Sciatica

Question 0

Rule Out

Answer 0

Lumbar mm spasm ( pain wont radiate down leg)

Piriformis Mm Syndrome: Compresses nerve, no pain along vertebrae
but around Piriformis

Lumbar Stenosis: Lumbar tube narrows pinching the nerve

Question 1

Def

Answer 1

Caused by many factors manifested as pain along the passage and distributive area of the sciatic nerve which is due to primary and secondary injuries of the sciatic nerve.

It falls under Bi Syndrome

Question 2

Tx:

Answer 2

Same as Lumbar pain

Palpate along: DU 3/4
                         UB 23/52/40/60
                         Kid 1/3
Du and UB Meridian
GB 29/30
UB 57/60
2 or 3 needles perpendicular into the piriformis muscle

Electro: L4-L5 Jiaji
UB 40/54
GB 30/34
Continued or mixed wave @ 50-100 Hz for 30 minutes

• When needling try to send Qi down the leg

Question 3

What Vertebrae is most likely involved with sciatica?

Answer 3

L4 and L5

Question 4

Etiology

Answer 4

Same as Lumbar Pain

Question 5

Tests

Answer 5

X-ray to rule out a bone problem. Will see if there’s disc narrowing and pinching a nerve