Arrow PT and Rehab_Don't Let Sciatica Stop You

NEWSLETTER Don’t Let Sciatica Pain Stop You

Why Does Sciatica Occur? Patient Success Story Exercise Essentials INSIDE:

Practice Spotlight on Liz Sanatar, PT

APRIL 2018


The sciatic nerve is the longest and largest nerve in your body. It even reaches down to the foot and therefore, can be irritated anywhere along its path. With sciatica, the consequent ache can be felt anywhere from the base of the spine, the buttocks or the back of the thigh and legs. Even tingling sensations in the toes can be attributed at times to the impingement of the sciatic nerve. SCIATICAISOFTENCHARACTERIZEDBYONE ORMOREOFTHE FOLLOWING SYMPTOMS: • Constant pain in only one side of the buttock or leg (rarely in both legs) • Pain that is worse when sitting • Leg pain that is often described as burning, tingling, or searing (versus a dull ache) • Weakness, numbness, or difficulty moving the leg, foot, and/or toes • A sharp pain that may make it difficult to stand up or walk • Pain that radiates down the leg and possibly into the foot and toes (it rarely occurs only in the foot) Sciatic pain can vary from infrequent and irritating to constant and incapacitating. Symptoms are usually based on the location of the pinched nerve. While symptoms can be painful and potentially debilitating, it is rare that permanent sciatic nerve damage (tissue damage) will result, and spinal cord involvement is possible but rare. “I Am Not Going To Allow Sciatica Pain To Control My Life!”

Do you experience pain in the buttock, leg, or even your foot? If so, you may be experiencing sciatica. Sciatica is a common form of back and leg pain that is often misunderstood by sufferers. People frequently have questions about what sciatica is, why it occurs and how to find relief from the intense pain it can cause from the low back down to the feet. IF YOU ARE SUFFERING FROM SCIATICA, IT IS IMPORTANT TO FIND ITS ROOT CAUSE. Many people often think an x-ray or expensive MRI is first needed to figure out what is causing pain. Having a lot of tests doesn’t mean you will find its root cause. Recent studies show that nearly 1 million of MRIs done for sciatica fail to find a treatable cause. With a new imaging technique called magnetic resonance neurography, 69% of the patients were found to have a trapped sciatic nerve deep in the buttock by a muscle called the piriformis. It is known that in about 25% of the general population, the sciatic nerve pierces through the piriformis muscle and can be

susceptible to abnormal pressure and irritation. WHY DOES SCIATICA OCCUR?

If there are changes in posture, muscle strength or pelvic alignment, the nerve can be compressed which leads to the quite common low back and sciatic nerve pains.

Edison: (732) 494-0895

Woodbridge: (732) 388-4184

Union: (908) 258-8782

PRACTICE SPOTLIGHT Meet Dr. Elizabeth “Liz” Sanatar, Physical Therapist

Helping to Heal Others Dr. Elizabeth “Liz” Sanatar, PT is Vice President of Operations for Arrow Physical Therapy and Rehabilitation LLC. She currently treats patients in our Union clinic. She received a BS in Biomedical Engineering from Columbia University. Liz grew up in North Bergen, New Jersey. Events during her teenage years led her to seek out a career in physical therapy. Her mother had been sick and was encouraged to attend physical therapy. Liz went with her and was amazed by how caring and patient the therapists were. Liz decided to go back to school and get her doctorate in physical therapy so she could help people like her mom. Liz has had several meaningful experiences with her patients. An elderly man who had been running his entire life suffered an injury that left him depressed and unable to run. After working with him, the man was eventually symptom free and running again. After completing a race where he placed 1st in his age group, he came back to thank Liz for all her assistance. When she’s not helping people as a physical therapist Liz enjoys many activities including traveling, camping, and cross country running. She’s even planning a trip to Iceland this year!


REFER A FRIEND Do You Have Friends or Family Unable to Do The Following? 9 Move without pain 9 Bend and move freely


Tennis elbow Carpal tunnel Plantar Fasciitis Knee pain Neck and back pain Shoulder pain Hip replacement

9 Balance confidently and securely 9 Sit for long periods comfortably 9 Walk for long distances 9 Live an active and healthy lifestyle Call your local office today:

Edison: (732) 494-0895

Woodbridge: (732) 388-4184

Union: (908) 258-8782

PATIENT SUCCESS STORY SPOTLIGHT “I am now equipped with the knowledge needed to continue improving my

physical strength in order to have longevity in my career.” “Prior to arriving at Arrow, I found it difficult to perform certain tasks or movements, especially after a long day’s work. Thanks to Dr. Liz and the outstanding staff, I now have the tools needed for stretching both upper and lower back and legs, proper exercises for building core strength. I am now equipped with the knowledge to continue improving my physical strength to have longevity in my career.” - Nadine Thermitus

Dr. Elizabeth “Liz” Sanatar, PT & Nadine Thermitus



The object is to place the numbers 1 to 9 in the empty squares so that each row, each column and each 3x3 box contains the same number only once.

