{"id":7509,"date":"2026-10-02T09:37:37","date_gmt":"2026-10-02T09:37:37","guid":{"rendered":"https:\/\/integrativa.pt\/?p=7509"},"modified":"2026-10-02T09:37:37","modified_gmt":"2026-10-02T09:37:37","slug":"cervical-dystonia-not-all-the-pain-in-the-leg-and-sciatica","status":"publish","type":"post","link":"https:\/\/integrativa.pt\/en\/dor-ciatica-nem-toda-a-dor-na-perna-e-ciatica\/","title":{"rendered":"Sciatica pain: not all leg pain is sciatica"},"content":{"rendered":"<div class=\"wpb-content-wrapper\" id=\"wpb-content-root\"><div class=\"vc_row wpb_row vc_row-fluid\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\">\n\t<div class=\"wpb_text_column wpb_content_element\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>\u201cI have sciatica\u201d is a phrase that is heard frequently. The term is used in everyday life to describe almost any pain that travels from the lower back or hips to the leg. The problem is that \u201csciatic pain\u201d is not a diagnosis: it is a description of a symptom. And many of the pains that people call sciatica actually have another origin.<\/p>\n<p>Understanding the difference is essential because the treatment depends on the cause, and not just the location where the pain is felt.<\/p>\n<h4>What is the sciatic nerve?<\/h4>\n<p>The sciatic nerve is the largest nerve in the body. It is formed by the junction of nerve roots that exit from the lumbar spine and the sacrum (from L4 to S3), passes through the groin region, descends along the back of the thigh and splits, usually above the knee, into two branches that continue to the leg and foot.<\/p>\n<h4>What is sciatica pain?<\/h4>\n<p>Sciatic pain is pain that extends along the path of the sciatic nerve or one of the nerve roots that form it. In clinical terms, the most rigorous designation is lumbosacral radicular pain, because in the vast majority of cases the problem lies in the nerve root near the spine, and not in the nerve along the leg.<\/p>\n<p>Typically, sciatic pain:<\/p>\n<ul>\n<li>It affects only one leg<\/li>\n<li>It descends below the knee, often to the foot, following a well-defined path.<\/li>\n<li>It is felt in the leg with the same or greater intensity than in the back<\/li>\n<li>It is described as a pain in a \u201cshock,\u201d a burn, or an \u201celectric shock.\u201d<\/li>\n<li>It may be accompanied by tingling, numbness, loss of strength or decreased reflexes<\/li>\n<\/ul>\n<p>When these neurological signs are present, it is referred to as radiculopathy, meaning that the nerve root is not only irritated but also exhibits changes in its function.<\/p>\n<h4>What is the most common cause?<\/h4>\n<p>In about 90% of the cases, sciatic pain is associated with a lumbar disc herniation that affects a nerve root, mainly at the L4-L5 and L5-S1 levels (Koes et al., 2007). Other possible causes include narrowing of the channels through which the nerves pass (stenosis), degenerative changes in the spine, or, more rarely, the slipping of a vertebra (spondylolisthesis).<\/p>\n<p>It is important to know that pain is not solely the result of mechanical compression. The material of the herniated disc also causes an inflammatory reaction around the nerve root, which plays an important role in the symptoms (Ropper &amp; Zafonte, 2015). This helps to explain why the pain may improve even when the hernia remains visible on the scans.<\/p>\n<h4>Does a hernia always explain the pain during an examination?<\/h4>\n<p>No. Changes such as protrusions and herniated discs are very common in people without any pain, and their prevalence increases with age (Brinjikji et al., 2015). Therefore, an imaging examination only makes sense when it is interpreted in conjunction with the symptoms and clinical evaluation. Finding a herniation on magnetic resonance imaging does not, by itself, mean that it is the cause of the pain.