All of these issues may lead to pain in the same region, therefore, delineating the exact pain cause may take some significant mental consideration. A thorough history and exam of the patient is critical to ruling in or out some of the potential diagnostic sources.

The difficulty with SI pain is finding the individuals whose exam and history match true SI joint symptoms, and then the diagnosis can be confirmed by a positive response to an anesthetic block inside the joint.

A significant amount of time more than one anesthetic block will be necessary into the SI joint to definitely rule int the joint as the pain generator. Once this diagnosis occurs, the additional treatment options may begin. At times patients will obtain relief for a while from the anesthetic blocks themselves, or it could just be short term. Should the pain block not work after a while, a radiofrequency neurotomy has been shown to work well. Pain physicians typically debate the exact techniques that are best for the joint.

The SI joint is not the easiest joint to get into for interventional techniques. Fluoroscopic assistance is crucial, as the joint is jagged and irregular. The entry into it may take an unusual angle. Knowing the exact entry point with the real time x-ray can make the difference between a successful procedure with a happy patient versus a missed joint and a patient remaining in pain.

Along with the interventional pain efforts, additional treatment options include physical therapy, anti-inflammatory medication, chiropractic treatment, and potentially acupuncture and massage. It may take a combination of efforts including both traditional and alternative medicine to help the patient improve.

There really is no great surgical option for SI joint pain. There is a new procedure for fusing the joint, but no long term data is available yet regarding its effectiveness. For the time being, it’s best to avoid operative intervention and treat the problem with outpatient techniques such as the radiofrequency technique mentioned.

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The pain from sciatica can be sometimes debilitating and it can get so bad it can be difficult for one to sit, walk or even sleep. Some people experience tingling, while for others it is just a dull pain. Occasionally it can be a burning type of feeling. Pain from the sciatic nerve is usually caused by the nerve being pinched or irritated in the lower back or lumbar spine. The nerve then gets inflamed and causes a variation of symptoms that can wreak havoc with one’s lifestyle.

The most conservative type of treatment for sciatica is the application of ice. I recommend to my patients to lay flat with two pillows under the knees and apply ice to the lower back on the side of involvement for fifteen minutes. This can be repeated up to every hour if necessary. It is important not to apply the ice for more than twenty minutes at a time because this can aggravate the condition. Applying ice to the source of the problem will decrease the inflammation of the nerve and subsequently decrease pain. Although this may be a temporary solution, it does offer some relief.

Manipulation of the spine to relieve the pressure on the nerve has been demonstrated in studies to be one of the most affective treatments for sciatic pain. Manipulation is the best place to start when someone has sciatic nerve pain. It is a non-invasive, drug-free treatment option. The goal of manipulation is to realign the spinal bones taking the pressure off the nerve. When the nerve pressure is alleviated one often finds great improvement with decreased pain and inflammation.

Other very effective, conservative option is a good exercise program. There are many exercises available, but these are the ones I have used in my clinical experience to be most effective. The first exercise is laying flat on your back with your knees bent. Squeeze or flex you buttocks pressing toward the ceiling. Hold this position for a count of ten and slowly return to the neutral position. Repeat this four times. Starting at the neutral position, bring each leg to your chest with both hands one at a time. Follow this by bringing both knees to the chest, bringing your head up again holding for a count of ten and returning slowly to the neutral position and do this four times. A third exercise is laying on your stomach and arching backwards with your elbows on the floor moving from a neutral position to a comfortable flexed position arching backwards as much as you can but stopping if back or leg pain worsens. The fourth exercise is on your hands and knees, pushing your back up toward the ceiling then pushing it to the floor, (this is often called the cat stretch). These exercises should be initiated slowly and if there is any pain or discomfort, to stop before you have pain. I would recommend doing these exercises two to three times a day.

There are many nutritional aspects to sciatic nerve pain you may not be aware. A diet that is pro-inflammatory i.e., one that is rich in meat, dairy and shellfish, will give more inflammation to all nerves. An anti-inflammatory diet consists of fruits, vegetables and fish. This is one of the most powerful ways to treat the symptoms of inflammation and stop pain.

The nutritional protocol that I found to be most effective in treating sciatic nerve pain are turmeric, tulsi and rosemary. These powerful herbs have been studied and found to greatly lower inflammation. Boswellia is an herb that is a specific anti-inflammatory. This is especially helpful for arthritic patients. Bromelein is a plant enzyme found in pineapples and has powerful natural anti-inflammatory effects. I prefer to take this with papain as well, it is essential that you take it on an empty stomach to really get the benefits of the anti-inflammatory nature. Ginger is a wonderful herb that offers pain relief. You can steep fresh ginger in boiling water and use it as a tea or make a juice with it. Evening primrose oil, black currant oil, or borage oils contain the essential fatty acids Gammalinolenic acid. These omegas will powerfully reduce the inflammatory process and take down the inflammation on the sciatic nerve.

There are many ergonomically beneficial positions that will improve sciatic nerve pain no matter the cause. It is an important part of your treatment to improve your posture and use your body correctly. Good posture allows the use of the body without strain on muscles, joints, ligaments, and internal organs. Good posture must be considered in all activities: sitting, standing, resting, working, playing and exercising. It is simply not a matter of “standing tall”.

In the resting position, it is best to lay flat on your back with two pillows under your knees or lay on your side with a pillow between your knees. Stay away from positions like sleeping flat with no pillow, on your stomach or lying on your stomach with one knee bent up. This will cause a ‘swayback’ condition. Some easy things, such as getting up and down from bed, to get into bed it is preferred that you sit on the side of the bed bring both arms to one side, lower your side to the bed keeping your knees bent at forty five degrees, then pull your feet into bed. Remain on one side or roll on the back. Getting up from the bed it is advised to roll on your side push with the hands to the sitting position keeping knees bent and swinging legs over the edge of the bed. When sitting, avoid a chair that is too high, as this will increase swayback. When sitting, the knees should be higher than the hips as this will flatten the lumbar curvature. Avoid slouching on a chair with feet on an ottoman because this can strain the lower back. When traveling in a car, the seat should be close to the steering wheel and use a small pillow for correct lumbar support. When standing, I recommend placing one foot on a stool or shelf and after a short time switch to the other foot, this will flatten the lumbar curve and ease the pressure off the low back. When lifting, avoid bending at the waist. Bend the knees and carry the object close to the body. When bending, bend at the knees and push your buttocks out rather then bending at the waist.

My final tip on stopping sciatic nerve pain is to drink plenty of water. A dehydrated body is one that will struggle to heal. It is important to drink at least six to eight glasses of water per day to keep the body well hydrated and to flush toxins built up from resulting muscle spasms of the pain and inflammation. Water will also hydrate the disc. Between your spinal bones are intervetebral discs that dry out as we age the more we can keep them hydrated, the less degenerative arthritis will occur in the spine. This is also the reason we get shorter as we age is each little disc between the vertebrae dry out, or desiccate then subsequent height loss will occur.

If you follow these simple guidelines for stopping sciatic nerve pain, you will go a long way in preventing any discomfort in the future and not have to take any harmful drugs or painful surgical intervention. Remember, an ounce of prevention is worth a pound of cure.

Discover the keys to stopping sciatic nerve discomfort. Through years of clinical treatments, Dr. Gendron has helped thousands of patients prevent and relief the discomfort of sciatica. Go to his website, www.doctorgendron.com now, to find natural cures and stop the discomfort.