For some people, sciatic nerve pain is a mild but persistent nuisance. And for others, especially during flares, sciatica that it derails their whole day. Thankfully, sciatica stretches can both ease the pain of flare-ups and help prevent them, experts say.
To keep nerves healthy and functioning properly, they need consistent movement, space and blood supply, Colleen Louw, physical therapist and program director at Evidence In Motion and spokesperson for the American Physical Therapy Association, tells TODAY.com. That includes the sciatic nerve, which runs from the lower back all the way down the back of each leg into the heel of each foot.
Sciatica occurs when this anywhere along that route. Anti-inflammatory medications might help relieve nerve-related pain, like sciatica, to some degree. "But then you have to start moving that nerve," Louw says.
"And you've got to create space so that we can get blood flow back in and around the nerve itself." That's where a regular stretch routine comes in handy. Gentle stretches and exercises can and relieve tension in the muscles around the nerve, which may also be contributing to that discomfort.
There are a few sciatica stretches in particular that experts recommend to relieve and prevent pain. Sciatica is a type of pain that can occur anywhere along the sciatic nerve, which goes from the all the way down the legs. There are two common causes of sciatica, Trevor Delaney, physical therapist and certified primary spine practitioner at the University of Pittsburgh Medical Center, tells .
The first is a herniated disc in the lower spine, he says. The discs between your spinal vertebrae contain a gel-like center, which cushions them. If a disc is herniated, that means the inner gel has started to leak and "is pushing on one of the nerve roots in the spine," Delaney explains.
A herniated or bulging disc in the lower back can directly cause sciatica. The second frequent cause of sciatica is lumbar spinal stenosis. This is a degenerative condition that leads to a "narrowing of the openings where the spinal nerves are," Delaney says.
Lumbar stenosis is most common among adults over the age of 60. But people who are born with certain spinal conditions may be more likely to develop the condition earlier in life. Like other types of nerve pain, sciatica can cause sensations that .
Sometimes, people with sciatic nerve pain refer to it as a burning pain or a deep ache, Delaney says. They may describe it as an ache or soreness "they can't massage out or really get to," he explains. Sciatic nerve pain can also feel numb, tingly or electric shock-like, the says.
And it typically only affects one leg. Sciatica typically affects the lower back, buttock area or back of the leg, depending on where along the nerve the root of the irritation or compression originates, Delaney explains. “It can be anywhere from the top of the buttock down into the back of the leg or even across the front of the leg and the thigh,” he says.
The pain may also run down the outside of the leg, he adds. “First, it starts in (the patient’s) rear end, and then it starts to creep down the leg down into the calf and then sometimes into the foot,” Louw says. But it doesn’t always follow that pattern, she adds.
“Sometimes they might just feel it in their big toe...
Sometimes (symptoms farther away from the origin of the pain) are the only time they feel something,” she says. This exercise, which is similar to a cobra pose in yoga, is commonly recommended for people with sciatica. "When a disc herniates, the gel in the middle actually pushes its way through the outer cartilage layer," Delaney says.
The theory with press-ups is that, by moving your body in this way, "you're compressing the backside of that disc, which allows that gel to be reabsorbed," he says. Sometimes, people experience a little more back pain with this exercise, but it helps reduce pain that's traveling further down the leg, he adds. If you have a history of disc-related issues, Delaney recommends doing this exercise regularly — even daily.
"Certainly, if you have a flare-up, you definitely want to be doing it every day," he says. And if you're not in the middle of a flare-up, try to do it at least a few times a week. You'll feel the in your glutes and hips.
It's especially good at targeting the piriformis muscle, a flat muscle that sits just above the sciatic nerve. If the piriformis is irritated, it can cause inflammation and compression that also triggers . This stretch is similar to a cat pose that you might do in yoga.
It helps create space in the back, which can ease sciatica pain, Louw explains. For people dealing with sciatic nerve pain related to stenosis, the key is creating space for the nerve to move. "You're just trying to create a bigger opening and to take pressure off the nerves," Delaney says.
"We're trying to create space for the vertebral foramen," Louw says, which is the opening in the vertebra that the spinal nerves run through. The single can help. You can perform the knees to chest stretch with one leg at a time or both depending on your comfort level.
When nerves are inflamed, any tension you put on them — whether you're standing, walking or sitting — causes pain. The idea with nerve flossing exercises, also called nerve glides or gliders, is to hold the nerve at one end and loosen it up at the other, Delaney explains. Then you switch.
"Basically, you're flossing that nerve back and forth and trying to create more mobility that way," he says, which is especially helpful if there's been any long-term nerve irritation. Nerve tensioning is a more intense version of flossing, Delaney says. Here, you're momentarily putting tension at both ends of the nerve and releasing it.
"You just take it to the point where you start to feel that stretch or that tension on the nerve and then bring it back down," he explains. Choosing whether to do flossing or tensioning may come down to a patient's tolerance level and what kind of pain they're in at the moment, Delaney says. Because flossing just requires putting tension on one end of the nerve, it's usually easier to tolerate than tensioning.
"We use the gliders when we want to get blood to flush back to the nerves, and the tensioners are for when we're challenging the nerve to move better and move more," Louw explains. People who know they have sciatic nerve pain can often manage it at home with the help of exercises like the above. If you know you’re dealing with sciatic nerve pain, you can go ahead and try these sciatica stretches for a week.
After that, if your pain isn’t getting better or it’s getting worse, Delaney recommends talking to a medical professional. But if this is the first time you're experiencing what feels like sciatic nerve pain or your pain feels different from what you've had before, Delaney recommends talking to a doctor or physical therapist before jumping into these stretches. Additionally, there are some more serious warning signs that you should always flag to a doctor.
"As physical therapists, we get a little bit more concerned if (the affected area) becomes numb or if it becomes weak," Louw says. That can signal that a nerve issue has been going on for a longer period of time. Serious nerve conditions can also cause leg weakness so severe that you feel like you're dragging it when walking, as well as changes in bowel or bladder control, Delaney says.
"Those are things that you need to call your doctor about immediately.".
