Sciatica is a condition resulting from irritation of the sciatic nerve, which starts in the lower back or spine and ends in the thigh. This causes pain in the lower back that extends to the buttocks, hip, and lower leg, and the pain can range from severe to mild or sharp. Sciatica usually affects only one side of the body, and some women may experience this condition during pregnancy. Sciatica pain is different from the common back pain that 50% to 80% of pregnant women suffer from. In this article, we will discuss through the Dalili Medical website the issue of the disappearance of sciatica during pregnancy and ways to treat it.

**What is sciatica during pregnancy?**

 

Sciatica is inflammation of the sciatic nerve, which is the largest nerve in the body, extending from the lower spine through the hips to the back of the legs, and branches into several branches that supply the lower extremity of the body. Sciatica pain arises as a result of pressure or inflammation in one part of the nerve, which leads to severe pain and a feeling of tingling and numbness in the lower back, which may extend to the back of the thigh.

**Why does sciatica pain increase in the last three months of pregnancy?**

 

The pain increases as pregnancy progresses due to the increased secretion of the hormone relaxin, which helps prepare the pelvis for childbirth by relaxing the pelvic ligaments, which may lead to increased pressure on the sciatic nerve. The increasing weight of the baby can also put pressure on the nerve, which increases sciatica pain in the last trimester of pregnancy.

**Does vitamin B help treat sciatica?**

 

It is essential for individuals to take essential vitamins and have their diet contain the required elements. Vitamin B, in particular, is very important, as its deficiency can lead to nerve inflammation. Despite its importance, taking vitamin B during sciatica does not reduce symptoms or pain, but rather works primarily to prevent them from occurring.

**Can sciatica be massaged?**

 

Massaging the areas affected by sciatica can have a positive effect, as it stimulates the secretion of endorphins, which help relieve pain and give the person a feeling of comfort. Therefore, massage is an effective way to relieve tissue pain and soothe muscles.

**What is the difference between a herniated disc and sciatica?**

 

There is a big difference between a herniated disc and sciatica. Sciatica is an inflammation of the sciatic nerve in the thigh, which leads to severe pain in the legs. While a herniated disc often affects the vertebrae, causing severe pain in the lower back and sometimes neck pain.

**What is the difference between sciatica and varicose veins?**

 

Sciatica is considered a nerve disease, while varicose veins are classified as a type of blood vessel disease. Here are the symptoms of each to help you distinguish between them.

**Causes of sciatica in pregnant women**

 

Some studies indicate that about 50% of pregnant women suffer from lower back or pelvic pain, but only 1% of them may develop sciatica. The causes of sciatica in pregnant women include:

- Sciatica occurs as a result of the increasing pressure of the uterus and fetus on the sciatic nerve, which is a nerve that branches off from the spinal cord in the lower back and passes through the buttocks and lower legs, leading to irritation and pain in the area.

- The baby's head descending into the pelvis in preparation for birth may put pressure on the sciatic nerve, leading to symptoms similar to sciatica.

- Increased levels of the hormone relaxin, which helps prepare the pelvis for birth by relaxing the ligaments, which affects the nerve.

- Weight gain and fluid retention, which increases pressure on the sciatic nerve.

**Sciatica symptoms in pregnant women**

 

Sciatica can be identified by noticing pain in the lower back that extends to the buttocks and legs, in addition to a group of other symptoms, including:

- Leg pain.

- Loss or weakness of bladder control.

- Weakness in the lower back or legs.

- Numbness or tingling in the legs.

- A burning sensation in the lower extremities.

- Pain worsens when moving, sneezing, or coughing.

**When does sciatica appear in pregnant women?**

Sciatica pain can appear at any stage of pregnancy, but it often increases in the last trimester.

**The relationship between muscle pressure and sciatica pain**

 

The sciatic nerve cannot be considered a separate part that extends straight along the legs, but rather it is a group of nerve fibers that overlap with the muscles and branch out within their tissues. Therefore, the sciatic nerve is affected by increased pressure on the leg muscles, leading to their inflammation. The pain cycle does not stop at the muscles affected by stress.

**Does sciatica affect both legs?**

 

Sciatica pain usually affects only one leg, but both legs can be affected together, depending on the cause of the pressure on the nerves.

**Does sciatica occur suddenly or gradually?**

 

Sciatica can appear suddenly or gradually worsen, depending on the cause of the problem. It may occur suddenly as a result of a herniated disc, while it may develop gradually with arthritis.

