The sciatic nerve is a nerve bundle composed of several nerve roots that originate in the lower back and sacral area. This nerve goes down to the lower leg and foot and down the back of the thigh between muscles like the piriformis, which run down from the sacral area to the legs. A tightening of these muscles can cause the sciatic nerve to get compressed and cause pain. The pain can be mild causing slight tingling, but severe sciatic pain can prohibit the patient to move or even lie down. It is always advisable to get sciatica diagnosed by a physician. Other more serious factors that can cause similar pain need to be ruled out. These can be spinal problems like misalignments of the discs or their degeneration because of age. Muscle spasms or tensions can also cause such pain and need to be treated separately. Application of cold compresses quite often alleviates sciatica pain and may be used for initial treatments or mild attacks. However, long lasting relief can be obtained from massage therapy once the problem is identified as originating from the sciatic nerve.
The sciatic nerve originates from the bottom of your sacrum which is the triangular bone just above the buttocks, the region from where the massage therapist will begin the treatment. The massage treatment should preferably start with an assessment of the entire back and buttock area. The piriformis can be tight or having spasms, which in turn compresses the sciatic nerve and causes the pain. The massage treatment would include applying constant pressure to the piriformis and other gluteal muscles to cause them to relax and reduce the spasms. These muscles can become tight by constant pressure on them due to long hours of driving or spending extended periods of time while seated.
The massage would began at L4 and work its way down the lower back, sacrum, hips, buttock, hamstrings, calf and bottom of the foot. This will include long strokes, which go deep into the muscle fibers. Pressure and technique would vary from person to person and gentle vibration of the buttock and sacrum is also practiced. This may require several sessions to enable the muscle to release its hold on the sciatic nerve and therefore afford longer relief.
Length Of Massage