<\/p>\n<h4>So, all the pain in the back of the leg is sciatica?<\/h4>\n<p>No. Several structures can cause pain in the groin and the back of the thigh without there being involvement of a nerve root. This is the so-called referred somatic pain, sometimes popularly referred to as \u201cpseudocathartic\u201d. Among the most frequent causes are:<\/p>\n<ul>\n<li><span style=\"text-decoration: underline;\">Lumbar spine joints<\/span> (facetal joints)<\/li>\n<li><span style=\"text-decoration: underline;\">Sacroiliac joint<\/span><\/li>\n<li><span style=\"text-decoration: underline;\">Muscles of the gluteal region<\/span>, Including the so-called deep gluteal syndrome, in which the sciatic nerve can be irritated during its passage through the groin<\/li>\n<li><span style=\"text-decoration: underline;\">Tendinopathy of the sciatic muscles<\/span>, near the ischium (the bone where we sit)<\/li>\n<li><span style=\"text-decoration: underline;\">Pain in the lateral region of the hip<\/span>, in the trochanter area<\/li>\n<li><span style=\"text-decoration: underline;\">Hip joint articulation<\/span>, which can refer to pain in the groin and thigh<\/li>\n<\/ul>\n<p>The referred somatic pain usually has characteristics different from sciatic pain: it is more diffuse, difficult to locate precisely, it usually occurs above the knee and is not accompanied by changes in sensitivity, strength or reflexes.<\/p>\n<p>There are also other less frequent situations that can also cause leg pain and require medical attention, such as peripheral arterial disease, in which pain occurs when walking and eases when stopping due to lack of circulation, and rarer causes such as tumors, infections, or certain gynecological conditions.<\/p>\n<h4>How is sciatica pain different from other types of pain?<\/h4>\n<p>Through a careful clinical evaluation, which includes:<\/p>\n<ul>\n<li>A detailed conversation about the onset, course, type of pain, and factors that worsen or relieve it<\/li>\n<li>Tests of spinal mobility, hip mobility and sacroiliac joint mobility<\/li>\n<li>Neurodynamic tests, which assess the sensitivity of the nervous system to movement, such as the extended leg lift test (Las\u00e8gue test) or the slump test<\/li>\n<li>Evaluation of sensitivity, muscle strength and reflexes<\/li>\n<li>Specific tests for the other structures that can cause leg pain<\/li>\n<\/ul>\n<p>In most cases, imaging tests are not necessary in the first few weeks. Magnetic resonance imaging is indicated primarily when there are warning signs or when symptoms do not improve with conservative treatment and another intervention is considered (NICE, 2020).<\/p>\n<h4>When should you seek urgent medical help?<\/h4>\n<p>Some situations require immediate medical evaluation:<\/p>\n<ul>\n<li>Numbness in the genital area, the buttocks or the inner thighs (\u201cheel area\u201d)<\/li>\n<li>Difficulty urinating, loss of control over urination or stool<\/li>\n<li>Cranial pain in both legs simultaneously<\/li>\n<li>Progressive loss of strength, such as difficulty lifting the tip of the foot<\/li>\n<li>Fever, unexplained weight loss or a history of cancer<\/li>\n<li>Pain after a fall or major trauma<\/li>\n<\/ul>\n<p>The first three signs may indicate a syndrome of the equine tail, a rare condition that requires urgent treatment.<\/p>\n<h4>What is the usual evolution of sciatica pain?<\/h4>\n<p>In most people, the evolution is favorable. A large proportion improves significantly within the first weeks to months with conservative treatment (Koes et al., 2007). Even when there is a herniated disc, it is common for the size to decrease over time.<\/p>\n<h4>How is it treated?