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Sciatica Guide

Maryann Gromisch RN Guide

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Sciatica –Pain Management In Reflexology

By Mamta Singh
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Photo: Getty Images

Sciatica is a painful condition that may be brought on by the irritation/compression of the path of the sciatic nerve and its branches. The sciatic nerve runs from our spinal cord through our buttocks/hips and down the back of each leg up until the feet. Let us take a look at how Reflexology addresses and manages sciatic neuritis in patients.

• The patient should be placed on a comfortable but firm massage table, such that the spine and tailbone are not arched.

• The knees are kept straight though not stiff. If required, a rolled towel may be placed under the knees.
• Feet should be cleansed of any superficial dirt.
• The treatment should begin with a relaxation foot massage which will give the time to establish a patient-therapist rapport.
• No ankle rotation techniques should be performed.
• Oil mix used in the massage and pressure application is 2 drops of lemon oil and 2 drops of lavender oil in the base of wheat germ oil. This facilitator oil reduces friction and discomfort during foot massage and treatment.
• After the session, the patient should be advised NOT to do any leg abduction and adduction exercises or squats, lunges when the pain is on or at least for 24 hours.
• The patient should be advised to drink plenty of water.

1. The therapist holds the patient’s left foot using both the hands. The therapist’s fingers will be on top of the patient’s foot and the thumb at the base/ balls of the patient’s foot.
2. Then the foot is "loosened" with a back and forth movement - big toe is gently brought forward and the little toes are gently pushed backward simultaneously.
3. This is followed by toe rotation for each toe of the left foot - clockwise and then anti-clockwise rotations
4. Lastly, foot wringing technique is added - first gently and then with moderate intensity.
5. The relaxation techniques 1 -4 are then performed for the right foot.

1. The beginning is done with the left foot and a Slide and Press technique along the spinal reflex located along the arch of the inner foot.

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