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Sciatica

What is Sciatica?

Any in-depth anatomy lesson in the West will eventually describe the sciatic nerve.  It is the longest nerve in the body and extends from the lower back, through the hips and buttocks, and then splits to ultimately go down the back of each leg. Given its size and its extensive presence in the body, it is susceptible to dysfunction as the result of various disorders and maladies.

Sciatica is the name given to pain that results from problems with this nerve, and the location of it is in the lower back, hips and buttocks, and usually only one of the legs but not the other. This pain can be sharp and debilitating or can cause tingling sensations and general loss of sensation in the affected areas.

Western medicine considers sciatica to be a symptom of another underlying condition which usually involves a structural problem that is applying pressure to the nerve.  Cited causes of sciatica include a herniated vertebral disk, displacement of disks through one of a variety of diseases, tumors of the spine, injury directly to the sciatic nerve itself, and severe trauma to the body that causes physical injury.

The pain associated with sciatica can also be exacerbated by having a sedentary lifestyle, sitting on hard surfaces, and other actions that may disturb the sciatic nerve.  Generally, most incidents of sciatica resolve themselves within a few months, but more extreme cases can result in a loss of movement in the legs, sensation in the legs or even use of the legs completely.

Western medical practices aim to resolve more extreme symptoms of sciatica by identifying the root cause of the pain and treating that condition directly.  This may involve administering physical therapy, suggesting pain medication in either over-the-counter (ibuprofen, acetaminophen) or prescription forms (epidural steroid injections), or even having the patient undergo different types of surgical procedures as based on the nature of the physical malady.  Sufferers are also instructed to apply hot/cold therapy, exercise and stretch, and partake in a healthy lifestyle in general.  It has recently become more popular for Western sciatica patients to use acupuncture and other alternative therapies to resolve their symptoms.

How Does Ayurveda View Sciatica?

In Ayurvedic medicine, conditions based on disorders of the nervous system are primarily associated with the Vata dosha.  This dosha represents the energy of the body related to movement and elimination, and sits in the large intestine.  Properly balanced Vata energy facilitates healthy movement of the body and manifests this quality by sending the body messages through the nervous system.

Certain Vata-related bodily processes can be poorly managed, such as waste matter not being healthfullyremoved from the system as a result of elimination problems (like constipation) and joints not being properly utilized as a result of poor posture and excessive, rapid movement.  These dysfunctional aspects of living can create toxic matter, and this toxicity is spread throughout the body via the nervous system.

This imbalance of the nervous system triggers a variety of dysfunctions associated with thought, the senses, and movement.  In some cases, this imbalance can lead to dysfunction of the sciatic nerve, which then leads to pain.  This pain can become intensified when we do things related to excessive movement (like traveling too much), undue brain stimulation (like talking too much), and hyper emotional reactions (like anxiety).

Thinking in excess about any one issue creates nervousness in the entire system, especially in the back and lower regions. When a person is engaged in one intense thought or many at the same time, the body is the recipient of this extra nervous energy which then translates into anxiety and stress. As this energy needs to find a way out, it will find the weakest point of the physical body and take root there. Since the central nervous system runs in the back region, much of this stress is felt in this area.

Vata energy is also aggravated by food deprivation, eating too many dry foods, and generally depriving the body of moisture and lubrication. When we experience a severe combination of these habits and also endure significant amounts of stress in our day-to-day life, we can experience derangement of Vata energy in the form of painful sensations along the sciatic nerve.

How Does Ayurveda Treat Sciatica?

Ayurveda notes that resolving symptoms of sciatica can become more complicated when the aggravated Vata energy moves into the site of either Pitta or Kapha energy in the body, and therefore causes the symptoms to both reflect Pitta or Kapha imbalances and require therapies necessary for resolving these imbalances.

This makes for resolution of the symptoms not only more difficult, but more specialized as well.  For the purposes of this application, self-healing though the use of an Ayurvedic lifestyle will be based upon a more general association of sciatica with a Vata imbalance.

