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Head Injuries Can Lead to Sciatica and Back Issues

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How Head Injuries Can Lead to Sciatica: The Surprising Link and Chiropractic Relief

Head Injuries Can Lead to Sciatica and Back Issues
A chiropractor explains to the patient that back pain may be a result of a possible head injury.

Head injuries happen more often than you might think. They can come from car accidents, sports, or even a simple fall. A traumatic brain injury, or TBI, is one type of head injury where the brain gets shaken or hit hard inside the skull. This can cause problems such as headaches, dizziness, or difficulty concentrating. But did you know head injuries can also lead to pain in your lower back and legs? That’s where sciatica comes in. Sciatica is pain that shoots down the sciatic nerve, which runs from your lower back through your hips and into each leg. It feels like a sharp sting or numbness.

Many people don’t connect head injuries to sciatica, but research shows they can be linked. When the brain is injured, it can disrupt how it controls muscles in the spine. This might cause the spine to shift out of place, irritating the sciatic nerve. Head injuries can also make spinal injuries more likely or cause extra bone growth that squeezes the nerve. On top of that, misalignments in the upper neck from a head injury can start a chain of problems down the spine, leading to sciatica pain.

The good news? Integrative chiropractic care can help. This type of care utilizes gentle adjustments to realign the spine, reduce inflammation, and enhance the nervous system’s function. It can ease sciatica symptoms and aid recovery from the head injury. It even helps restore the flow of cerebrospinal fluid, or CSF, which protects the brain and spinal cord but can become blocked after injuries.

In this article, we’ll break down how head injuries can cause sciatica and how chiropractic care offers relief. We’ll use simple terms and back it up with science. Let’s dive in.

What Is Sciatica, and How Does It Start?

Sciatica isn’t a disease in itself. It’s a symptom of something pressing on the sciatic nerve. This nerve is the longest in your body. It starts in the lower spine and branches down each leg. When it’s irritated, you might feel pain, tingling, or weakness in your lower back, butt, or legs. Common causes include a slipped disk, tight muscles, or spine narrowing.

But head injuries add a twist. A TBI can change how the brain sends signals to muscles. Normally, the brain maintains spinal muscles in balance to ensure good posture and movement. After a head injury, this control weakens. Muscles might tighten unevenly, pulling the spine out of line. This misalignment can pinch the sciatic nerve roots in the lower back.

For example, studies show that after a TBI, people can develop nerve problems in the legs that mimic sciatica. In one case, a young man had bilateral sciatic nerve entrapment months after his brain injury. This occurred due to unusual bone growth around the hips, which originated from the brain’s disrupted signals.

Dr. Alexander Jimenez, a chiropractor and nurse practitioner, has seen this in his clinic. He notes that TBIs can lead to muscle fatigue and poor coordination, which disrupts posture and puts pressure on nerves, such as the sciatic nerve. Over time, this builds up to sciatica pain.

How Brain Control Over Spinal Muscles Gets Disrupted

The brain acts as the body’s central command center for its muscles. It uses nerves to tell them when to tighten or relax. In the spine, this maintains everything in a straight and stable position. A head injury can damage brain areas that handle this job.

After a concussion or TBI, the brain might not send clear signals. Spinal muscles could spasm or weaken on one side. This causes the spine to tilt or curve oddly. That misalignment irritates the sciatic nerve.

Research backs this up. Concussions can impair balance and control of posture. The brain’s coordination slips, causing the back muscles to work harder. This overwork leads to chronic pain, including sciatica.

Inflammation plays a role, too. A head injury can trigger swelling in the brain, which may spread signals down the spine. This causes muscles to tense and inflame nerves. Over time, it sets the stage for sciatica.

Dr. Jimenez notes that changes in posture after a TBI are common. People may lean or slouch without noticing, which can stress the lower back and sciatic nerve.

