Forward Physio Everything You Need to Know About Sciatica w/ Charlie Clements
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Jan 15, 2025 In this insightful discussion, Charlie Clements, a UK First Contact Physiotherapist specializing in sciatica, tackles common myths about this complex condition. He outlines the challenges of misdiagnosis and highlights the importance of accurate clinical evaluations. Charlie shares valuable insights on assessment, treatment options, and the role of patient education in recovery. He also discusses the significance of recognizing red flags and the need for a collaborative approach to pain management. It's a must-listen for anyone interested in better understanding sciatica!
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Sciatica Terminology Clarified
- 'Sciatica' is often inaccurate; the pain typically involves spinal nerve roots, not the isolated sciatic nerve.
- Experts suggest using "spine-related leg pain" as a more precise term reflecting nerve root involvement.
Distinguishing Sciatica From Somatic Pain
- Somatic referred leg pain is dull, achy, and usually above the knee, unlike sharp, burning radicular pain below the knee.
- Objective neurological signs and neuropathic symptoms help distinguish true sciatica from somatic pain.
Assessing and Referring Weakness
- Assess motor weakness carefully and firmly; pain may inhibit true strength testing.
- Refer urgently if weakness is profound, progressive, or affects multiple nerve roots (three Ps mnemonic).