As such, treatment for sciatica is to eat a Vata-balancing diet, take Vata-balancing herbs, make lifestyle changes that help to resolve derangement of this energy as noted below, and to generally provide nourishing substances and activities to the body in an effort to ground it and provide the nervous system with an opportunity to settle itself without aggravating the other doshas in the process.

Treatment by a trained Ayurvedic practitioner is advised to help establish the root cause of the symptoms and to administer therapies that are more ambitious and specialized in nature.

Lifestyle Changes for Sciatica

 

 
 
 
When we neglect to establish the root cause of one illness, it can turn into another, stronger illness in the future.  The first step in resolving a specific ailment or disease in the body is to assess the nature of our lifestyle and make general modifications.  Living our day-to-day life with a deliberate intention to improve our health will help us to both resolve the disease we are suffering from and prevent further incidence of it and other diseases in the future.  The following lifestyle changes will both help to generally resolve imbalanced Vata energy, and specifically help to lessen symptoms of pain:

  • Favor cooked foods over raw and dried foods, as these are not only easier to digest but will help to ground the body.
  • Favor nourishing foods such as white basmati rice, barley, ghee, milk, and cooked vegetables.
  • Melt ghee over cooked foods on a regular basis, as this can help to lubricate the large intestine and create more regular movement of the bowel.
  • Be sure not to go without nourishment for long periods of time, as a lack of food can lead to excessive lightness and exacerbate symptoms of pain.
  • Take a tablespoon of ghee or sesame oil with half a cup of warm water.
  • Commit to a regular sleeping schedule, allowing for at least seven or eight hours a night.
  • Abstain from excessive amounts of masturbation and oral sex, and try to avoid anal sex. These various activities can lead to derangement of Vata energy.
  • Avoid rapid movements and sit quietly for some time throughout the day.
  • Avoid long conversations.
  • Stay out of the wind and the very hot sun.
  • Massage the body with slightly heated sesame oil on a daily basis, especially the lower back and legs.
  • Stick to more sweet, sour, and salty tasting foods.
  • Commit to a practice of sitting still for some time each day.
  • Avoid sitting on cold and tiled surfaces.
  • Unless sitting cross-legged or resting in Hero’s pose, avoid sitting on a very hard surface.
  • Enlist the help of an Ayurvedic practitioner to administer oil enemas, medicated oil massages, and other treatments that help to nourish the body and provide it with the support it needs to resolve symptoms of pain.

 

Better Foods For Sciatica

Ayurveda teaches us that disease and sickness are derived from poor digestion and inappropriate food choices. We then have the opportunity to make deliberate and more conscious decisions as to what foods we do and do not put in our body which increases the chance of resolving the body’s imbalance.

Food needs to be in season, in moderate combinations of one or two food groups, not too hot or cold, in a modest enough quantity to allow for room in the stomach later, consumed without too much liquid which hinders digestive power, and should be fresh and not left over for more than a few hours.  The following foods will help to settle excessive Vata energy and therefore resolve symptoms associated with sciatica:

 

Cherries
Ghee
Milk
Bananas
Apricots
Mangoes
Berries
Peaches
Plums

Figs (fresh)
Beets (cooked)
Carrots (cooked)
Sweet potatoes
Asparagus (cooked)
Zucchini
Oats (cooked)
Rice (white basmati)

Mung beans
Vegetable soup
Sesame oil
Olive oil
Whole wheat (unbleached)
Almonds (soak overnight, then peel skin before eating)
Yogurt water (lassi) mixed with the herb trikatu

 

Foods To AVOID In Response To Sciatica

While some foods can help to balance an aggravated dosha, other foods can cause further imbalance. Dry and cold foods as well as pungent, bitter and astringent tastes will dry out the body and aggravate the Vata dosha.Sour, salty and pungent tastes as well as spicy foods will add more heat to the body and aggravate the Pitta dosha.Sweet, sour and salty tasting foods will add heaviness to the body and aggravate the Kapha dosha. The following foods can aggravate Vata energy and therefore intensify symptoms associated with sciatica:

 

Apples
Pears
Watermelon
Cauliflower
Broccoli

Celery
Eggplant
Tomatoes
Corn
Oats (dry)

Barley
Dry foods
Most legumes including green lentils and garbanzo beans
Raw and cold foods

Beverages For Sciatica

Generally, Ayurveda discourages the consumption of too many cold beverages, as doing so hinders the strength of the body’s digestive fire. Instead, favors room temperature or hot beverages to encourage the strength of the digestive fire.

