What’s the Best Natural Pain Relief Herb or Supplement?

I am often asked, “What supplements or nutrients have the strongest pain relief qualities?”

Great question.  After all, most people these days worry about the side effects of popular over-the-counter and prescription drugs.  Thanks to the wide reach of the internet, almost everyone knows about the dangers of drugs such as ibuprofen (kidney damage), aspirin (stomach bleeding), and opiates (constipation, addiction, sudden death), just to name a few.

Virtually all medications will have an adverse effect on your GI tract (stomach and intestines), kidney, liver, heart, and/or muscles and joints.   Obviously, you won’t feel like superman taking these pills on a regular basis.  Pretty scary, especially for those with chronic pain.

However, with nutritional supplements the pain-suppression properties are not as quick-acting or in most cases, as potent as synthetic drugs.   But, if you can lower your pain through other means– home therapy, an anti-inflammatory diet, exercise and stretching, meditation etc.– then you won’t need dangerous, strong medicines to keep the pain down; herbs and supplements will be enough to do the trick.

If you have any sort of chronic musculoskeletal pain, I recommend that you  maximize your body’s healing potential via an ongoing nutrient-dense diet and certain lifestyle changes, then resort to safer nutritional supplements/herbs to keep the remaining pain down.  You may not even need these herbs if your body does a great job healing itself.

Never underestimate the power of food and the human body’s ability to heal and regenerate itself.   Like a seedling, if you give it the proper nourishment and environmental conditions, your body will respond dramatically.

With that, here are three supplements that I recommend trying for joint and muscle pain.  There are many others, of course, but today we’ll focus on these:

Cissus quadrangularis

Cissus quadrangularis is a succulent (like a cactus) vine originating from Africa and Asia.  According to Web MD, it is one of the most commonly used medicinal plants in Thailand, and is also used in traditional African and Ayurvedic medicine.

While it is used for a wide variety of disorders such as PMS pain, obesity, high cholesterol, diabetes and ulcers, cissus quadrangularis is best known for healing bone fractures, strengthening bones and relieving joint pain in athletes and body builders.  In fact, it is commonly referred to as “Bone Setter.”

How does it work?

Like many herbs, unfortunately, much of the evidence is anecdotal.  Large clinical trials involving hundreds of people are the best standard for confirming the therapeutic value of a nutritional supplement, but there aren’t such studies at this time.

However, anecdotal evidence; i.e. documented cases of people benefiting from the herb should not be dismissed.  Nothing like actual humans (not rats) to vouch for the effectiveness of something.

Speaking of rats, test tube studies and research in animals show that cissus quadrangularis has antioxidant, analgesic, and anti-inflammatory properties.   A study involving rats “demonstrated the anti-arthritic potential of C. quadrangularis and …validates its traditional use for the treatment of arthritis and other inflammatory disorders.”

As far as dosage goes, there is no set therapeutic dosage for cissus quadrangularis.  It depends on age, body size, health status and level of pain.  Start out with small doses; increase gradually every other day and note effects.  Stick with the dosage that gives you max benefit.

Dr. David Williams Joint Advantage 5x Gold

Dr. David Williams dedicates his life to personally exploring the far reaches of the globe,  investigating medicinal herbs used by the local populace.   When he finds one that’s worth investigating, he makes sure medical research is strong enough to support its therapeutic value before he recommends it.

Meriva – “Golden” pain relief

His latest formulation, Joint Advantage Gold 5x is his flagship product for reducing joint pain.    It features Meriva, an especially potent variety of curcumin.

Curcumin is a bright-orange herb that comes from the rhizome of the turmeric plant.   Research confirms that curcumin has anti-inflammatory, anti-oxidant and even tumor suppression properties.  It offers protection at the lipid-rich cell membrane, as it is a fat soluble molecule.  So when you take curcumin, make sure to eat it with a meal that contains fat.

A study referenced in the Alternative Medicine Review found that the curcumin in Meriva is 45 times more bioavailable than ordinary curcumin; which means more of it gets into your cells, not to your urine.

In two clinical studies, Meriva decreased joint discomfort and stiffness by over 50% and significantly decreased inflammatory markers, especially the notorious C-reactive protein (CRP).   Take that, Ibuprofen!

Pain relief from an ancient tree

The other potent, pain-relieving ingredient in Joint Advantage Gold 5x is a concentrated form of Boswellia Serrata called AprèsFlex.

