The sciatic nerve runs from the spinal chord, through the gluteus maximus (buttock) and down the back of each leg. The piriformis is a muscle that forms part of the buttock. It connects the femur to the pelvis The sciatic nerve runs underneath the piriformis. When the piriformis becomes tight, swells or goes into spasms, it puts pressure on the sciatic nerve. The pain radiates down the back of the thigh, and can go as far as your foot. Causes include prolonged sitting and trauma. Climbing stairs, running, walking and sitting can make it worse. Specialized surgery usually cures it. But we also know we can interrupt the pain impulse away from the injury site, at the spinal cord. If our pain killer could also decrease the release of (or deplete the C fiber of) Substance P, the pain impulse would be blocked at the spinal cord level. Aspirin and NSAIDS have no known effect at this site. Narcotics and tricyclic antidepressants, such as amitriptylene or Elavil, on the other hand, actually can block the release of Substance P and stop transmission at the spinal cord level, but once again have no value in decreasing the levels of the bio-chemicals of pain. The spine is comprised of 24 moveable bones with a shock-absorbing disc in between each bone. This spinal column rests on three large bones called the pelvic girdle. When this spinal column is in proper alignment it will carry a majority of the weight and stress being placed on the body. When one or more of these 24 bones misaligns, especially the pelvis, the muscles work overtime so to speak. They now have to carry the weight that the spinal column is supposed to handle. At this point the muscles are unbalanced and are very prone to an injury. Lower back pain is the most common expression of this problem. In few cases, spinal decompression treatments have yielded better results as disclosed by clinical studies. More and more doctors endorse this kind of treatment. Why? It treats the underlying cause of pain by allowing the damaged spinal disc to repair itself How? The spinal disc decompression allows the herniated disc to repair itself by gently moving it back into normal position and by increasing the flow of blood carrying nutrients, oxygen and water to the nucleus of the spinal discs. Partial removal of disk. If disk material is pressing or squeezing a nerve, your doctor may be able to remove just the portion of the disk that's causing the problem. In a bid to lend some clarity, Johns Hopkins anesthesiologist Steven P. Cohen, M.D. , and his colleagues reviewed dozens of published studies on the subject. As expected, they found that epidural steroid shots were more than twice as likely to bring relief as injections of steroids, saline or a local anesthetic like Lidocaine into muscle near the spinal canal. What was less expected, they report in the October issue of the journal Anesthesiology , was that epidural injections of any kind were also twice as good as intramuscular injections of steroids. Pain in your back or neck and shoulder is about as common as sun in San Diego—odds are around 90%, to be exact. It can come from damage to soft tissues such as muscles, ligaments, or tendons; bones in the back and neck; and the disks that support and protect the vertebrae in the spine. The first step in treating your pain correctly and effectively is to figure out what's causing the aching, throbbing, or stabbing sensations. Same as ankles exercise bend down to your knees and then stand straight. You have to do this exercise ten times. However, medicine can be a two edged sword. Try to stay away from the addictive, side effect riddled medication normally prescribed. there ARE natural enzyme anti-inflammatories that do not come with a bunch of problems attached. Regardless of the back pain cause in your particular case, keeping your back healthy is essential , and will ensure that there is less chance of you permanently damaging it. There are many factors that can contribute towards a back pain and in most cases it's quite often difficult to find or identify the single cause. These possible factors are varied, although many of them are related to each other to a certain extent Processes. Each vertebra in the spine has a number of bony projections called processes. The spinous and transverse processes attach to the muscles in the back and act like little levers, allowing the spine to twist or bend. The particular processes form the joints between the vertebrae themselves, meeting together and interlocking at the zygapophysial joints (more commonly known as facet, or z-joints). Spinal Canal. Each vertebra and its processes surround and protect an arch-shaped central opening. These arches, aligned to run down the spine, form the spinal canal, which encloses the spinal cord.