March 21, 2025

Understanding Sciatica: Causes, Treatment, and When to Skip the Imaging

Sciatica is a term that often gets thrown around when describing lower back or leg pain, but what exactly is it? More importantly, what can you do to find relief and get back to your daily activities? In this post, we’ll review the two primary causes of sciatica, how physical therapy (PT) and chiropractic care can help, and why imaging like X-rays or MRIs isn’t always necessary right away.


What is Sciatica?

Sciatica refers to pain along the sciatic nerve, which (simply put) runs from your lower back, through the hips and buttocks, and down the back of each leg. Symptoms often include shooting pain, numbness, or tingling in one leg. While sciatica sounds daunting, it’s typically a symptom of an underlying issue rather than a diagnosis in itself.


Two Common Causes of Sciatica

  1. Herniated Disc
    A herniated or "slipped" disc occurs when the soft inner portion of a spinal disc pushes out and irritates nearby nerves, including the ones that feed the sciatic nerve. This pressure can cause pain, tingling, or numbness along the nerve pathway down your leg.
  • Signs of Disc-Related Sciatica:
  • Pain worsens with sitting or bending forward.
  • Symptoms may improve when lying down or walking.
  • You may or may not have back pain in addition to leg symptoms.
  1. Piriformis Syndrome
    The piriformis is a small muscle in the buttock that can sometimes spasm or tighten, irritating the sciatic nerve underneath it. Unlike disc-related sciatica, this cause is often muscular in nature.
  • Signs of Piriformis Syndrome:
  • Pain localized in the buttock without pain in the back.
  • Symptoms often worsen after prolonged sitting or direct pressure on the muscle.


How PT and Chiropractic Care Can Help

Physical Therapy

  • Disc-Related Sciatica: PT focuses on exercises to reduce nerve irritation, strengthen the core, and improve comfortable spinal mobility. Specific stretches and movements, such as McKenzie exercises, may help "centralize" the pain away from the leg.
  • Piriformis Syndrome: A PT will guide you through targeted stretches and release techniques to ease muscle tension, along with exercises to improve hip mobility & function.

Chiropractic Care

  • Disc-Related Sciatica: Chiropractors often use spinal adjustments to improve mobility and reduce pressure on the affected nerves.
  • Piriformis Syndrome: Gentle adjustments and soft tissue techniques can help release tight muscles and improve overall spinal alignment.

Both providers may utilize techniques like dry needling or cupping to facilitate the healing process. Each approach emphasizes long-term solutions and getting to the root cause to restore function and prevent recurrence.


Do You Need Imaging Right Away?

In most cases, the answer is no. Many cases of sciatica (when addressed early on) resolve with conservative care like PT or chiropractic within 4-6 weeks. Imaging may be recommended if:

  • Symptoms persist despite treatment.
  • You experience significant weakness, bowel or bladder issues, or worsening pain.
  • There’s a history of trauma or other concerning signs.

Relying on clinical assessment, rather than jumping to imaging, often leads to faster care and better outcomes without unnecessary delays. This will likely save you time and money with an ultimately better outcome.



Take the First Step Toward Relief

Sciatica may feel debilitating, but you don’t have to live with it. Physical therapy or chiropractic care can help you address the root cause, reduce pain, and get back to doing what you love.

If you’re ready to take control of your sciatica symptoms, reach out to Key to Change Wellness today to schedule an appointment. We’re here to help you move better, feel better, and unlock your next level of wellness.