Boswellia comes from the sap of the Boswellia serrata tree, native to the Indian sub-continent.  The herb is often referred to as the Indian version of frankincense, which comes from the sap of the Boswellia saca tree species found in Africa.

Boswellia works by inhibiting lipoxygenase enzymes (LOX), which are powerful contributors to inflammation and disease.  By inhibiting LOX enzymes, Boswellia effectively blocks leukotriene synthesis.

Leukotrienes play a major role in promoting numerous age-associated, inflammatory diseases including arthritis, inflammatory bowel disorder, cancer, and pulmonary (lung) disease.   It is especially known for reducing cerebral inflammation.

In addition, Boswellia has been found to improve blood supply to joints and restore the integrity of weakened blood vessels, with no side effects.

Regular Boswellia extract contains glycoproteins which act as a barrier to digestion, but the AprèsFlex formula combines other natural components of the tree that dilute and weaken these glycoproteins, improving absorption into the blood stream.

In a double-blind, randomized, placebo-controlled study, 59 subjects with stiff and achy joints took 100 mg of AprèsFlex or a placebo daily for 30 days.  Three tests were used to measure discomfort, stiffness, and physical function—and in all 3, AprèsFlex soundly beat the placebo (fake supplement).

  • In a measure of pain intensity, AprèsFlex showed a 14.8% better reduction than the placebo starting in just 5 days.
  • In a measure of daily functions hindered by discomfort, AprèsFlex showed a 16.3% better reduction starting in just 5 days.
  • After 30 days, those taking AprèsFlex reported a 40.1% improvement in joint comfort–a 41.3% improvement in stiffness–and a 38.8% improvement in functional ability.

So if you have sub-acute or chronic pain in any joint of your body—hands, low back, hips, knees—give JAG5x a try.  It contains the research dose of 1,000 mg.   Make sure you take it with a healthy meal that contains good fats, for better absorption.

Check out Joint Advantage Gold 5x Here.

Capsaicin Home Made Compound

Here’s a simple home remedy you can try for pain.  Get some cayenne pepper at your grocery store, located in the spice section.  Pour about 1-2 ounces in a small bowl, then pour about 3 ounces of light olive oil in it and mix.  Using your fingers, rub it into your painful joint.

Capsaicin is the substance in peppers that is responsible for  generating the sensation of heat.  It can relieve pain temporarily by uptaking into the neural synapses—the space between connecting nerve cells where neurotransmitter molecules act to polarize the cells; thus interfering with pain signal transmission.

To enhance this therapy’s effect, apply an infrared heat lamp over the painful area for 10 minutes.  This opens the skin pores and increases capillary circulation, which enables more of the capsaicin to reach those nerves.

Well, that’s it!

If you have joint or muscle pain, give these natural alternatives a try.  The first two nutrients work primarily by blocking the inflammatory process; the last by interfering with the pain signal to the brain.   Best of all, they won’t hurt you like the big pharma drugs can.

 

Is it Possible to Cure Chronic Pain By Yourself?

Last week, I wrote an article about the Three Paradigms of Health Care.   Just to clarify, paradigm in this sense means “a typical example or pattern of perceiving or doing something,” such as society’s paradigm of the “ideal” family.

A paradigm doesn’t carry implications of right or wrong; it simply describes how things are currently done or viewed by society.  Paradigms materialize from a combination of historical events, new scientific findings and social trends.

So, the paradigm of health care refers to what typical individuals think and expect of health care.

My proposal is that there are three paradigms of health care:

1. Passive healthcare where you receive it from a provider (doctor, therapist), which includes drug prescriptions, surgery, and physical therapy and chiropractic treatment.

2. Doctor-prescribed lifestyle modification directives; i.e. diet restrictions, exercises, work limitations, etc.

3. “Do It Yourself” health care, where the individual researches health information without the help of a doctor and does things to improve his or her health.

My conclusion is that all three are needed to cover all bases.

But, I also insist that the vast majority of people in the world have a sort of mental attachment; almost an addiction to the first paradigm.

There is this ingrained belief that one must have something done to them by a doctor to get healthy.  I think it’s mostly due to the barrage of drug advertisements, medical validation by society’s major institutions, and influence from parents.

Not enough emphasis is placed on the idea of nurturing the body and optimizing its natural recuperative abilities through lifestyle modification.  As a result, we live in a society that has a reactive stance to health that actually embraces “sick” care, not health care.