<\/h4>\n<p>Treatment should be directed towards the cause identified in the assessment and adjusted to each individual. According to current clinical recommendations (NICE, 2020), the initial approach includes:<\/p>\n<h5>Staying active<\/h5>\n<p>Prolonged rest in bed is not recommended. Maintaining daily activities adapted to the pain promotes recovery.<\/p>\n<h5>Therapeutic exercise<\/h5>\n<p>Guided and progressive exercise is one of the foundations of treatment, helping to restore mobility, strength, and confidence in movement.<\/p>\n<h5>Manual therapy<\/h5>\n<p>Manual therapy, performed within the framework of Physiotherapy or Osteopathy, can be used to relieve pain and improve mobility, always integrated into a plan that includes exercise.<\/p>\n<h5>Education<\/h5>\n<p>Understanding what is happening, that most cases progress favorably and that pain does not necessarily mean injury, reduces fear and helps the person resume their activities.<\/p>\n<h5>Medication<\/h5>\n<p>The decision about medication rests with the doctor. It is important to know that in sciatica pain, the effect of many analgesics and anti-inflammatory drugs is limited, and that some frequently used medications are not recommended by current clinical guidelines.<\/p>\n<h5>Other options<\/h5>\n<p>When the pain is intense and persistent despite conservative treatment, infiltration or surgery may be considered by medical indication. Surgery tends to relieve pain more quickly, but in the long term the results are similar to those of conservative treatment in most people (Peul et al., 2007). In the presence of severe or progressive neurological signs, surgical evaluation is a priority.<\/p>\n<h4>During pregnancy, is leg pain sciatica?<\/h4>\n<p>In most cases, no. True sciatica caused by a herniated disc is uncommon during pregnancy. The pain in the groin and the back of the thigh that many pregnant women experience is usually related to the pain in the pelvic girdle, which involves the joints of the pelvis. This distinction is important because the approach is different, and pelvic physiotherapy can play a relevant role here.<\/p>\n<h4>The approach in Integrative Medicine<\/h4>\n<p>Sciatic pain is a symptom, not a diagnosis. It indicates that a nerve root or the sciatic nerve are involved, but it does not say where or why. On the other hand, many pains in the groin and leg are not sciatica and have their origin in joints, muscles, or tendons. Only a careful evaluation allows us to distinguish these situations and define the appropriate treatment.<\/p>\n<p>In other words: sciatica pain isn\u2019t everything, and not everything is sciatica pain.<\/p>\n<p>In Integrative Medicine, each case begins with a detailed clinical evaluation, which seeks to identify the source of the pain, detect warning signs, and understand the factors that may be contributing to the problem, such as sleep, stress, physical activity, and the life context, based on principles of Clinical Psychoneuroimmunology. The follow-up combines Osteopathy and Physiotherapy and, when indicated, can be combined with Clinical Pilates for progressive recovery and the prevention of relapses, and with the doctor whenever necessary.<\/p>\n<p>If you experience pain in the lumbar region, the groin or the leg, an individualized assessment allows us to understand the source of your pain and define a plan tailored to your needs. Schedule your consultation at Integrativa.