INGREDIENTS • 2 cups of old-fashioned rolled oats • ½ cup of ground flax seed • 1 tablespoon of black chia seeds • 1 teaspoon of cinnamon • ½ cup of raw honey • ½ cup of peanut butter • 1 teaspoon of vanilla extract • 1 scoop vanilla whey protein powder • ½ cup of dark chocolate chips INSTRUCTIONS


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1. Add rolled oats, ground flax seed, chia seeds, cinnamon, honey, peanut butter, vanilla extract, and vanilla protein powder to food processor. 2. Pulse until ingredients are blended (about 7-9 times). 3. Add mixture to a large bowl, add in chocolate chips. Stir to combine. 4. Form energy bite mixture into 1” balls and place on parchment paper lined baking sheet. 5. Cover and place in refrigerator for 2 hours. 6. Serve! Author: Krista@

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Loosens Low Back

Strengthens Core

FIGURE 4 STRETCH Lie partially on your stomach, bend one hip up with the knee bent. Hold for 10 seconds repeat 3 times.

HAMSTRING STRETCH While lying on your back, raise up your leg and hold the back of your knee until a stretch is felt.


• Sitting on a chair, look down. • Straighten one leg, with toes in the air. • Repeat for the other side. Instructions:

What it means: If your leg has pain, numbness or tingling, or does not go up as high as the other leg, you may have Sciatica. Your next step is to see what may be causing the pressure on your sciatic nerve.

Call us to schedule an get to the root cause of your pain!

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FREE SCIATICA PAIN SCREENING Do you have back pain or leg painwith standing or walking? Do you have a shooting pain in your legwhen you stand up? Do you need to sit down for aminute for the pain to go away? If You Answered Yes To Any of The Above Questions, Call Us Today To Schedule Your Appointment . 1 3 7 5 4 2 2 4

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3830 Park Ave #202 Edison, NJ 08820 Phone: (732) 494-0895 7 2

453 Amboy Avenue Woodbridge, NJ 07095 Phone: (732) 388-4184

1000 Galloping Hill Rd #102 Union, NJ 07083 Phone: (908) 258-8782

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86% OF PATIENTS WHO SOUGHT PHYSICAL THERAPY FIRST REQUIRED FEWER VISITS Research shows patients who sought the help of a Physical Therapist first had 86% fewer visits on average than patients who were referred by a doctor, decreasing costs tremendously. prevent or relieve sciatica simply by improving your posture. Physical Therapy Relieves Sciatica The specialists at Arrow Physical Therapy & Rehabilitation play a crucial role in evaluating and treating sciatica and other common back problems. We can relieve the pressure on the sciatic nerve with specific exercises and corrected posture. Our physical therapists have years of training to evaluate your back problem, finding the root cause of your sciatica. An individualized treatment plan is created to guide you through the recovery process and maximize your success. Some seemingly harmless habits can contribute to the irritation of the sciatic nerve. A frequent bad habit is crossing of the legs for extended periods, which puts pressure on the nerve. Carrying a bag or back pack that is too heavy can cause sciatica pain to get worse. Another bad habit that can aggravate sciatica pain is sitting on a large wallet. In addition, sitting for long periods is bad for your spine. It is possible for you to

At Arrow Physical Therapy & Rehabilitation, our friendly and knowledgeable therapists provide a customized plan of care for your specific symptoms. We train you on specific and easy exercises that will relieve the pain in your back and legs. In addition, our specialized hands-on therapy helps to gently loosen tight muscles and joints in your spine and legs. Your pain is relieved and your flexibility can be restored, so you can feel like yourself again. Our cutting-edge treatments are doctor recommended and are specifically designed for you to reach your healthcare goals. Contact us today to get a free consultation to evaluate how we may be able to help with your painful sciatica symptoms.

Journal of neurosurgery: Spine Feb, 2005 Volume 2, Number 2. Aaron G. Filler, M.D., Ph.D., Jodean Haynes, B.A., Sheldon E. Jordan, M.D., Joshua Prager, M.D., J. Pablo Villablanca, M.D., Keyvan Farahani, Ph.D., Duncan Q. Mcbride, M.D., Jay S. Tsuruda, M.D., Brannon Morisoli, B.A., Ulrich Batzdorf, M.D., and J. Patrick Johnson, M.D.

Our patients experience the Arrow Physical Therapy & Rehabilitation difference every time they walk into one of our New Jersey locations. From our hands-on approach to physical therapy to our constant support throughout your rehabilitation journey, our team at Arrow Physical Therapy & Rehabilitation goes above and beyond to help our patients regain their quality of life.

Get back to living the life you deserve. Schedule your free consultation today.

Edison: (732) 494-0895

Woodbridge: (732) 388-4184

Union: (908) 258-8782

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