**Does sciatica disappear after childbirth?**

 

Sciatica pain usually disappears after childbirth, once the excess weight that was the main cause of the injury is eliminated. However, women who have had previous problems may develop a hernia during vaginal delivery. After losing weight, the muscles may become weak and need time to get stronger again. This period may affect the lumbar spine, causing symptoms of pain in the back, hip and sides, or pain in the back, buttocks and back of the thigh. Unless there was an additional injury during childbirth or a pre-existing condition that was aggravated by childbirth, the pain usually goes away completely within three months after delivery. A woman may feel an immediate improvement after delivery due to the weight of the fetus relieving pressure on the nerve, but in many cases, these pains continue for several months due to the mother’s pregnancyThe child is constantly in her arms or using a baby carrier, which means continued pressure on the lower back vertebrae, pelvic muscles and legs, which may lead to inflammation of the sciatic nerve and continued pain.

**Sciatica treatment for pregnant women**

 

Treating sciatica during pregnancy requires following some steps that contribute to relieving pain. The most important of these steps are:

1. **Rest and stretching exercises**: It is preferable to get enough rest and do the stretching exercises recommended by the doctor, to avoid injuries resulting from incorrect exercises.

2. **Avoid lifting weights**: You should refrain from lifting or moving heavy objects that may put pressure on the back.

3. **Safe exercises**: It is recommended to practice some safe physical activities such as brisk walking or swimming.

4. **Wearing supportive clothing**: It is preferable to use a pelvic belt for pregnant women that helps support the body's position.

5. **Taking a warm shower**: Taking a warm shower helps relax and relieve pain.

6. **Sitting comfortably**: It is recommended to sit in a comfortable position with a supportive pillow behind the back, especially when working in front of computer screens.

7. **Sleeping on the unaffected side**: If the pain is on the right side, it is preferable to sleep on the left side, and vice versa, with the use of supportive pillows.

**Chiropractic**: Chiropractic is an effective option for treating sciatica, as it helps reposition the vertebrae and reduce pressure on the sciatic nerve. Pregnant women may need to repeat sessions due to constant changes in their position.

**Massage**: Massage is an effective way to relieve pain, as deep tissue massage in the hip and lower back area helps to relax.

**Acupuncture**: Acupuncture is used as a treatment for pain relief, as small needles are inserted into specific points in the body to restore energy balance, and it may be more effective than anti-inflammatory medications.

**Magnesium supplements**: Magnesium plays an important role in nerve function, and its supplements may help regenerate the sciatic nerve and reduce inflammation. It is preferable to consult a doctor before taking any new supplements.

**Sciatica treatment with herbs**:

 

- **White willow bark**: contains anti-inflammatory substances and can be mixed with licorice.

- **Fenugreek seeds**: used to treat inflammation, as they are ground and boiled with milk to form a paste that is placed on the site of pain.

- **Mustard seeds**: used to relieve inflammation by warming the affected area.

- **Camphor oil**: massaged into the site of pain to enhance blood circulation.

- **Lemon**: contains vitamin C and is used with honey to relieve inflammation.

- **Jamaica herb**: used to relieve nerve pain, but should be avoided during pregnancy.

- **St. John's wort**: used as an antidepressant, but caution should be taken regarding its interactions with other medications.

- **Chinese angelica**: used in the form of injections to relieve pain.

- **Rural hops**: used to strengthen muscles and relieve sciatica pain.

- **Garden cress**: used in the form of patches to relieve pain.

- **Devil's Claw**: It is considered one of the best herbs for relieving pain and inflammation.

- **Camphor Oil**: It is used to relieve muscle spasms and enhance blood circulation.

**Chamomile**: It helps reduce sciatica pain thanks to its anti-inflammatory properties.

**Juniper**: It is used to massage the lower back area to relieve sciatica pain.

**Nutmeg**: It helps relieve sciatica pain when mixed with sesame seed oil.

**Indian Aloe**: It is considered one of the useful herbs for treating lower back pain.

Turmeric contains a high percentage of curcumin, which is an antioxidant, which makes it effective in relieving lower back pain and reducing sciatica inflammation.

As for garlic, it has anti-inflammatory properties and may help relieve pain thanks to its active ingredients such as diallyl disulfide and allicin, and it also enhances the strength of the immune system.