We are not as discerning as we should be in what we eat and fail to make time in our schedules to exercise or engage in physical activities like going on a long hike.  This makes us vulnerable to disease, illness and pain as it weakens our bodies’ ability to handle its environment.  It cracks the door open for cancer, diabetes, heart disease, arthritis, and chronic joint pain to creep into our lives.

Here’s my advice:

If you think you might be giving too much credit or deference to the first paradigm, shift gears in your thinking and investigate the third paradigm, “Do It Yourself” health.

Here are the advantages:

1. When you invest in your own health, i.e. take more responsibility and play an active role in it, you will be healthier.  It’s like a person diligently studying for an exam vs. one who doesn’t and tries to wing it on exam day:  the guy who is passive will do worse every time.  Like the guy who didn’t study, having a passive attitude towards your health leaves you vulnerable and unprepared.

2. For many types of cases, it’s cheaper than going to the doctor or therapist. You can find home treatment solutions to many common ailments online such as back pain, skin rashes, tension headaches and so on.  The key is to read only reputable sites (do research on the individual providing the information first to confirm he/she is qualified).

I’m not saying to never visit your doctor; just pointing out that in this day and age, information on anything is highly accessible and should be utilized properly.  Now I know there is a lot of crap online as well; the key is to develop an eye for what is legitimate and what is not, and do your due diligence.

So the question I present is, “Is it possible to cure pain by yourself?”

The answer is YES.  Now, that is just an answer to the question from a logic standpoint. I’m not saying that it is possible for you specifically; just that it is possible.

The pain I am talking about is chronic musculoskeletal pain, or pain affecting the bones, joints, muscles and related connective tissue (ligaments, tendons, cartilage).

Obviously there is a “point of no return” where these structures are so degenerated or damaged that pain will always be present.  This applies to conditions like knee, hip and low back pain involving severe, irreversible degeneration of structures.   What’s critical, then, is that you take action BEFORE you reach that point of no return; and there are LOTS of things you can do to arrest or even reverse the progression of degeneration.

The biggest one is dietary changes. If you have some kind of chronic pain, have you considered using dietary intervention to stop the pain?

Dietary intervention is a popular means to achieve weight loss, but you rarely hear about it being used specifically to fight pain.

Eliminating certain food categories can go a long way in reducing pain.  This includes processed sugar, grains, preservatives, additives, alcohol and caffeine. Try doing this for just one week, and see how you feel. I think you’ll be amazed.

Conversely, adding certain food categories or increasing their intake can reduce pain. This includes deep green, leafy vegetables; restricting fat intake to healthy fats like egg yolks, olives, coconut, avocados, seeds and nuts; and drinking only water. Do this for just one week, and see how feel. I think you’ll be amazed.

Secondly, there are home therapies you can do to reduce pain.  Massage, joint mobilization and certain safe, therapeutic tools and equipment are available.  One of my favorites that I use myself (for prevention) and have prescribed to patients suffering from low back pain is the PosturePump.

Lastly, making some tweaks to your routine can go a long way in reducing and reversing pain. This includes restful sleep, grounding, standing more and sitting less, and doing mind-body techniques such as meditation and EFT.

Bottom line, the Third Paradigm of health care,  Do It Yourself health care is on the rise.  There is still a cautious attitude towards it within the medical field, but probably because the idea of “people doing what doctors are trained to do” doesn’t sit well with many doctors.  But don’t let this discourage you.  Remember, you have the biggest stake in your health, so it is prudent to be invested in your health.  Don’t simply delegate it to doctors; get yourself involved; know what’s going on, what’s available for treatment, and the risks.

How Do You “Do” Health Care?

How Do You “Do” Health Care?

The Evolving Paradigm of Health Care

Health care. It’s one of those things that’s talked about regularly that carries sub-conscious assumptions.

I’d like to ask you today, “What does health care mean to YOU?”

You might say:

“Health care is being able to see a doctor whenever I need to, for a health-related complaint.”

Ok, fine. Let’s say you do. Now what?

You may then further elaborate, “Being able to ask the doctor what is causing the problem and what I need to do to get it fixed.”

Ok, you’re talking about getting a diagnosis and prescription.  You ask the doctor about that nagging symptom, and he or she explains that it is being caused by a virus. Your doctor then writes a prescription and prints out a pre-written information sheet about your condition, which includes things you should do, and hands it to you and you are discharged.