March 21, 2025
In the world of fitness and rehab, there’s a rising technique that’s gaining traction for both speeding up healing and making workouts more efficient: blood flow restriction (BFR) therapy. This simple yet effective technique has shown to be beneficial in both clinical and fitness settings, especially when combined with chiropractic or physical therapy care. Let's dive into how BFR works, why it's so helpful, and how you can incorporate it into your recovery or fitness routine. What Is Blood Flow Restriction Therapy? Blood flow restriction therapy involves using a specialized cuff to limit (not cut off) blood flow to a specific area of the body, usually a limb. This creates a unique environment for the muscles by trapping blood in the targeted area and making it harder for fresh blood to flow in. As a result, you can work muscles harder without adding heavy weights, which makes BFR ideal for people recovering from injuries or managing pain. How BFR Helps with Healing One of the biggest advantages of BFR is its ability to stimulate muscle growth and improve strength, even with light weights. This is particularly beneficial for anyone recovering from an injury or surgery, where heavy weights might be too painful or risky. Here’s a closer look at the main benefits: Increased Muscle Strength and Size with Less Load: Research has shown that BFR can increase muscle strength and size with weights as light as 20-30% of what you might typically lift. This low load reduces strain on healing tissues, joints, and tendons while still stimulating muscle growth, making it perfect for people rehabbing an injury or starting back with exercise. Enhanced Healing Through Growth Hormones: BFR has been found to increase the release of growth hormone and other healing factors that promote tissue repair. By temporarily reducing oxygen in the muscle, BFR creates a unique “stress” that stimulates the release of these hormones, helping to speed up recovery. Improved Endurance and Cardiovascular Benefits: Because BFR involves doing more repetitions with lighter weights, it also offers cardiovascular benefits and enhances muscle endurance. This is a bonus for athletes who want to stay fit without overloading their bodies, as well as those looking to improve endurance without high-impact workouts. Why Combine BFR with Physical Therapy or Chiropractic Care? When you combine BFR with physical therapy or chiropractic care, you’re adding an efficient tool to support pain-free movement and functional strength. Here’s why BFR pairs well with these treatments: Reduced Strain on Joints: Since BFR allows for lighter weights, there’s less strain on your joints and other sensitive structures. For patients recovering from musculoskeletal injuries, arthritis, or surgery, this can be a game-changer in staying active while safely rebuilding strength. Customized Rehab Plans: Physical therapists or chiropractors can easily integrate BFR into their treatment plans. For example, if you're in physical therapy after a knee injury, your therapist might use BFR to safely strengthen the muscles around your knee without putting excessive strain on it. Support for Natural Alignment and Movement Patterns: Chiropractors often focus on restoring natural alignment and movement. BFR can help maintain muscle tone and stability without interfering with this goal, as the technique focuses on strength without heavy weights. What a BFR Workout Looks Like A BFR session is typically a short workout targeting the arms or legs, and it doesn’t need fancy equipment. Here's a basic BFR workout to give you an idea: Warm-Up: Begin with a light 5-10 minute warm-up. This can be a simple walk, some gentle stretching, or mobility exercises to prepare your body for movement. This may simply include the manual therapies provided by your PT or chiropractor. Apply the BFR Cuff: Once warmed up, apply the BFR cuff to the upper part of the arm or leg, depending on which area you’ll be working. Make sure it's snug but not painful, and always follow instructions from a certified professional or therapist. Exercise with Light Resistance: Pick a light weight or resistance band and perform 3-4 sets of an exercise (e.g., bicep curls for arms, squats for legs) with high repetitions (15-30 reps per set). Rest for 30-60 seconds between sets. You’ll feel the muscles working more intensely than you would with heavier weights. Cool Down and Release the Cuff: After the workout, release the cuff to restore full blood flow. Follow up with some light stretching or a cool-down to help relax the muscles. Things to Keep in Mind Get Guidance from a Professional: BFR can be highly effective, but correct application is essential. Too much restriction can be harmful, so always consult with a trained physical therapist, chiropractor, or BFR-certified professional. Listen to Your Body: BFR can create an intense muscle burn, even with light weights. This is normal, but sharp pain or extreme discomfort is not. Listen to your body and adjust as needed.  The Bottom Line Blood flow restriction therapy is a fantastic tool for enhancing healing and getting a powerful workout without heavy weights. It’s especially helpful for those recovering from injury, managing pain, or looking to get stronger without overloading their joints. When used alongside physical therapy or chiropractic care, BFR offers an efficient, low-impact way to stay strong and support recovery. If you’re interested in trying BFR, reach out to Key to Change Wellness to see if it’s a good fit for your health and fitness goals.
March 21, 2025
The Key to Change Studio is Now Open! We’re so excited to officially welcome you to The Key to Change Studio! This intimate space was created with one goal in mind: to support your wellness journey in a way that feels personal, empowering, and accessible. Whether you're a new mom rebuilding postpartum strength, a golfer improving your swing, or simply someone looking to move better and feel stronger, we’ve got a class for you. Led by expert instructors and rooted in intentional programming, our classes are designed to meet you where you are and help you reach your goals. But what truly sets group classes apart? It’s the community. When you step into a class, you’re surrounded by others on similar journeys—cheering you on, sharing laughs, and creating connections that make showing up feel less like a chore and more like something you look forward to. We’re kicking things off with a $15 introductory special for all December classes, so there’s no better time to check it out. Take a look at the schedule and join us for yoga, mobility, sports performance, postpartum recovery, and more. We can’t wait to see you in class!  —The Key to Change Wellness Team
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