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By Elaine Ewing
Have you ever had a Pilates client who seemed to be advancing nicely, then
sciatica strikes? This condition—which is an irritation or pinching of the sciatic nerve—often includes pain radiating from the lower back down the back of the leg, tingling in the toes or feet and numbness along the track of the nerve. Sciatica is a symptom of another problem in the body, such as a herniated disk, lumbar spinal stenosis, disc degeneration, pelvic instabilities or Piriformis Syndrome. It is important to remember that, while Pilates work can increase sciatica symptoms, it is not a cause of the condition.
Luckily, the practice can be modified to make irritation of the sciatic nerve less likely. In working with clients, and in my own battle with the condition, I’ve found that certain positions, practices and cues can actually cause an increase in irritation, but a few subtle changes can help deter flare-ups. Below I’ve listed some easy-to-avoid situations that can contribute to discomfort in sciatica sufferers. Usually, when one of these root causes is found and eliminated early, the sciatica will decrease or disappear.