Sciatica – Podcast Interview with Dr. Chris Serafini

Topic:  Sciatica

Below you will find an easy to read transcript of Dr. Chris Serafini’s interview on the razorcast™ monthly podcast.  You can click the video to listen to the podcast or simply read the easy to follow transcript below.  Enjoy!

Podcast Interview:                                                          

RC: Hello everyone, this is Liz Harvey coming to you from our razorcast™ studios in New York City where we are dedicated to bringing you top quality advice from many of the leading expert professionals across the United States.

In today’s episode we are speaking with Dr. Chris Serafini. Dr. Serafini is the founder of Valley Spinal Care Kierland in Scottsdale, Arizona. A Pennsylvania native, Dr. Chris Serafini is a graduate of Life University in Georgia, though you may best know him from his Channel 3 health news series, “12 Days to Fitness.” Dr. Serafini has also served as the Official Chiropractor of the Gateway Pro Golf Tour.

Dr. Serafini is widely considered to be one of the top chiropractors in the country and he is also a contributing member of our national network of industry professionals.

Today we are going to talk about a very important topic: Sciatica

RC: Hi Dr. Serafini, how are you today?

Dr. Chris Serafini: I’m great Liz, thanks for having me.

RC: Well thanks for joining us.

Question 1: Is it true that the sciatic nerve is the largest nerve in the body? Where is it located?

RC: So is it true that the sciatic nerve is the largest nerve in the body and where is it located?

Dr. Chris Serafini: It is definitely the longest and the widest nerve in the body. It originates in the low back, comes out of the vertebra (the lowest vertebra in the lower back) and it goes down into the butt and then down into the thigh. It travels really all the way down the leg on to the calf and the foot.

Question 2: Sciatica is the term used to describe the pain from the sciatic nerve. Can you describe some of the symptoms of sciatica that people experience?

RC: Sciatica is the term used to describe the pain from the sciatic nerve. Can you describe some of the symptoms of sciatica that people experience?

Dr. Chris Serafini: Yeah basically it’s radiating leg pain. And once again, you can have low back pain with it or you might not have low back pain with it. Usually in that buttock area – that back of the thigh area- and can go all the way down into the calves. Could be more of a burning sensation. Typically that’s what it is but it can get pretty excruciating at times. It’s usually worse with sitting for long periods of time, bending makes it worse, coughing, sneezing… those are some of your typical symptoms that you’ll get with it.

Question 3: What are the most common causes of sciatica?

RC: And what do you think are the most common causes of sciatica?

Dr. Chris Serafini: Really the primary issue is a pinched nerve in the low back and that could be in the lower lumbars, it could be like in the pelvis area and it’s typically due to a bulging disc or herniated disc. It could also be from a bone spur as well.

Question 4: Why does sciatic pain come and go?

RC: And why does sciatic pain come and go?

Dr. Chris Serafini: It really depends on the condition, the severity of the condition and really what’s causing the pinching of that nerve. Because sometimes certain positions can make it a little bit better. Once again if you know it’s aggravated by sitting, you should try to avoid sitting. So that could be the rationale of why it kind of comes and goes. A lot of times, patients will do whatever they need to do to get some sort of relief so at times it will be more painful than others but that’s really pretty much the reason. They’re just trying to implement something in their day-to-day routine that can change the pressure on that nerve and give them some relief.

Question 5: Is exercise better for relieving sciatic pain than rest?

RC: And is exercise better for relieving sciatic pain than rest?

Dr. Chris Serafini: Typically not at first. When the patient has sciatica, they’re in a lot of pain and a lot of positions will aggravate it. So to tell them to go out and do x or y or z exercise might not be the best case scenario but not necessarily rest either. You need to try to get the pressure off of the nerve at least to an extent where they can bring that pain level down and then they can start to implement some exercises. But we really try to figure out where the nerve is being pinched. Once we can relieve some of the pressure, we have them do ice, maybe a little bit of stretching. But to say exercise at first, no I wouldn’t recommend that.

RC: Okay so thank you so much Dr. Serafini. We know you’re extremely busy so I just want to thank you for your time and help today.

Dr. Chris Serafini: Absolutely, thank you for having me.

RC: And for our listeners across the country, if you are interested in speaking with Dr. Chris Serafini, you can either go online at or call (480) 443-7678 to schedule an appointment.

On behalf of our entire team at razorcast™, we want to thank you for listening and we look forward to bringing you more top quality content from our country’s leading industry professionals.

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