Head Injury/TBI Symptom Questionnaire:

Head Injury/TBI Symptom Questionnaire

The Risk of Spinal Injuries Alongside Head Trauma

Head injuries often come with spine problems. In accidents, the force that hits the head can also jolt the neck and back. This raises the chance of a spinal injury that directly affects the sciatic nerve.

Studies show that about 8% of people with moderate to severe TBI also have spinal cord damage, mostly in the neck. Severe brain bleeds make spine injuries more likely. If the spine is injured, the disks may slip or the bones shift, pinching the sciatic nerve.

Even without a direct spine hit, the brain injury increases risks. Weakened muscle control increases the likelihood of falls or twists, which can lead to back issues.

One study found that TBI patients with brain swelling or bleeds should get checked for neck and spine problems. Early scans can catch these and prevent sciatica from worsening.

Inflammation and Extra Bone Growth: A Hidden Danger

TBI causes inflammation not just in the brain but throughout the body. This can lead to heterotopic ossification, also known as HO. That’s when new bone grows in soft tissues where it shouldn’t.

HO often happens around joints after brain injuries. If it forms near the hips or spine, it can trap the sciatic nerve. Over months, this compression causes sciatica pain that gets worse.

Tissue damage from the injury fuels this. Scarring and swelling increase the likelihood of bone growth, especially without treatment. Surgery or more trauma can speed it up.

Research on animals shows inflammation after TBI ups certain chemicals that cause pain and nerve sensitivity. This can intensify sciatica symptoms.

Dr. Jimenez points out that toxicity from TBI inflammation affects the whole body, including nerves. Clearing this through care is key.

Upper Neck Misalignments: The Chain Reaction to Sciatica

The neck is the top of the spine. A head injury can displace the upper cervical vertebrae, such as the atlas and axis. This starts a domino effect down the spine.

Misaligned neck bones alter how weight is distributed on the lower back. Muscles pull unevenly, leading to lower spine twists that press the sciatic nerve.

Concussions often involve whiplash, straining the neck. This inflammation spreads, disrupting signals and causing back pain.

Studies link concussions to lower back issues through this chain. Fixing the neck can stop the reaction.

Dr. Jimenez’s work shows TBIs affect posture, leading to sciatica-like pain.

How Integrative Chiropractic Care Helps

Chiropractic care focuses on the spine and nervous system. Integrative means combining it with other therapies for better results.

Adjustments gently realign the spine, taking pressure off nerves. This reduces sciatica pain by addressing misalignments caused by head injuries.

It improves nervous system function. After TBI, signals get mixed up. Adjustments clear blocks, allowing the brain to control muscles more effectively.

Inflammation can be alleviated with care, through massage and stretches. This eases swelling around the sciatic nerve.

For TBI recovery, it restores CSF flow. Misalignments block this fluid, causing pressure. Adjustments open paths, aiding healing.

Studies show chiropractic helps post-concussion symptoms. It balances the system, improves blood flow, and supports neuroplasticity—the brain’s ability to rewire itself.

Dr. Jimenez uses rehab exercises to build strength after TBI. This prevents sciatica recurrence.

Other ways include:

  • Soft tissue therapy for muscle tension.
  • Nutrition to fight inflammation.
  • Balance training for posture.

It’s safe and drug-free, focusing on causes.

Real-Life Benefits and Tips

Many recover better with chiropractic. For athletes, it’s beneficial for post-concussion recovery. It helps daily life by reducing pain and boosting focus.

Tips: See a doctor after a head injury. Get checked for spine issues. Start chiropractic care early.

Dr. Jimenez advises on nutrition for brain health after TBI.

Wrapping Up

Head injuries can sneakily cause sciatica through muscle issues, spine risks, bone growth, and neck chains. Chiropractic care addresses this issue by realigning the spine, reducing inflammation and swelling, and restoring normal flow. It’s a natural path to relief.

If you experience symptoms of a head injury or sciatica, consult a professional like Dr. Jimenez.


