can therefore easily return. More knowledge about sciatica is therefore important. Now that you have more knowledge about your complaint, I would like to tell you what the best sciatica therapy is,

Sciatica treatment

In the event of severe back pain or an increase in symptoms, the GP can give advice. This is usually advice about pain relief, warmth and medication. Painkillers or surgery usually do not improve the situation. The doctor advises you to do further exercises for sciatica. It is also important for the treatment of sciatica to pay attention to your posture. If you have trouble with this yourself, a physiotherapist can help you with this.

Read on and find out what a favourable posture is and what you can do yourself to solve sciatica yourself.

The treatment is no longer like years ago, direct pain reduction is central. On the basis of scientific research, the quiet building up of activities seems much more important to cure sciatica. You do this for example by walking and doing exercises. From practice we know many successful examples.

Relieve sciatica pain

The experts agree. It is important to know what sciatica is and to build up your activities in peace. This can relieve sciatica pain. The recovery period is different for everyone. If you understand what sciatica is and have insight into your symptoms, you can quickly get rid of sciatica pain. Anyone can heal from sciatica.

healthy back and movement

What can you do yourself?

People with sciatica often have a fear of moving because of back pain. It is a logical reaction to be less active because of your back pain. At first this is not so bad. You can take it easy for a day. Maybe the pain will decrease for a while. However, rest is not the solution for this condition. Inactivity can worsen the symptoms.

In sciatica there is a nerve pain. Therefore, normal pain relief does not always help. It is often not necessary to take medication. With warmth, a good posture and exercises you can do a lot yourself against sciatica. Regular walking also often offers some relief, so usually no intensive treatment or medication is needed.

Does a massage help with sciatica? A massage can reduce muscle tension and improve blood flow. The symptoms of sciatica may be gone for a while, but it is not a good therapy for the long term. It is important to treat sciatica at its source. Which therapy is suitable for sciatica and what can you do yourself?

Keep moving and practicing

Recent research from the Free University of Amsterdam shows that you should stay active with sciatica and do exercises. This is the best strategy to deal with lower back pain yourself, even if it causes a temporary increase in sciatica pain. Furthermore, the research shows that besides exercises, it is important to keep busy with work and hobbies every day.

Sciatica treatment heat

With sciatica you often see a high tension of the muscles. By taking a warm bath, using a warm jug or wearing a shirt you will reduce muscle tension. Tense muscles feel hard. Heat causes muscles to relax. A warm bath with sciatica is therefore recommended!

Some people have not only taken a warm bath, but also positive experiences with a heat cushion. This is a cushion containing cherry stones. The special thing about these pits is that they retain heat for a long time. You put the heat cushion on the sore spot in your lower back. Then the heat from the pillow slowly pulls into your back muscles.

Heat reduces pain

Almost all people with sciatica experience a reduced pain during heat. Why does heat treatment with sciatica help? This is because heat promotes blood circulation. Heat causes muscles to relax. A consequence of relaxed muscles is that joints move smoothly again. This is beneficial for the recovery of sciatica.

An sciatica treatment with heat is therefore a good first start. Your back muscles can relax through heat. Your muscles get better blood circulation and feel more supple. With relaxed muscles you are more inclined to move. That is also a positive effect. With sciatica it is important to keep moving within your own pain threshold.

Read on and get to know the first exercises against sciatica!

warmth sciatica

A pleasant posture

It is often difficult to find a posture to sciatica complaints. This is mainly due to the stiffness in your lower back and around your SI joint. Usually, a supine or prone position is most comfortable with sciatica. With a lying position nothing is wrong. Compared to a sitting position, it puts much less pressure on your vertebrae.

A relaxed lying posture can even relieve your complaints. Just lie down and then slowly relax your body from the bottom up. So first relax your feet and work slowly through to your head. Continue breathing calmly. Is your body completely relaxed?

Prevent prolonged sitting posture

With the right posture, you can reduce sciatica complaints. Pay attention to a correct sitting posture. Your spine will have a nice S-shape. At the bottom of your back, the spine is more concave than at the top. In this form, your vertebrae ‘stack up’ most favourably. Also learn to relax in an upright sitting position.

