925.999.8757 rnassab@comcast.net

Dr. Nassab’s Clinical Discussions:

I. Findings
Sciatica is a set of symptoms including pain that may be caused by general
compression or irritation of one of five spinal nerve roots that give rise to each
sciatic nerve, or by compression or irritation of the left or right or both sciatic nerves
(Subluxation). Symptoms include lower back pain, buttock pain, and pain, numbness
or weakness in various parts of the leg and foot. Other symptoms include pins and
needles or tingling and difficulty in moving or controlling the leg. These symptoms
can affect any gender and age group. But for this discussion let’s discuss my 80 year
old male patient. He had pain radiating into his left leg and heal. This had been
happening for a number of years. My x-rays revealed a very degenerated 5th Lumbar
II. Treatment
This is an interesting patient because he is still very active as an apartment
manager and did most of the repairs for the complex. He fell on a pile of wood and
pain began from that point. My primary treatment was adjustments to his low back
and spine. Once he was able to walk without pain he began an intensive program on
a treadmill for 1 year to support his adjustments and has continued and has
Chiropractic care for as long as I have known him.

III. Prognosis and Outcome
The actual reduction of acute pain occurred relatively over a 4- 8 week period of
time. The sporadic leg pain occurred over a 3 month period and the occasional pain
over 6 months. I just want to note here the injury happened 10 years ago and he still
is my patient receiving maintenance adjustments. We took our post xrays after 1
to 1.5 years later and found that his 5th Lumbar disk was regenerating; meaning
getting thicker.

IV. Dr. Nassab’s Discussion
Why this impressed me is that he knew what he had to do and did not become
discouraged or use the age excuse. He has been and will be my patient for a number
of years, as well as his family. Specific adjustments to his lower back was the secret
with good analysis, follow up, and patient cooperation. Nutritionally we noticed lack
of certain B vitamins, water intake, and a walking regiment.

This is an informational discussion for you and to present share with your family and friends.
If you have any feedback, questions, or concerns, please email, text, or call.
Yours in health,
Richard G. Nassab, D.C.