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August 2014
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Kinesiology
Dorfman Kinesiology
(BDK)

This column is about my experience as an alternative health care provider within the modern medical system. Although I now live in Morro Bay, I still manage a health care clinic in the San Diego area, as I have done for the past twenty-five years and where I still work ten days out of each month.

Sciatic Solutions - Part 2

By Brian Dorfman

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A general rule in treating sciatic problems is that each location needs to be resolved independently.  And it can take time.  There is no magic pill or procedure that will remedy these issues.  No doctor can do it for you.  Your active participation is required for a true and lasting resolution.

For my part I start off addressing what's symptomatic, with the understanding that if someone is experiencing pain from their lower back to their toe, it generally its going to be slower progress than if someone just has it in their hip area or only down their leg. The resolution below the knee tends to be much simpler as the nerve has a lot less power there. Sometimes we resolve one area only to discover extra attention is needed further down stream.

Along with receiving hands-on massage by a qualified practitioner, the following self-care practices are essential for addressing sciatic issues.

Self Massage

Self-massage on a regular basis is an essential component of recovery. It calms the nerve and relaxes the muscles. And it's very simple.

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There are many variations on self-massage but my favorite is with the tennis ball. I really like the Accuroller Massage Stick by SKLZ that can be used just like the tennis ball but with more versatility. Basically, you position the Accuroller or tennis ball between your body and a relatively hard surface, like a chair or the floor. When sitting or lying down, place the ball under the area of discomfort and apply the right amount of pressure.

The sensation should be strong and satisfying, a "good pain" feeling. If you are wincing or gritting your teeth, you need to back off. Once you have adjusted yourself to achieve the right pressure, relax as much as possible, breath deeply and wait for the sensation to fade.  Then move to the next area and repeat.

Biomechanics

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Biomechanics is another vital component for addressing these issues. Especially for those who sit a lot, the use of correct sitting posture is essential to reducing sciatic symptoms. If you are one of those people who sits a lot for work or travel, my video, The Best Way to Sita, is a must see. Take three minutes now to view this piece and get into your best sitting posture right away.