St. John's Wort, also known as St. John's Wort, is used to treat many problems such as anxiety and depression, and has anti-inflammatory, antioxidant and antibacterial properties, in addition to its astringent effect. Therefore, it can be used to treat sciatica, as it helps relieve pain and regenerate nerves damaged by sciatic nerve inflammation. However, you should consult a doctor or pharmacist before taking it, especially if you have certain diseases or are taking medications, to avoid any interactions.

Arnica is one of the most prominent herbs used to treat sciatica, as it can be used to treat injuries, swelling and pain. It can be used through topical creams, massage or oral solutions after diluting it, due to its antioxidant and anti-inflammatory chemicals.

Jamaican Dogwood is extracted from the bark of a type of tree and is used to relieve nerve pain. It can be used in the form of topical creams or capsules, but caution should be exercised, as there is no strong scientific evidence to support its benefits and safety, and pregnant and breastfeeding women should avoid using it.

**Sciatic Nerve Exercises for Pregnant Women**

 

Stretching exercises help relieve sciatica pain by reducing tension in the muscles of the pelvis, buttocks, hips, and legs. Pregnant women can try the following exercises after consulting their doctor:

1. **Chair Stretching Exercise**:

- Stand in front of a chair with your feet slightly wider than your hips.

- Lean forward and place your hands on the chair while keeping your arms and back straight.

- Pull your pelvis and hips away from the chair until you feel a stretch in your lower back.

- Hold this position for 30 seconds.

2. **Piriformis Muscle Stretching Exercise**:

- Sit on a chair with your feet flat on the floor.

- If the right side is affected, place your right foot on your left knee.

- Keep your back straight, then bend forward until you feel a stretch in your buttocks.

- Hold this position for 30 seconds.

3. **Hip Stretch**:

- Kneel on your knees on the floor.

- Step forward with your right foot so that your thigh is at a 90-degree angle with your knee.

- Stretch your body until you feel a stretch in your left thigh and leg.

- Hold for 30 seconds, then repeat for the other side.

4. **Pigeon Pose**:

- Place your hands and knees on the floor.

- Move your right knee forward so that it is between your hands.

- Move your left leg back while keeping your left foot on the floor.

- Place a rolled towel under your right hip.

- Bend forward slowly with a pillow under your head and arms to support your body.

- Hold this position for a minute.

5. **Humbilical Stretch**:

- This exercise is performed to reduce pressure on the hamstring area due to sciatica.

**Straight Standing Exercise**:

- Stand straight and raise one of your feet slightly higher.

- Straighten your leg and lift your toes up.

- Bend forward slowly while keeping your back straight.

- Hold this position for 20 to 30 seconds.

- Repeat the previous steps with the other foot.

**Pelvic Tilt Exercise**:

This exercise is effective in relieving sciatica pain. Here's how to do it:

- Lie on your back with your knees bent and your feet flat on the floor, placing your arms at your sides.

- Push your stomach out and hold this position for 5 seconds.

- Then, press your navel towards the floor and hold for 5 seconds.

- Repeat this exercise several times throughout the day, up to 30 times.

**Sitting spinal stretch:**

This exercise aims to relieve tension in the muscles surrounding the spine. Here's how to do it:

- Sit on the floor.

- Bend your right knee and place your foot flat on the floor outside your left knee.

- Rest your left elbow on the outside of your right knee, and gently turn your body to the right.

- Hold this position for 30 seconds, then repeat on the other side.

- Do this exercise three times a day.

**Bird Dog:**

- Start with your hands and knees on the floor, making sure your hands are under your shoulders and your knees are under your hips.

- Engage your core, pull your navel in, and look slightly forward to avoid putting pressure on your neck.

- Raise your left arm in front of you while extending your right leg back at the same time, making sure that the arm and leg are in a straight line with your back.

- Check the position of your back, and make sure it is not bent. You can adjust the position of your head if you feel any discomfort in your neck.

- Repeat the steps with the other arm and leg, and repeat the exercise several times.

**Cobra Stretch:**

- Lie on your stomach and place your hands under your shoulders with your elbows pointing inward.

- Inhale, press your palms together, then slowly extend your arms and raise your head, chest and shoulders.

- Make sure to bend your elbows slightly and raise your chin throughout the exercise.

- Tighten your core (abdominal and back) and thighs.

- Hold this position for 30 seconds, then slowly return to the bottom and repeat the exercise several times.