<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div><div class=\"vc_row wpb_row vc_row-fluid vc_custom_1769951847035\"><div class=\"wpb_column vc_column_container vc_col-sm-12 vc_col-has-fill\"><div class=\"vc_column-inner vc_custom_1769951840341\"><div class=\"wpb_wrapper\">\n\t<div class=\"wpb_text_column wpb_content_element\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<h4>Bibliography references<\/h4>\n<p>Brinjikji, W., Luetmer, P. H., Comstock, B., Bresnahan, B. W., Chen, L. E., Deyo, R. A., Halabi, S., Turner, J. A., Avins, A. L., James, K., Wald, J. T., Kallmes, D. F., &amp; Jarvik, J. G. (2015). Systematic literature review of imaging features of spinal degeneration in asymptomatic populations. <em>American Journal of Neuroradiology<\/em>, 36(4), 811\u2013816. <a href=\"https:\/\/doi.org\/10.3174\/ajnr.A4173\" target=\"_blank\" rel=\"noopener\">https:\/\/doi.org\/10.3174\/ajnr.A4173<\/a><\/p>\n<p>Koes, B. W., van Tulder, M. W., &amp; Peul, W. C. (2007). Diagnosis and treatment of sciatica. <em>BMJ<\/em>, 334(7607), 1313\u20131317. <a href=\"https:\/\/doi.org\/10.1136\/bmj.39223.428495.BE\" target=\"_blank\" rel=\"noopener\">https:\/\/doi.org\/10.1136\/bmj.39223.428495.BE<\/a><\/p>\n<p>National Institute for Health and Care Excellence (NICE). (2020). <em>Low back pain and sciatica in adults over 16 years of age: Assessment and management<\/em> (NICE guideline NG59). <a href=\"https:\/\/www.nice.org.uk\/guidance\/ng59\" target=\"_blank\" rel=\"noopener\">https:\/\/www.nice.org.uk\/guidance\/ng59<\/a><\/p>\n<p>Peul, W. C., van Houwelingen, H. C., van den Hout, W. B., Brand, R., Eekhof, J. A., Tans, J. T., Thomeer, R. T., &amp; Koes, B. W. (2007). Surgery versus prolonged conservative treatment for sciatica. <em>New England Journal of Medicine<\/em>, 356(22), 2245\u20132256. <a href=\"https:\/\/doi.org\/10.1056\/NEJMoa064039\" target=\"_blank\" rel=\"noopener\">https:\/\/doi.org\/10.1056\/NEJMoa064039<\/a><\/p>\n<p>Ropper, A. H., &amp; Zafonte, R. D. (2015). Sciatica. <em>New England Journal of Medicine<\/em>, 372(13), 1240\u20131248. <a href=\"https:\/\/doi.org\/10.1056\/NEJMra1410151\" target=\"_blank\" rel=\"noopener\">https:\/\/doi.org\/10.1056\/NEJMra1410151<\/a><\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div><div class=\"vc_row wpb_row vc_row-fluid vc_custom_1680169461443\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\">\n\t<div class=\"wpb_text_column wpb_content_element  vc_custom_1769856003461\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p style=\"text-align: right;\"><a title=\"Osteopath - Physiotherapist David Brand\u00e3o\" href=\"https:\/\/integrativa.pt\/en\/osteopata-fisioterapeuta-david-brandao\/\"><strong>David Brand\u00e3o<\/strong> <\/a>| Osteopath and Physiotherapist<\/p>\n<p style=\"text-align: right;\">Specialised in Clinical Psychoneuroimmunology<\/p>\n<h6 style=\"text-align: right;\">Physiotherapist Card: 3652 | Order of Physiotherapists \/\/ Osteopath Card: C-0031697 | ACSS<\/h6>\n\n\t\t<\/div>\n\t<\/div>\n<style type=\"text\/css\" data-type=\"the7_shortcodes-inline-css\">.dt-shortcode-soc-icons.soc-icons-d45686d09a63baba6497efe6c6ad3c1e a {\n  margin-right: 4px;\n}\n.dt-shortcode-soc-icons a.soc-icons-d45686d09a63baba6497efe6c6ad3c1e {\n  margin-right: 4px;\n}\n.dt-shortcode-soc-icons a.soc-icons-d45686d09a63baba6497efe6c6ad3c1e:last-child {\n  margin-right: 0;\n}\n.dt-shortcode-soc-icons a.soc-icons-d45686d09a63baba6497efe6c6ad3c1e:before,\n.dt-shortcode-soc-icons a.soc-icons-d45686d09a63baba6497efe6c6ad3c1e:after {\n  padding: inherit;\n}\n.dt-shortcode-soc-icons a.soc-icons-d45686d09a63baba6497efe6c6ad3c1e.dt-icon-border-on:before {\n  border:  solid ;\n}\n.dt-shortcode-soc-icons a.soc-icons-d45686d09a63baba6497efe6c6ad3c1e.dt-icon-hover-border-on:after {\n  border:  solid ;\n}<\/style><div class=\"dt-shortcode-soc-icons  soc-icons-d45686d09a63baba6497efe6c6ad3c1e soc-icons-right\" ><style 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lifestyle<\/p>\n\n\t\t<\/div>\n\t<\/div>\n\n\t<div class=\"wpb_text_column wpb_content_element  vc_custom_1775895587227\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<h6>This website and its content are for information purposes only and are not a substitute for medical or health professional advice. In all cases, treatments should be individualised and guided by health professionals. Do not make any changes to your treatment without contacting the doctor or health professional accompanying you.