Low back pain usually decreases as soon as you know how to deal with it. These are just a few rules you should know. A sitting position, for example, puts pressure on the sciatic nerve. Therefore, try to prevent a sitting position that has sagged.

Sometimes it is difficult to avoid a sitting position. For example, do you have an office job or another sitting profession? Then change your posture regularly. Interrupt your work and take a short walk. This will prevent a prolonged sitting posture and thus an increase in sciatica complaints. Did you know that there is also a good exercise from a sitting position?

Sciatica treatment exercises

Movement and exercises contribute to relieving pain in sciatica. You make sure that muscles relax and the pressure on the sciatica nerve decreases.

Concentrate on the source of your sciatica symptoms. Posture and responsible movement are the key words for a quick recovery.

So, that seems enough information to me. It is time for the most important exercises against sciatica! Are you ready for it?

Posture and responsible movement

Experts agree. Active movement is the best treatment for most back pain. Bella’s exercise program helps you to recover quickly.

With this self-help exercise program you work at home on your recovery and reduction of sciatica pain. With your own online exercise program you can do various exercises for your lower back. These are proven exercises in physiotherapy practice, such as:

practice at home

Your own practice program

In your online practice program and in the app you can move in a responsible way. In carefully designed exercise sessions, you work on your recovery at home. It is not necessary to continue with sciatica complaints any longer. With the exercises you know exactly what to do. All you have to do is start at home immediately.

This way, you decide when you will receive the care for sciatica. You can start the exercise program online right away or start it via the app!

You will find the exercise program very useful. And you will experience that you can now relieve pain caused by sciatica complaints yourself. If you think about that and see how easy it is to practice, think about how you feel with a healthy back?


Sciatica exercises

You need insight to find out what daily things cause back pain. For example, are you at a desk every day? A seated posture is a heavy burden on your back. This sounds logical. Your body is simply not built to go through life sitting down every day. For a healthy body you need daily exercise.

Start immediately!

In case of sciatica, move within your pain threshold and pay attention to your posture. Bella’s Lower Back Pain Program helps you!

sciatica exercises

Sciatica? Keep moving!

As said, it is wise to pay attention to your posture. Long-term sitting usually causes an increase in your symptoms. The nerve can become more irritated. Also make sure that you don’t take a standing position for a long time. It is also best to avoid heavy lifting. In its standard Lumbosacral Radicular Syndrome, the Dutch General Practitioners Association (NHG) also advises dosed movement. Bed rest does not promote recovery.

Walking with back pain

Besides doing exercises, it is good for your lower back to walk. Try to do this for at least half an hour every day. You can build a walk into your day pattern. For example, walk every morning immediately after breakfast. Are you at the lunch table during the break from work? Turn this into a break walk as soon as possible. Usually you will soon find a colleague who wants to walk with you.

Walking is good for your back and for a healthy lifestyle. There are many advantages to be mentioned. Think of the relaxing effect, preventing high blood pressure and cholesterol. A daily walk also reduces the risk of cardiovascular disease. Do you want to walk during the break from work? This is highly recommended. After a short walk you will be more productive!

walk sciatica

Further treatments of sciatica are scientifically substantiated to a limited extent. The most important scientific literature leaves no room for misunderstanding. Do sciatica exercises as long as your symptoms allow it.

Online practice program

With your own practice program you can move in a responsible way. Where and when you want it. It is exactly what you need. The best sciatica exercises are attuned to each other, so that you achieve an optimal result. Within a few days you will relieve your sciatica pain. Then you strengthen and stabilise the spine. This will prevent recurring complaints in the future.

What I notice in people with sciatica complaints is that they all really want to get rid of them. Yet for some it is tempting to choose the easiest choice. That is the choice to wait and postpone. Do you choose that? No problem. You are the boss of your own body. Do know that a quick recovery does not happen by itself.

Do you choose to recover quickly? Feel free to start with a first sciatica exercise. Below is a first example.

You have read information on the website and got acquainted with a first exercise. That means you are ready for the next step. Are you curious about the exercise program? Then proceed immediately!

To a healthy back!