References

Giannakopoulos, X., Sidiropoulou, K., Kallivokas, A., & Voumvourakis, K. (2008). Bilateral sciatic nerve entrapment due to heterotopic ossification in a traumatic brain-injured patient. American Journal of Physical Medicine & Rehabilitation

Broadview Health Centre. (n.d.). Back pain connected to concussions.

O’Donnell, M. L., Varker, T., Holmes, A. C., Ellen, S., Wade, D., Creamer, M., … & Forbes, D. (2013). Disability after injury: The cumulative burden of physical and mental health. The Journal of Clinical Psychiatry

Issack, P. S., & Helfet, D. L. (2009). Sciatic nerve injury associated with acetabular fractures. HSS Journal

Govorunova, E. G., Mousavi, S. A., & Ferrell, J. E. (2019). Subacute pain after traumatic brain injury is associated with lower insular N-acetylaspartate concentrations. Journal of Neurotrauma

OK Precision Chiro. (n.d.). Concussions and lower back pain.

Sahgal, P., Greco, L., et al. (2019). Mild traumatic brain injury causes nociceptive sensitization through spinal chemokine upregulation. Scientific Reports

Physio Pretoria. (n.d.). Concussion.

Calibration Mansfield. (n.d.). How can integrative chiropractic care help with traumatic brain injuries.

Zaker Chiropractic. (n.d.). Chiropractic care head injury rehabilitation.

Istanboulian, L., Rose, L., Yunusova, Y., & Das, J. (2011). Spinal cord injury and its association with blunt head trauma. International Journal of General Medicine

Team Allied PW. (n.d.). Chiropractic care post-concussion syndrome.

Dr Kal. (n.d.). Chiropractic care for sciatica after an accident.

Northwestern Health Sciences University. (n.d.). Reis writes for chiropractic economics: Chiropractic and traumatic brain injuries.

Pinnacle Health Chiro. (n.d.). Six ways chiropractic care supports healing after TBI.

Addison Sports Clinic. (n.d.). Concussion care.

Arrowhead Clinic. (n.d.). Chiropractic treatment for sciatica relief: What you need to know.

El Paso Chiropractic. (n.d.). Chiropractic care in El Paso: Unlocking the secrets to recovery.

Apex Chiro Co. (n.d.). How chiropractic care can treat a traumatic brain injury.

Jimenez, A. (n.d.). Dr Alex Jimenez.

Jimenez, A. (n.d.). LinkedIn profile.

The Evidence Based Chiropractor. (n.d.). Does chiropractic impact your brain?

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Welcome to El Paso's Premier Wellness and Injury Care Clinic & Wellness Blog, where Dr. Alex Jimenez, DC, FNP-C, a board-certified Family Practice Nurse Practitioner (FNP-BC) and Chiropractor (DC), presents insights on how our team is dedicated to holistic healing and personalized care. Our practice aligns with evidence-based treatment protocols inspired by integrative medicine principles, similar to those found on this site and our family practice-based chiromed.com site, focusing on restoring health naturally for patients of all ages.

Our areas of chiropractic practice include  Wellness & Nutrition, Chronic Pain, Personal Injury, Auto Accident Care, Work Injuries, Back Injury, Low Back Pain, Neck Pain, Migraine Headaches, Sports Injuries, Severe Sciatica, Scoliosis, Complex Herniated Discs, Fibromyalgia, Chronic Pain, Complex Injuries, Stress Management, Functional Medicine Treatments, and in-scope care protocols.

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Dr. Alex Jimenez DC, MSACP, APRN, FNP-BC*, CCST, IFMCP, CFMP, ATN

email: coach@elpasofunctionalmedicine.com

Licensed as a Doctor of Chiropractic (DC) in Texas & New Mexico*
Texas DC License # TX5807
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Licensed as a Registered Nurse (RN*) in Texas & Multistate 
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Graduate with Honors: ICHS: MSN-FNP (Family Nurse Practitioner Program)
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Dr. Alex Jimenez, DC, APRN, FNP-BC*, CFMP, IFMCP, ATN, CCST
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