<\/h6>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div><div class=\"vc_row wpb_row vc_row-fluid\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner vc_custom_1678987635945\"><div class=\"wpb_wrapper\"><div class=\"vc_separator wpb_content_element vc_separator_align_center vc_sep_border_width_1 vc_sep_pos_align_center vc_custom_1769856301100 wpb_content_element vc_separator-has-text\"   style=\"width: 100%;\"><span class=\"vc_sep_holder vc_sep_holder_l\"><span style=\"border-top-color:#1b9193;\" class=\"vc_sep_line\"><\/span><\/span><h4>Related articles<\/h4><span class=\"vc_sep_holder vc_sep_holder_r\"><span style=\"border-top-color:#1b9193;\" class=\"vc_sep_line\"><\/span><\/span>\n<\/div><style type=\"text\/css\" 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none;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-2a03a59fc6a3f64ea41f9638829cf77b .entry-title,\n.blog-carousel-shortcode.blog-carousel-shortcode-id-2a03a59fc6a3f64ea41f9638829cf77b.owl-carousel .entry-title {\n  margin-bottom: 5px;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-2a03a59fc6a3f64ea41f9638829cf77b .entry-meta {\n  margin-bottom: 15px;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-2a03a59fc6a3f64ea41f9638829cf77b .portfolio-categories {\n  margin-bottom: 15px;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-2a03a59fc6a3f64ea41f9638829cf77b .entry-excerpt {\n  margin-bottom: 5px;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-2a03a59fc6a3f64ea41f9638829cf77b:not(.centered-layout-list) .post-entry-content {\n  padding: 15px 20px 20px 20px;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-2a03a59fc6a3f64ea41f9638829cf77b:not(.centered-layout-list):not(.content-bg-on):not(.mode-list) .no-img .post-entry-content {\n  padding: 0;\n}\n@media screen and (max-width: ) {\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-2a03a59fc6a3f64ea41f9638829cf77b article {\n    -ms-flex-flow: column nowrap;\n    flex-flow: column nowrap;\n    margin-top: 20px;\n  }\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-2a03a59fc6a3f64ea41f9638829cf77b.dividers-on article {\n    border: none;\n  }\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-2a03a59fc6a3f64ea41f9638829cf77b.content-bg-on.centered-layout-list article {\n    padding: 0;\n  }\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-2a03a59fc6a3f64ea41f9638829cf77b.blog-shortcode.dividers-on article,\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-2a03a59fc6a3f64ea41f9638829cf77b.dividers-on.classic-layout-list article {\n    margin-top: 20px;\n    padding: 0;\n  }\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-2a03a59fc6a3f64ea41f9638829cf77b.blog-shortcode.dividers-on article:first-of-type,\n  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{\n    -ms-flex-order: 0;\n    order: 0;\n  }\n  #page .blog-carousel-shortcode.blog-carousel-shortcode-id-2a03a59fc6a3f64ea41f9638829cf77b.centered-layout-list .post-entry-title-content {\n    -ms-flex-order: 1;\n    order: 1;\n    width: 100%;\n    padding: 20px 20px 0;\n  }\n  #page .blog-carousel-shortcode.blog-carousel-shortcode-id-2a03a59fc6a3f64ea41f9638829cf77b.centered-layout-list .post-entry-content {\n    -ms-flex-order: 2;\n    order: 2;\n    padding-top: 0;\n  }\n  #page .blog-carousel-shortcode.blog-carousel-shortcode-id-2a03a59fc6a3f64ea41f9638829cf77b .fancy-categories {\n    top: 