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Bob and Brad
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PT
What are Pain Makers? How to Get Rid of Them?
Bob and Brad demonstrate a few ways to decrease your pain makers you experience every day and explain why you want to get rid of them.
Sciatica Pain Makers: What They Are and How to Eliminate Them for Lasting Relief
If you're dealing with sciatica, low back pain, leg pain, numbness, tingling, or burning sensations traveling down your leg, one of the most important steps toward recovery is identifying and eliminating your pain makers.
At Bob & Brad, we've found that many people unknowingly perform activities every day that continue to irritate the sciatic nerve and slow the healing process. The good news? Once you recognize these triggers, you can begin reducing irritation, calming sensitive nerves, and taking control of your recovery.
What Are Pain Makers?
A pain maker is any movement, activity, posture, or position that increases your symptoms. For people with sciatica, pain makers can lead to:
Lower back pain
Buttock pain
Leg pain
Foot pain
Numbness
Tingling
Burning sensations
Cold sensations running down the leg
Sometimes symptoms appear immediately, while other times they build gradually throughout the day. Even routine activities such as sitting, bending, twisting, or getting out of bed can become pain makers when the sciatic nerve is irritated.
Why Eliminating Pain Makers Matters
Repeated exposure to painful movements can make the nervous system increasingly sensitive over time. The more frequently you aggravate the nerve, the more reactive it can become.
Reducing pain-producing activities may help:
Decrease nerve sensitivity
Reduce inflammation and irritation
Allow healing to occur
Minimize painful flare-ups
Improve daily function
Increase confidence with movement
Simply put, fewer pain makers often mean less pain and better movement.
A Simple Example: Getting Out of Bed
Getting out of bed is a common pain maker for people with sciatica.
To reduce irritation:
Tighten your abdominal and core muscles first.
Roll like a log rather than twisting.
Keep your core engaged as you push yourself up with your arms.
Avoid sudden rotational movements.
Small changes like these can decrease unnecessary spinal movement and help prevent those painful morning flare-ups.
Small Adjustments Can Have a Big Impact
Brad often shares his own experience managing back pain from spondylolisthesis. One of his biggest pain makers was getting out of the car after long drives.
The solution wasn't complicated—it was improving support while sitting. By adding a memory foam lumbar cushion, he significantly reduced discomfort and improved his ability to function throughout the day.
This highlights an important lesson: sometimes identifying and modifying just one major pain maker can make a meaningful difference.
Activities to Avoid During Early Sciatica Recovery
When the sciatic nerve is highly irritated, Bob and Brad often recommend temporarily reducing activities that tend to aggravate symptoms.
Consider Avoiding These Activities for Now
Riding lawn mowers
Shoveling snow
Canoeing or kayaking
Horseback riding
Heavy lifting or weight training
Cycling, especially in aggressive forward-leaning positions
Downhill skiing
Snowboarding
Snowmobiling
Hiking steep hills or uneven terrain
Prolonged sitting in cars, airplanes, motorcycles, or at a computer
Certain yoga positions that increase symptoms
Tennis or pickleball
Running if it worsens the pain
These are not necessarily lifelong restrictions. The goal is simply to reduce nerve irritation during the healing process. As symptoms improve and movement patterns become better controlled, many people are able to return to the activities they enjoy.
Create Your Own Pain Maker List
Pain makers are highly individual. What aggravates one person may not bother someone else at all.
Pay attention to activities that:
Increase in back or leg pain
Cause symptoms to travel farther down the leg
Increase numbness or tingling
Lead to lingering flare-ups afterward
Keeping a simple list of your personal pain makers can help you identify patterns, make smarter decisions, and support your recovery.
The Bottom Line
One of the fastest ways to improve sciatica symptoms is to stop repeatedly irritating the nerve.
By identifying and eliminating your pain makers, you can reduce nerve sensitivity, encourage healing, and regain confidence in your daily activities.
Remember, pain doesn't have to control your life. The fewer pain makers you experience each day, the more comfortably and confidently you can move toward recovery.
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