-IBIS-1.5.0-
tx
musculoskeletal system
sciatica
physical medicine
exercise
after relief of pain: strengthen gluteus medius, abdominal, lumbar muscles; stretching exercises same muscles and hamstrings (Johnson, 1946, p. 428)
qigong: sciatica
stretching of piriformis
hydrotherapy
hot sitz bath
hot fomentation: to low back and buttocks
manipulation
first rule out disc pathology.
DDX disc, capsulitis, piriformis syndrome, gluteal muscle referred pain, etc.
spine: check and align L2-S1, sacro-iliac joints
stretch:1)gluteal muscles, piriformis 2) sciatic nerve - patient on back lift and extend leg with one hand at same time bear down on ball of foot withother hand, do
gradually may be painful (Johnson, 1946, p. 427)
lifts : 1/4 to 7/8 in lift in heel of shoe of unaffected leg, 1/16 to 3/16 in. lift under sole of affected leg (Johnson, 1946, p. 428)
belt: to stablize SI joint
Chapman's reflex: check and treat between ischial tuberosity and acetabulum then check and treat lateral and posterior aspect of thigh
electrical and oscillating
diathermy: short wave use cable if available instead of condensor pad, treatment 30-45 min. daily (Johnson, 1946, p. 426)
sine: constant current, one pad over sciatic notch other pad to sole of foot of affected leg, strength of current to produce tonic spasm of leg (to patient tolerance)
treatment for 1 min., treatment may be painful, relief is great(Johnson, 1946, p. 426)
Galvanism: for acute sciatica large (-) pad under small of back large (+) pad under calf; treat with mild current 10 min. (Johnson, 1946, p. 427)
TENS: for analgesia
interferential
footnotes