10px;\n    left: 10px;\n    bottom: auto;\n    right: auto;\n  }\n  #page .blog-carousel-shortcode.blog-carousel-shortcode-id-2a03a59fc6a3f64ea41f9638829cf77b .fancy-date a {\n    top: 10px;\n    right: 10px;\n    left: auto;\n    bottom: auto;\n  }\n  #page .blog-carousel-shortcode.blog-carousel-shortcode-id-2a03a59fc6a3f64ea41f9638829cf77b .post-entry-content {\n    padding: 20px;\n  }\n  #page .blog-carousel-shortcode.blog-carousel-shortcode-id-2a03a59fc6a3f64ea41f9638829cf77b .entry-title {\n    margin: 3px 0 5px;\n    font-size: 20px;\n    line-height: 26px;\n  }\n  #page .blog-carousel-shortcode.blog-carousel-shortcode-id-2a03a59fc6a3f64ea41f9638829cf77b .entry-meta {\n    margin: 5px 0 5px;\n  }\n  #page .blog-carousel-shortcode.blog-carousel-shortcode-id-2a03a59fc6a3f64ea41f9638829cf77b .entry-excerpt {\n    margin: 15px 0 0;\n  }\n  #page .blog-carousel-shortcode.blog-carousel-shortcode-id-2a03a59fc6a3f64ea41f9638829cf77b .post-details {\n    margin: 5px 0 10px;\n  }\n  #page .blog-carousel-shortcode.blog-carousel-shortcode-id-2a03a59fc6a3f64ea41f9638829cf77b .post-details.details-type-link {\n    margin-bottom: 2px;\n  }\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-2a03a59fc6a3f64ea41f9638829cf77b.owl-carousel .owl-nav div {\n  width: 36px;\n  height: 36px;\n  border-radius: 500px;\n}\n.dt-arrow-border-on.blog-carousel-shortcode.blog-carousel-shortcode-id-2a03a59fc6a3f64ea41f9638829cf77b.owl-carousel .owl-nav div:not(:hover):before {\n  border-width: 0px;\n}\n.dt-arrow-hover-border-on.blog-carousel-shortcode.blog-carousel-shortcode-id-2a03a59fc6a3f64ea41f9638829cf77b.owl-carousel .owl-nav div:hover:after {\n  border-width: 0px;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-2a03a59fc6a3f64ea41f9638829cf77b.owl-carousel .owl-nav div.owl-prev {\n  top: 50%;\n  transform: translateY(calc(-50% + 0px));\n  left: -43px;\n}\n@media all and (-ms-high-contrast: none) {\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-2a03a59fc6a3f64ea41f9638829cf77b.owl-carousel .owl-nav div.owl-prev {\n    transform: translateY(-50%);\n    margin-top: 0px;\n  }\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-2a03a59fc6a3f64ea41f9638829cf77b.owl-carousel .owl-nav div.owl-prev i {\n  padding: 0px 0px 0px 0px;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-2a03a59fc6a3f64ea41f9638829cf77b.owl-carousel .owl-nav div.owl-next {\n  top: 50%;\n  transform: translateY(calc(-50% + 0px));\n  right: -43px;\n}\n@media all and (-ms-high-contrast: none) {\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-2a03a59fc6a3f64ea41f9638829cf77b.owl-carousel .owl-nav div.owl-next {\n    transform: translateY(-50%);\n    margin-top: 0px;\n  }\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-2a03a59fc6a3f64ea41f9638829cf77b.owl-carousel .owl-nav div.owl-next i {\n  padding: 0px 0px 0px 0px;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-2a03a59fc6a3f64ea41f9638829cf77b.owl-carousel .owl-nav i {\n  font-size: 18px;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-2a03a59fc6a3f64ea41f9638829cf77b.owl-carousel .owl-nav div:not(:hover) i,\n.blog-carousel-shortcode.blog-carousel-shortcode-id-2a03a59fc6a3f64ea41f9638829cf77b.owl-carousel .owl-nav div:not(:hover) i:before {\n  color: #ffffff;\n  background: none;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-2a03a59fc6a3f64ea41f9638829cf77b.owl-carousel .owl-nav div:hover i,\n.blog-carousel-shortcode.blog-carousel-shortcode-id-2a03a59fc6a3f64ea41f9638829cf77b.owl-carousel .owl-nav div:hover i:before {\n  color: rgba(255,255,255,0.75);\n  background: none;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-2a03a59fc6a3f64ea41f9638829cf77b .owl-dots {\n  top: calc(100% + 20px);\n  left: 50%;\n  transform: translateX(calc(-50% + 0px));\n}\n@media