If you suffer from sciatica pain that radiates from your lower back down your leg, stretching your hamstrings could make your symptoms worse. In this comprehensive guide, we provide alternative techniques to effectively relieve sciatica and reduce nerve irritation.
What is Sciatica and What Causes It?
The sciatic nerve runs from your lower back through your hips and buttocks and down the back of each leg. Sciatica refers to pain caused by irritation or compression of this large nerve.
Common causes of sciatic nerve impingement include:
- Herniated or bulging spinal discs putting pressure on the nerve
- Tight piriformis muscle in the buttocks pinching the nerve
- Spinal stenosis narrowing the spaces nerves pass through
- Degenerative disc disease
- Pregnancy
Symptoms vary but frequently include sharp, shooting nerve pain in the butt, hip, back of the leg, and possibly into the foot and toes. Numbness, tingling sensations, and muscle weakness may also occur.
Why Stretching Hamstrings Worsens Sciatica
The hamstrings run down the back of your thighs, from your sitting bones to below your knees. Stretching your hamstrings when you have sciatic nerve pain often aggravates symptoms because:
- It puts more tension on the already irritated nerve
- It can compress a herniated spinal disc, increasing nerve impingement
- The flexed stretch position reduces support and stability for the nerve
So avoiding hamstring stretches helps calm the aggravated nerve by relieving pressure and tension.
Technique #1: Sciatic Nerve Glides
Nerve gliding exercises provide gentle mobilization of the sciatic nerve. This alleviates symptoms by improving nerve mobility and decreasing adhesion/restriction.
Here is a simple nerve glide sequence to perform:
- Lie on your back, lift one leg straight up and lift your head/shoulders off the ground. Hold for 5 seconds.
- Lower your leg and upper body simultaneously and slowly.
- Repeat 5-10 times, then switch legs.
The simultaneous leg lift and head/shoulder lift creates nerve traction and tension. Releasing this traction allows the nerve to slide and move freely, effectively “massaging” the nerve without over-stretching it. Best results often come from doing these glides multiple times per day.
If leg lifts re-create pain, perform the sequence with your leg bent instead while still lifting your head/shoulders. Adjust angles as needed to find a pain-free range of motion. The goal is gentle nerve mobility without increasing symptoms.
Technique #2: Prone Press-Ups
Lying face down with your stomach/hips pressed into the ground can take pressure off compressed spinal discs that may be irritating the sciatic nerve. This prone position helps discs move back into better alignment.
Follow these instructions:
- Lie face down on the ground or a firm surface. Allow your hips/stomach to relax into the surface rather than arching your back.
- Place your hands palms down near your shoulders.
- Stand with feet shoulder-width. Engage your core muscles by pulling lower abs inward.
Push hips back as you fold forward at the hips, not bending your spine. Maintain a neutral back.
On each exhale, press your hands gently into the ground to raise your head/chest slightly while keeping your pelvis on the floor. Avoid pushing with your legs or
- over arching your lower back.
- Hold 1-2 seconds then lower back down as you inhale.
- Repeat for 2-5 minutes, performing 5-10 small press-ups.
Many find their symptoms centralized to their lower back decrease after a few minutes in this position. The gentle press-ups help reposition bulging discs to reduce nerve compression.
Technique #3: Hip-Hinge Movement Pattern
How you bend, lift, and move things greatly impacts sciatic nerve irritation. Bending at your waist or slouching your back reduces spinal stability and transfers pressure onto sensitive nerves and discs.
Instead, practice a hip hinge:
- Stand with feet shoulder-width. Engage your core muscles by pulling lower abs inward.
- Push hips back as you fold forward at the hips, not bending your spine. Maintain a neutral back.
- Once folded forward, bend knees as needed to descend further while keeping a flat back.
- Lift objects by driving through your hips and heels, avoiding rounding your lower back at the end range.
- Reverse the pattern to stand back up, hinging at the hips first before the knees straighten.
This hip dominant strategy maintains a stable, neutral spine protecting irritated nerves. It strengthens the hips and core for better support long-term as well.
Hands pressed into your thighs while hinging can help teach core engagement and take pressure off the low back too.
Conclusion
Sciatica often results from compressed, irritated nerves in the low back and hips. Stretching tense hamstrings risks over-tensioning already aggravated nerves.
Gentle nerve gliding exercises, the prone press-up, and proper hip hinge mechanics provide alternative, non-harmful ways to calm sciatic nerve inflammation for pain relief.
Consistently moving and positioning your body to avoid pinching the sciatic nerves is key for recovery and prevention of future flare-ups.