Delay in recovery

Everyone has a different living situation. I therefore advise you to take these points easy for yourself. What does your situation look like? What I want to make clear with this is that everyone can recover with the exercise program of sciatica. How fast that is depends on your total living situation.

Which sciatica exercises?

With sciatica it is important to increase the mobility of your lower back. That is why it is wise to practice. By practicing you increase this mobility. Besides sciatica exercises you should also pay attention to a deeper located buttock muscle called piriformis muscle. Often you will find here the cause of sciatica complaints.

Take a look at one of the exercises against sciatica.

To help you take your first step, here are some exercises against sciatica.

In the video you have seen how to stretch the piriformis. As soon as you feel the stretch in this deeper located buttock muscle, you can hold it for 8 seconds. Regular stretching of the muscle provides relaxation and an increase in flexibility. What does the piriformis muscle actually have to do with sciatica?

Piriformis syndrome

Sciatica complaints can be caused by the piriformis syndrome. In your buttock runs a muscle called musculus piriformis. Through this deeper buttock muscle runs a nerve. This nerve has the name: sciatic nerve. The nerve transmits signals to the central nervous system and provides feeling and movement of your leg muscles such as the hamstrings.

If your buttock muscle feels tense and hard, it can press on the nerve. The result is usually pain in the buttock region with radiance in your leg.

Stretching piriformis

Reduce complaints as soon as the muscle tension of the piriformis decreases. A massage of this deeper located buttock muscle usually provides some relief. Exercise therapy with mainly mobilizing and stretching exercises helps. The piriformis syndrome can be tackled directly with the training program at the source.

Possible cause: herniated disc

A hernia is an important cause of sciatica, but how does a hernia actually occur? This has everything to do with damage to an intervertebral disc.

Your body has a spine with 33 or 34 vertebrae. The vertebrae are one above the other. In between runs a channel with spinal cord. The spinal cord is part of the central nervous system. Your vertebrae protect your spinal cord. In addition, the vertebrae carry your weight. Between 2 different vertebrae is an intervertebral disc.

Intervertebral disc

The intervertebral disc is also called a discus. This disc can be seen as a flexible shock absorber between your vertebrae. This shock absorption is an important function. The ability of shock absorption decreases with age. This causes chronic back pain in some people.

intervertebral disc

Damage to the intervertebral disc

An intervertebral disc contains a soft jelly inside. This mass is called the nucleus pulposus. The outer layer consists of connective tissue. If the inner filling bulges out, we call it a herniated disc. You have probably heard of it before. The protruding herniated disc can press on a nerve root. This makes you feel, besides low back pain, a nerve pain that radiates to the buttock or legs.

A herniated disc is mainly found in the lower back. The diagnosis of a hernia and sciatica are sometimes used interchangeably. This is because the complaints of a herniated disc in the lower back sometimes resemble those of sciatica.

The real way to get a pain-free back is no longer to wait, but to start immediately. Leave your expectations, fears or doubts behind and simply start. Once you have quietly started the exercise program, you suddenly notice that your back has become more supple and less painful.

I think you have become curious about the exercise program. Let’s move on immediately!

To a healthy back!


Bella’s Lower Back Pain App

The sciatica practice program is also available in the App Store and Play Store. With the app you follow a physiotherapeutic program to recovery. Physio coach Silvie tells you step by step what to do. You’ll see that your back pain quickly disappears with the exercise program.

The app is highly appreciated and that makes us enthusiastic! Are you also participating?

Download Bella's Back Lower Back Pain App
Android Back Pain App


Literature

Balagué F, Mannion AF, Pellisé F, Cedraschi C. Non-specific low back pain. Lancet. 2012;379(9814):482–91.
Geneen LJ, Moore R, Clarke C, Martin D, Colvin LA, Smith BH. Physical activity and exercise for chronic pain in adults: an overview of Cochrane reviews. Cochrane Database Syst Rev. 2017;(4):CD011279. (2011).
Philippine Academy of Rehabilitation Medicine: Low back pain management guideline.Accessed June 2017.
KNGF-richtlijn Lage rugpijn. Verantwoording en toelichting. Update klinimetrie 2017.