all and (-ms-high-contrast: none) {\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-2a03a59fc6a3f64ea41f9638829cf77b .owl-dots {\n    transform: translateX(-50%);\n    margin-left: 0px;\n  }\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-2a03a59fc6a3f64ea41f9638829cf77b .owl-dot {\n  width: 10px;\n  height: 10px;\n  margin: 0 8px;\n}\n@media screen and (max-width: 778px) {\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-2a03a59fc6a3f64ea41f9638829cf77b.hide-arrows .owl-nav a {\n    display: none;\n  }\n}\n@media screen and (max-width: 778px) {\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-2a03a59fc6a3f64ea41f9638829cf77b.reposition-arrows .owl-nav div.owl-prev {\n    top: 50%;\n    transform: translateY(calc(-50% + 0px));\n    left: 10px;\n  }\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-2a03a59fc6a3f64ea41f9638829cf77b.reposition-arrows .owl-nav div.owl-next {\n    top: 50%;\n    transform: translateY(calc(-50% + 0px));\n    right: 10px;\n  }\n}\n@media screen and (max-width: 778px) and all and (-ms-high-contrast: none) {\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-2a03a59fc6a3f64ea41f9638829cf77b.reposition-arrows .owl-nav div.owl-prev {\n    transform: translateY(-50%);\n    margin-top: 0px;\n  }\n}\n@media screen and (max-width: 778px) and all and (-ms-high-contrast: none) {\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-2a03a59fc6a3f64ea41f9638829cf77b.reposition-arrows .owl-nav div.owl-next {\n    transform: translateY(-50%);\n    margin-top: 0px;\n  }\n}<\/style><div class=\"owl-carousel blog-carousel-shortcode dt-owl-carousel-call blog-carousel-shortcode-id-2a03a59fc6a3f64ea41f9638829cf77b classic-layout-list scale-img dt-icon-bg-off dt-arrow-border-on dt-arrow-hover-border-on meta-info-off bullets-small-dot-stroke reposition-arrows arrows-bg-on disable-arrows-hover-bg arrows-hover-bg-on\" data-scroll-mode=\"1\" data-col-num=\"3\" data-wide-col-num=\"4\" data-laptop-col=\"3\" data-h-tablet-columns-num=\"3\" data-v-tablet-columns-num=\"2\" data-phone-columns-num=\"1\" data-auto-height=\"true\" data-col-gap=\"30\" data-stage-padding=\"0\" data-speed=\"600\" data-autoplay=\"false\" data-autoplay_speed=\"6000\" data-arrows=\"true\" data-bullet=\"false\" data-next-icon=\"icon-ar-017-r\" data-prev-icon=\"icon-ar-017-l\"><article class=\"post post-2492 type-post status-publish format-standard has-post-thumbnail hentry category-4-pilares-da-saude category-osteopata-david-brandao category-osteopatia-integrativa category-osteopatia-integrativa-osteopatia category-psiconeuroimunologia category-sono-4-pilares-da-saude tag-fisioterapia tag-osteopatia tag-pilates-clinico category-35 category-33 category-32 category-34 category-48 category-37 description-off\" data-name=\"Dormir bem: estrat\u00e9gias para apoiar a regula\u00e7\u00e3o do sono e da sa\u00fade\" data-date=\"2023-09-06T09:48:31+00:00\">\n\n<div class=\"post-thumbnail-wrap\">\n\t<div class=\"post-thumbnail\">\n\t\t\n\t\t\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/dormir-bem-estrategias-para-apoiar-a-regulacao-do-sono-e-da-saude\/\" class=\"post-thumbnail-rollover layzr-bg\"><img fetchpriority=\"high\" decoding=\"async\" class=\"preload-me owl-lazy-load aspect\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D&#39;http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg&#39;%20viewBox%3D&#39;0%200%20768%20512&#39;%2F%3E\" data-src=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2023\/09\/Consulta-Integrativa-do-Sono-768x512.webp\" data-srcset=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2023\/09\/Consulta-Integrativa-do-Sono-768x512.webp 768w, https:\/\/integrativa.pt\/wp-content\/uploads\/2023\/09\/Consulta-Integrativa-do-Sono-1152x768.webp 1152w\" loading=\"eager\" style=\"--ratio: 