That’s great.  It’s reassuring to have access to a doctor whenever you are ill.

But, given all the tools that are available these days, was a doctor really necessary? Could a lower-cost nurse sufficed? Some RNs and Nurse Practitioners are very knowledgeable in disease signs, symptoms and treatment.

And did you know that there are some pretty accurate apps and websites (WebMD, ShareCare) that could have provided the same information to you in minutes, for FREE?

And, how much a month are you paying in health insurance to have this access?   For my family, it’s $1,500/month and we’re all pretty healthy.  Is it worth it?

My point here is that the old model of out patient service is getting a lot of challenges in this age of technology and big data access. It is time for people to start questioning how they wish to utilize, or “do” health care.

Another valid question is “Should this be called “sick care” instead?

After all, in this scenario the person seeks out the doctor AFTER the condition is already there; after he is ill or stricken with the malady.

So yes, a better description of this service is “sick care.” But although it’s a more accurate term, sick care sounds negative (which it is) compared to the term health care. When you hear the word health it evokes positive images like strength, energy, vitality and longevity. So don’t expect to see hospitals, doctors and insurance companies extolling their sick care services.

The Three Paradigms of Health Care Today

Returning to the questions “What is health care?” and “How should I use or do it?”, here’s another thing to consider:

Do you really need to take medicine, get a shot, see a physical therapist or get surgery?

Ok, in some cases you do; usually emergency cases like heart attacks and stroke.

The first paradigm of health care, which we’re all familiar with is having some procedure done to you by a medical professional. This is passive health care, where you receive it passively and includes taking medicine, getting surgery, and having therapy done on you.

The second paradigm of health care is the doctor or professional instructing you what to do to get well or for prevention; i.e. prescribing home care or lifestyle modification routines.

This is a big improvement from the first paradigm in the following ways:

(1) it gets you involved in your health, which trains you to be more responsible for your health and not reliant on a doctor;

(2) it is less expensive because you are in the doctor’s office less; and

(3) it is likely to be more effective and safer than visiting a hospital or taking medications.

Diet, exercise, home care strategies and other lifestyle modification interventions have a bigger, direct and longer-lasting  impact on your health than medicine or passively receiving ongoing therapy (for a pain condition) such as physical therapy and chiropractic.

Medicines typically work by altering or “jury-rigging” your physiology to counter the symptoms you are experiencing, which gives the “illusion” of health. This is not natural, and there is almost always blow back by your body; i.e. side effects, some which create more problems (such as how taking Aspirin for pain can give you ulcers; or how taking too much  Ibuprofen can cause renal failure).

Ongoing chiropractic or physical therapy is almost as bad, because anything passive risks your body becoming dependent or addicted to it, which again leads to blow back in the form of weakness and reduced coordination of muscle and joint systems.

Finally, the third paradigm of health care is when YOU get involved in researching your condition thoroughly, and then getting instruction on how to resolve your health condition from legitimate sources.

Now, this paradigm gives you the most freedom, but it also has some drawbacks. You need to learn how to differentiate between legitimate websites and the extreme ones.  Health is an art as well as a science, so there are gray areas and some people are known to take excessive liberties in their writings about health.

Traditional medical websites obviously have an “allopathic medicine” bias. This is good in that the information is usually backed by research (evidence-based medicine), especially when on reputable, authoritative sites like Cleveland Clinic and Johns Hopkins.

(However, in recent years I have seen WebMD warm up to natural medicine; i.e. herbs and traditional natural remedies; although they are careful to use non-committal words and phrases such as “…may be helpful” and “…some anecdotal cases show that herb x reduced pain..”)

But the traditional allopathic websites are not as in-depth into alternative health favorites such as nutrition, herbs and things like electromagnetic therapy and grounding.

Then there are the alternative health websites. These sites are usually written by bloggers; some of whom have credentials (unfortunately, you will have to verify it yourself by doing internet research) and some who do not– just health enthusiasts who read other sites and report on them. Be more cautious about the information you get from these sites.  That’s not to say that you can’t find useful information on some of them; some are really good despite being written by non-doctors.

Alternative health websites fit in better with this third paradigm of health care by virtue of the nature of alternative health, which essentially IS about implementing lifestyle modifications to achieve health from within. Things like diet, nutrition, herbs, exercise, breathing, meditation, massage, stretches, and using safe, energy emitting devices to enhance your body’s healing.