  • Hot water, especially during meals and first thing in the morning
  • Warm milk with a small amount of ghee and honey melted into it (be sure to first heat milk and let it cool slightly before adding honey and ghee; when heated honey can become toxic).
  • Herbal teas of ginger, cinnamon, and cardamom.
  • Avoid cold and frozen drinks
  • Avoid sugary or fizzy drinks that blend with the digestive juice and make it weak.
  • Avoid alcohol, black tea and coffee.
  • Avoid fruit juice from concentrate.

Herbs For Sciatica


Herbs are used in the Ayurvedic system much like Western medicine utilizes drugs and vitamins and can be taken like tea 2 to 3 times a day. Herbs aid in the digestion of food, the breakdown and elimination of toxins, and help to strengthen the cellular structure of our system for greater vitality. Herbs become more potent once mixed with other herbs of similar properties. Mix together 2 to 4 different herbs from the below list by adding a quarter to a half teaspoon full of each, for a total of 1 teaspoon. Drink these in half cup of hot water.

Cinnamon
Cardamom
Ginger
Fenugreek
Parsley

Mugwort
Ashwaghanda
Juniper berries
Guggul
Gokshura

Haritaki
Brahmi
Pippali
Bala
Trikatu
Sandalwood (white)

 

Yoga Postures For Sciatica

 

When applied therapeutically to specific ailments, yoga postures provide an opportunity to strengthen the body, rid it of toxic matter, and restore balance. The postures included in this section can be practiced as part of a more general sequence or can be focused on in short sessions. When first exploring yoga postures, it is best to only practice them for twenty minutes  or so per day and buildup from there once the body becomes more flexible. The following postures will help to foster greater health of the nervous system and therefore resolve symptoms of pain associated with sciatica:
 
 

 Bridge
Camel

Shoulder Stand
Knee to chest

Plough
Hero

 
 
 
 
 
 
 

Aromatherapy For Sciatica

Aromatherapy utilizes the fragrances of essential oils when applied to the skin.  Essential oils can burn the skin and therefore must be diluted with a base oil such as sesame, coconut, sunflower, canola, or mustard oil.  Mix 1 fluid ounce of base oil with about 12 drops of essential oil before applying to skin. You can also just mix 5 drops of base oil to one drop of essential oil if using on one spot.

  • Sciatica can be treated with sandalwood, frankincense, lavender, rose, lily, basil, camphor, cedar, eucalyptus, ginger, cinnamon, musk, myrrh, patchouli, or lotus oil.
  • Use a sesame oil base.
  • Apply oil between the eyebrows, in the third eye region of the face. Oil can also be applied to the affected areas associated with pain. 

Mantra Therapy For Sciatica

Ayurvedic tradition suggests that repeating certain words or sounds can help a person suffering from an ailment to restore subtle balance to nerve tissue and enhance one’s mental clarity.  Different sounds are prescribed to either repeat mentally or chant outwardly.  These sounds are also used and repeated in the mind for the purpose of spiritual growth.

To help control and resolve sciatica, repeat the syllable “Ram” (pronounced rahm) for several minutes a few times a day and build more practice over time.

As a Vata-related disorder, it is helpful to internally repeat this syllable for the duration of time it is practiced without chanting it out loud.

Breathing Practices For Sciatica

 

Controlling the breath is a central practice toward developing peace and stillness in the mind and body. When the breath is under our control, we are no longer at the mercy of the senses that are stimulated by everything and lead to greater fluctuations of the mind. When applied to the context of resolving specific ailments, the breath is used as a tool for developing lung capacity, heating and cooling the body and resolving mental afflictions like anxiety and stress.

 
 
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