The 2-minute Sciatic Nerve Press: Significant Pain Relief Using Sciatic Nerve Pressure Points,Sciatica NYC

The following is a reprint of an article covering recent research that showed a 2-minute ‘sciatic nerve press’ provided significant pain relief, not just for those suffering with sciatica, but those suffering with pain raning from cancer pain to dental pain.  The researcheers concluded that this procedure was effective but are not quite sure why, yet.

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KISSIMMEE, Fla., Feb. 18 — Two minutes of pressure on the path of the sciatic nerve appears to bring up to an hour’s relief of pain and discomfort for people with a variety of symptoms.

Pain relief averaged 43.5% (P<0.001) for emergency department patients, Jiman He, Ph.D., a visiting scholar at Brown University in Providence, R.I., told attendees at the American Academy of Pain Medicine meeting here.

Significant pain relief (P<0.001) was also achieved during an hour-long observation for a combined group of dental, renal, and cancer patients, Dr. He said.

“We really don’t know why this works,” said Dr. He, who used aspects of traditional Chinese medicine to determine pressure sites that give relief even if a clinician does not have expertise in acupuncture.

In a separate presentation, Dr. He noted that pressure on the sciatic pathway also brought relief of nonpainful discomfort, including fullness, bloating, nausea, and vomiting, among cancer patients (51.9%, P<0.001) and patients at an internal medicine clinic (37.3%, P<0.05).

Dr. He determined that pressure on the sciatic nerve in the back of the thigh appears to be part of a feedback mechanism that relieves discomfort in diverse areas of the body.

“Overall, about 43.5% of pain in 65 patients was relieved by the sciatic press,” Dr. He, whose permanent residence is in Beijing, said. “About 80% of patients with dental pain get relief from the sciatic press and about 60% of patients with kidney pain achieve some relief.”

Another 70 patients underwent a placebo press point on the front of the legs. Their pain scores on a visual analog scale decreased from 7 to about 4.5 over the course of one hour. The patients who received the sciatic press saw their pain scores drop from 7 to about 3 after one hour. That difference reached statistical significance (P<0.001), Dr. He said.

Dr. He, who is now recruiting 2,000 patients for a definitive test of the press, explained that the press is performed with the patient lying on his or her stomach. With the palms or the fist, a clinician presses on the general area of the sciatic nerve from the buttocks to mid thigh.

By exerting 11 kg to 20 kg pressure on the area for two minutes, the patient’s discomfort is relieved, Dr. He said.

“We found that there are about 30% of people for whom the technique fails to work at all,” he said. The long-term study will attempt to figure out for whom the press works and for whom other techniques are required.

“We are also going to attempt to determine the mechanism of action for the pain relief that we see,” Dr. He said.

“This is a fascinating study,” said Joel Konikow, M.D., a private practice pain medicine specialist in Seattle. “I might try it in some of my patients with acute pain. I am concerned about its long-term utility with chronic pain patients because, as Dr. He said, repeated use of the technique results in diminished length of time of relief.”

Dr. Konikow, who discussed the treatment with Dr. He at the poster presentation said, “This paper is intellectually challenging in that it has a lot to teach us about how to heal pain. It shows us that pain is nonlinear. Just because it hurts in one place doesn’t mean that treating that area will heal the pain.”

Dr. He said that applying pressure anywhere along the sciatic nerve will relieve the pain, but pressing on the sciatic nerve in the calf, for example, has less of an effect than pressure in the area higher on the leg.

Pressing on the leg for less than two minutes will also bring relief, Dr. He said, but it is less long acting. He said that pressing on the leg for more than three minutes does not add to pain control.

He also said that use of fingers or the thumb to press on the nerve may cause the practitioner to miss the nerve, and not enough pressure can be exerted with the fingers.

Original article source:

http://www.medpagetoday.com/MeetingCoverage/AAPM/8392

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Back pain affects millions of people every year and the symptoms can be so terrible that many resort to risky surgery when other options egsist.

Quite literally back pain that results from lumbar disc herniations can be a real pain in the butt. The sharp shooting sciatic like pain that often accompanies back pain and disc herniations is a sign of a more serious problem. Usually this type of presentation is an indication of nerve root, spinal nerve or cord compression.

If you’re experiencing this type of debilitating pain it’s essential that you are evaluated by an experienced chiropractor immediately.

Chiropractors should be the first stop with these types of spinal disorders. In the event you’re not a chiropractic candidate resorting to drugs or other minimally invasive procedures may be a reasonable second option. Remember, though, it’s always best to take the least invasive route first. If you don’t and you use up your options prematurely you may be left with none – other then spinal surgery which in most cases is only around 50% succesful long term.