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Exercises for sciatica: herniated or slipped disc | NHS

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Exercises for Sciatica: Herniated or Slipped Disc | NHS

Sciatica and herniated or slipped discs are common back issues faced by many in the UK. Proper exercises can help alleviate the pain associated with these conditions and improve overall spine health. The NHS offers guidance on exercises that can be particularly useful for managing these symptoms.

Understanding Sciatica and Herniated Discs

Sciatica is a condition where irritation or compression of the sciatic nerve causes pain that radiates from the lower back down to the legs. A herniated or slipped disc occurs when a spinal disc moves out of place, pressing on surrounding nerves, which can result in similar symptoms.

Benefits of Exercise

Engaging in the right kind of exercises can help by:

  • Reducing pain and inflammation
  • Improving flexibility and mobility
  • Strengthening muscles that support the spine
  • Promoting healing

Recommended Exercises

The NHS recommends specific exercises to help manage sciatica and a herniated or slipped disc. Always ensure you perform these exercises slowly and consistently, and consult with a healthcare professional before starting any new exercise regime.

Piriformis Stretch

This stretch targets the piriformis muscle, which can irritate the sciatic nerve if tight. To perform this:

  1. Lie on your back with both feet flat on the floor and knees bent.
  2. Place the right ankle on the left knee, creating a figure-four.
  3. Gently pull the left thigh toward your chest and hold for 30 seconds.
  4. Repeat on the other side.

Cat-Cow Stretch

This move helps to mobilise the spine and relieve tension. Follow these steps:

  1. Start on your hands and knees, shoulders directly over your hands and hips over knees.
  2. Inhale as you drop your stomach towards the floor, lifting your head and tailbone (Cow position).
  3. Exhale as you round your back towards the ceiling, tucking your chin and pelvis (Cat position).
  4. Repeat for 10 repetitions.

Lower Back Extensions

This exercise strengthens the lower back muscles:

  1. Lie face down with your elbows bent and palms flat on the floor at shoulder level.
  2. Gently push your hands to lift your chest off the floor, keeping your hips grounded.
  3. Hold for 5 seconds and then slowly lower down.
  4. Repeat 10 times.

Bridging Exercise

The bridging exercise helps to strengthen the muscles in the lower back, buttocks, and hips:

  1. Lie on your back with your knees bent and feet flat on the floor.
  2. Slowly lift your hips toward the ceiling, squeezing your glutes and core.
  3. Hold the position for a few seconds before slowly lowering back down.
  4. Repeat 10-15 times.

Conclusion

Consistent and gentle exercises can significantly improve the symptoms of sciatica and herniated or slipped discs. Always follow NHS guidance and consult with healthcare professionals to tailor exercises to your specific needs.

Frequently Asked Questions

What is sciatica?

Sciatica is a condition characterized by pain that radiates along the sciatic nerve, which runs from your lower back, through your hips and buttocks, and down each leg. It commonly occurs when a herniated disk or bone spur compresses part of the nerve.

What are the symptoms of sciatica?

Symptoms of sciatica include pain radiating from your lower back to your buttock and down the back of your leg, numbness or weakness in your leg, tingling sensation along the nerve, and difficulty moving or controlling your leg.

What causes sciatica?

Sciatica is often caused by a herniated or slipped disc, bone spurs on the spine, spinal stenosis, or muscle inflammation that compresses the sciatic nerve.

How is sciatica diagnosed?

Sciatica is diagnosed through a combination of physical examination, medical history, and imaging tests such as X-rays, MRI, or CT scans to identify the underlying cause of nerve compression.

What are some recommended exercises for sciatica?

Recommended exercises for sciatica include pelvic tilts, knee-to-chest stretches, lower trunk rotations, and sciatic nerve glide exercises. These exercises may help to relieve discomfort and improve mobility.

How often should I do exercises for sciatica?

You should perform the exercises regularly, ideally once or twice a day, but it’s essential to listen to your body and avoid overdoing it. Consistency is key to achieving long-term benefits.

Can exercises make sciatica worse?

Exercises can sometimes aggravate sciatica if performed incorrectly or too aggressively. It is important to follow recommended guidelines and consult with a physiotherapist for tailored advice. If pain worsens, stop the exercise and seek medical attention.

Are there any exercises I should avoid if I have sciatica?

You should avoid exercises that strain your lower back or cause pain, such as toe touches, sit-ups, and heavy lifting. High-impact activities like running or jumping should also be avoided until symptoms improve.

Can walking help relieve sciatica symptoms?

Yes, walking can help relieve sciatica symptoms by promoting blood flow and helping with mobility. Start with short walks and gradually increase the duration as tolerated.

How long does it take to see improvements from exercises for sciatica?

Some individuals may notice improvements within a few weeks of consistent exercise, while others may take longer. It varies depending on the severity of the condition and individual response to the exercises.

Is it safe to exercise during a sciatica flare-up?

You may need to modify or reduce the intensity of your exercises during a sciatica flare-up. Gentle stretching and low-impact activities are generally safe, but it's important to avoid movements that exacerbate the pain.

Should I see a physiotherapist for sciatica exercises?

Yes, consulting a physiotherapist is advisable as they can provide tailored exercises, correct your form, and monitor your progress to ensure you are doing exercises safely and effectively.

Can other treatments complement exercises for sciatica?

Yes, other treatments such as pain relief medications, hot or cold compresses, massage, and acupuncture may complement exercises and help alleviate sciatica symptoms.

When should I see a doctor for sciatica?

You should see a doctor if your sciatica symptoms are severe, persist for more than a few weeks, or worsen despite self-care measures. Immediate medical attention is needed if you experience loss of bladder or bowel control or significant leg weakness.

Can lifestyle changes help manage sciatica?

Yes, maintaining a healthy weight, good posture, regular physical activity, and avoiding prolonged sitting can help manage and prevent sciatica symptoms.

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