Fix chronic pain at home using nutrition, lifestyle modification and techniques used by physical medicine professionals.

ShareCare

Online medical consultation with real doctors.

Cleveland Clinic Online

Online medical consultations and prescriptions by real  doctors.

WebMD Symptom Checker

Interactive symptoms checker and medical report and recommendations.

Mercola.com 

The world’s largest natural health care website featuring articles on wellness, prevention and the dangers of common medical interventions.

Grounding – An Invigorating and Zero Cost Activity for Good Health

Here’s a quick health tip I’ve been meaning to share with your for a while– “grounding,” or “Earthing.”

Your body is a mass of cells, water and organic matter comprised of molecules.  These molecules are made of atoms bonded to one another.  And,  there is the constant activity of biochemical reactions that produce mobile molecules that enable our organs and systems to function — signaling proteins, enzymes, catalysts, co-factors and so on.

Our bodies are constantly exposed to the magnetic fields of the earth, weak ionizing radiation (ionizing= capable of creating ions – more on this later) from the sun; and more significantly, magnetic fields generated from electrical wiring in our homes and offices,  and radio frequency waves (mobile phones, remote control devices, etc.) generated in huge amounts in our environment.

Who these days isn’t exposed to a lap top, cell phone, home and office electrical wiring, outdoor power lines, transformers and light bulbs?

Do you think these fields may have an effect on our atoms and therefore cells; and therefore cell function and body function i.e. health and the way you feel?

I will admit that I am no physicist, but I do know that electrons can be “stripped” from atoms by other atoms and ionizing radiation, and through cellular respiration (extracting energy from food at the cellular level) which produces free radicals.  And when this happens in large numbers, it can have an adverse effect on the body.

When an atom has the same number of protons (+) as electrons (-), it has a neutral  charge.  When the number of protons and electrons differ, there is either a positive or negative charge, and the atom is called an ion.

When it has one more electron than protons, it has a negative (-) charge and is called an anion (pronounced ANN-eye-on).  When it has one less electron than protons, it has a positive charge (+) and is called a cation (pronounced CAT-eye-on).  It is the positively charged atoms or molecules that are harmful due to their instability.   These cations are better known as free radicals; and for positively charged oxygen molecules, reactive oxygen species (ROS).  Your body has anti-oxidant defenses that neutralize much of these ROS as they are formed in the body, but low anti-oxidant levels and excessive ROS production spells trouble, especially over time.

Free radicals seek stability by “snatching” an electron from nearby molecules.  When that happens, the donating molecule becomes unstable itself, and seeks an electron elsewhere.  This cascade effect causes electrons to be stripped from cell membranes, proteins and other nearby molecules, affecting their ability to carry out their functions.  

Oxidative stress is the cumulative effect of long-term stripping of electrons (called reduction) from tissues, resulting in damage.  Oxidative stress is implicated as the mechanism of tissue degeneration in chronic degenerative diseases such as cardiovascular disease, arthritis and diabetes.  It is also the basis of one of the theories of aging.

According to Dr. Joeseph Mercola, a well-known natural health researcher:

It is known that the Earth maintains a negative electrical potential on its surface. When you are in direct contact with the ground (walking, sitting, or laying down on the earth’s surface) the earth’s electrons are conducted to your body, bringing it to the same electrical potential as the earth. Living in direct contact with the earth grounds your body, inducing favorable physiological and electrophysiological changes that promote optimum health.

So, when was the last time your feet touched the earth?

When the weather is hot, more people are open to walking barefoot outside.  There’s nothing like walking on soft beach sand and soaking your feet in a cool stream.  But during the winter months, it is less common for people to walk barefoot on the ground for obvious reasons.

And regardless of the season, it is easy for some to go for months without having their feet touch the earth.  You put on your shoes in the morning, work in a building, come home, take off your shoes and stay inside until the next day and repeat.

What I recommend you do is make it a point to walk barefoot on grass for ten minutes a day; or at least every couple of days to discharge positive ions that have built up inside your body.

It is even better, as I explain in the video, that you do it after or during a rain shower.  Large volumes of water moving through the air and crashing down to earth release billions of negative ions (remember, negative ions are the good ones) which can negate the positive ions in your body.  A large waterfall and ocean waves crashing against the rocks are other good areas to pick up negative ions for health.

