Chiropractic care is a common choice for many folks with back, piriformis, and sciatica pains. But according to science, is it actually the best approach? Here are my honest thoughts and what the research says...

Folks often wonder who they should see for their problem. There are so many options- physical therapists, acupuncturists, massage therapists, chiropractors…

Many people ask, “Should I see a chiropractor for my sciatica?”

My answer is two fold… based off of evidence (what research suggests) and my own experience:

Research suggests that people who respond best to traditional chiropractic “manipulation” are those with acute symptoms (symptoms that started less than 16 days ago) and those with pain that does NOT go below the level of the knee.

A hallmark sign of sciatica is symptoms that are worse below the level of the knee (shooting or burning pain, numbness or tingling into the calf & foot). Given what we know from the research, this immediately reduces your chance of success.

To sum it up, research suggests that hands-on manipulation of the low back and pelvis is LESS effective for folks with sciatica (vs. just those with lower back pain only).

My experience tells me that while chiropractic and other hands-on treatments are valuable in the moment- they often lack carry over. Since a chiropractor moves you, treatment often works temporarily, but since you don’t know how to move and treat yourself- the pain often comes back.

So should you see a chiropractor for your sciatica?

It’s my belief that the most long lasting relief comes when people are taught how to move and fix themselves- instead of having to rely on others.

But, at the end of the day, it’s your call.
What are your thoughts? Have you seen a chiropractor for your sciatica?

#drcharliejohnsonpt #sciatica #sciaticapaintreatment #chiropractic #chiropracticadjustment #manualtherapy
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