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This question has been posted in these health communities: Back & Neck Pain, Chronic Pain, Pregnancy

Q: What is the best way to get relief from sciatic pain?

I’m 6 months pregnant and experiencing constant sciatic pain down my right leg. What should I do to get relief?

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Answers

  • I am qualified as a PHYSIOTHERAPIST and ACCREDITED EXERCISE PHYSIOLOGIST. I primarily use the McKENZIE METHOD for assessment and management of musculoskeletal pain disorders. The ... View profile
    Hi,

    I'm not sure when you posted this question, put given that you were/are 6 months pregnant, this information may be useful.

    Given you have the extra weight of your baby on your pelvis, and pregnancy hormones through your body, the loading and mechanics through pelvis have been altered. Thus an assessment by a physiotherapist who specialises in women's health is advised. There may be simple strategies that you can apply by positioning yourself to ‘unload’ your sciatic nerve. Only assessment will discover what is best for you.

    Best wishes… Neil (physiotherapist)
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  • GP with an interest in Pain Medicine. Currently Clinical Director of GP+ Elizabeth in Suburban SA. Chair of RACGP Special Interest Group of Pain Management. ... View profile
    Positioning can help relieve the painbut bear in mind that the pain may be temporary. In the meantime, if the pain gets too bad, some medications may be of use. Medications such as Lyrica (Pregabalin) and Cymbalta (Duloxetine) are both listed as Pregnancy Category B3 which means that they do no cause any malformations but the benefits should be weighed against potential risks when prescribing Reply to this post  |  Report
  • Petersham's Crystal Street Family Chiropractic Chiropractor, Amy Melamet specialises in pregnancy and kids chiropractic as well as postural correction. Amy has a dedication to complete ... View profile
    As the bub grows in utero, your body has to adapt to the changes and stresses that this puts on the pelvis, lower back and the surrounding ligaments and muscles.
    Often the growth of the bub is faster than the body is able to change, therefore the pelvis may twist or the muscles may tighten in compensation, in order to try and stabilise the body. 
    Although good in theory, practically, this can put a lot of stress on the nerves of the lower back (ie. the sciatic nerve) due to the muscles compressing the nerve with spasm or due to the spinal vertebrae impinging on the nerve due to the spines misalignment. 

    Gentle pregnancy Chiropractic treatment  to relieve the muscle/ligament tension and to correct pelvic or spinal misalignment is useful in helping to take the pressure off the sciatic nerve. This, combined with perhaps pregnancy massage and some home exercises is likely to keep you moving and comfortable through your pregnancy. 

    If you need any more advice please don't hesitate to contact me - good luck with the rest of the pregnancy!

    Amy
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