Lush forests and places with thick vegetation on a sunny day are another good source of taking in negative ions as plants emit them through photosynthesis.  Better yet, how about both?   Now that’s something your body will love.  If you are fortunate to live near the ocean and a forest, you can do a lot for your health by walking barefoot in those areas and doing what I call a “positive ion detox.”

Give it a try, and take note of how you feel.  It’s magical.

 

How to Cure Sciatica – Is it Possible?

Sciatica is a disorder involving pain in the buttock that may radiate down the leg and is characterized by:

  • Deep, sharp pain in the buttock and/or leg that is worse when sitting and bending forward at the waist
  • Sometimes accompanied by lower back pain
  • Burning or tingling sensation down the leg and sometimes foot
  • Weakness, numbness, or difficulty moving the leg or foot
  • Constant or intermittent symptoms

WHAT CAUSES SCIATICA?

Sciatica is caused by compression of the sciatic nerve or neurons that comprise the sciatic nerve.  The neurons (individual nerve cells) originate in the brain and travel down the spinal cord; branch out from between the lumbar vertebrae and sacrum as nerve roots and finally combine in the buttock region to form the sciatic nerve.

This means that compression of nerve tissue anywhere along this path is capable of producing sciatica.  In fact, although rare, brain tumors can produce sciatica symptoms.

The three most common compression sites for sciatica are in the central canal of the lumbar region of the spinal column, the lateral canals, and under the piriformis muscle of the pelvis.

Central canal stenosis

Stenosis, or narrowing of a spinal canal is often the source of compression especially in older patients.  Stenosis occurs with degenerative joint disease, where bone spurs occlude the canal, pinching or rubbing against nerve tissue, as shown in the model above.  This is the top view of an L4 vertebra , showing narrowing of the central canal due to spondylosis, or vertebral bone degeneration.  Notice how the bone contacts the nerves (yellow structure in the canal).  This contact fires the nerves, causing shooting pain and/or numbness and tingling down the legs.

Thickened ligaments can also be a source of stenosis.   For a person with stenosis, bending the spine in certain directions may exacerbate or alleviate sciatica.

A bulging disc can also cause stenosis and produce sciatica by narrowing the lateral canal and pressing against a nerve root.  This is also called lumbar radiculopathy.

Piriformis syndrome is a less common form of sciatica and occurs when the sciatic nerve is pinched by the piriformis muscle, a deep pelvic muscle that externally rotates the hip.

Rare, red flag causes of sciatica are brain tumors, spinal tumors and pelvic masses; and maybe even viral infections of the sciatic nerve.  Check with your doctor to make sure none of these apply to you.

Seek immediate medical attention if you have progressive lower extremity weakness and/or loss of bladder or bowel control.

DIAGNOSING SCIATICA

Sciatica from spinal stenosis is diagnosed by X-ray or lumbar MRI.  Simple muscle strength and sensory nerve tests can be done to determine if the nerve is not functioning 100%.  But basically, if you have nerve pain down your leg, it is fair to assume the nerve is compromised somewhere.

If you know the source of your sciatica after being diagnosed and informed by your doctor, you should have a better idea of your prognosis, or chance of eliminating it.

If you aren’t able to see a doctor for your condition for whatever reason, asking yourself a few questions may help you  identify what is causing your sciatica:

  • Did you experience sharp, low back pain at the same time as your sciatica?  If so, this points to lumbar radiculopathy (sciatica from nerve root compression) by lumbar disc herniation.
  • Are you over 50, had a heavy labor job most of your life; have a history of accidents or injuries to your spine or engaged in a high impact sport for many years?   If so, this points to central or lateral canal stenosis from degenerative joint disease of the spine.
  • Do you sit long hours and/or do squats or other activities that strain the buttock muscles?  If so, this points to sciatica from piriformis syndrome.

These aren’t definitive assessments, of course.

The likelihood of being able to self-resolve sciatica depends on what is causing it:

Sciatica caused by central canal stenosis from degenerative joint disease has the worst prognosis.  These cases eventually require spinal decompression surgery.

Sciatica caused by lateral canal stenosis has a better chance of recovery.  Certain exercises and manual procedures may be able to widen the opening and remove pressure from the nerve root.

Sciatica caused by piriformis syndrome has the best chance of recovery.   Manual techniques such as stretching, posture correction and hip mobilization can often correct the problem.

 

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