768 \/ 512\" sizes=\"(max-width: 768px) 100vw, 768px\" alt=\"\" title=\"Integrative Sleep Consultation\" width=\"768\" height=\"512\"  \/><\/a>\t<\/div>\n<\/div>\n\n\n<div class=\"post-entry-content\">\n\n\t<h3 class=\"entry-title\">\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/dormir-bem-estrategias-para-apoiar-a-regulacao-do-sono-e-da-saude\/\" title=\"Sleeping well: strategies to support sleep regulation and health\" rel=\"bookmark\">Sleeping well: strategies to support sleep regulation and health<\/a>\n\t<\/h3>\n\n\t\n\t\n\t\n<a href=\"https:\/\/integrativa.pt\/en\/dormir-bem-estrategias-para-apoiar-a-regulacao-do-sono-e-da-saude\/\" class=\"post-details details-type-link\" aria-label=\"Read more about Sleeping well: strategies to support sleep and health regulation\">Read more<i class=\"dt-icon-the7-arrow-03\" aria-hidden=\"true\"><\/i><\/a>\n\n<\/div><\/article><article class=\"post post-3824 type-post status-publish format-standard has-post-thumbnail hentry category-4-pilares-da-saude category-osteopata-david-brandao category-osteopatia-integrativa-osteopatia category-psiconeuroimunologia category-sono-4-pilares-da-saude category-sono tag-fisioterapia tag-osteopatia tag-pilates-clinico category-35 category-33 category-34 category-48 category-37 category-36 description-off\" data-name=\"Melatonina, luz solar e regula\u00e7\u00e3o do sono: compreender a rela\u00e7\u00e3o\" data-date=\"2025-08-21T11:16:57+00:00\">\n\n<div class=\"post-thumbnail-wrap\">\n\t<div class=\"post-thumbnail\">\n\t\t\n\t\t\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/melatonina-luz-solar-e-regulacao-do-sono-compreender-a-relacao\/\" class=\"post-thumbnail-rollover layzr-bg\"><img decoding=\"async\" class=\"preload-me owl-lazy-load aspect\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D&#39;http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg&#39;%20viewBox%3D&#39;0%200%20768%20512&#39;%2F%3E\" data-src=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/08\/Integrativa-2-768x512.webp\" data-srcset=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/08\/Integrativa-2-768x512.webp 768w, https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/08\/Integrativa-2-1152x768.webp 1152w\" loading=\"eager\" style=\"--ratio: 768 \/ 512\" sizes=\"(max-width: 768px) 100vw, 768px\" alt=\"\" title=\"Integrative (2)\" width=\"768\" height=\"512\"  \/><\/a>\t<\/div>\n<\/div>\n\n\n<div class=\"post-entry-content\">\n\n\t<h3 class=\"entry-title\">\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/melatonina-luz-solar-e-regulacao-do-sono-compreender-a-relacao\/\" title=\"Melatonin, sunlight and sleep regulation: understanding the relationship\" rel=\"bookmark\">Melatonin, sunlight and sleep regulation: understanding the relationship<\/a>\n\t<\/h3>\n\n\t\n\t\n\t\n<a href=\"https:\/\/integrativa.pt\/en\/melatonina-luz-solar-e-regulacao-do-sono-compreender-a-relacao\/\" class=\"post-details details-type-link\" aria-label=\"Read more about Melatonin, Sunlight and Sleep Regulation: Understanding the Relationship\">Read more<i class=\"dt-icon-the7-arrow-03\" aria-hidden=\"true\"><\/i><\/a>\n\n<\/div><\/article><article class=\"post post-1629 type-post status-publish format-standard has-post-thumbnail hentry category-4-pilares-da-saude category-osteopata-david-brandao category-osteopatia-integrativa category-osteopatia-integrativa-osteopatia category-psiconeuroimunologia category-sono category-sono-4-pilares-da-saude tag-fisioterapia tag-osteopatia tag-pilates-clinico category-35 category-33 category-32 category-34 category-48 category-36 category-37 description-off\" data-name=\"A import\u00e2ncia de uma boa noite de sono na regula\u00e7\u00e3o do organismo\" data-date=\"2023-01-16T16:03:49+00:00\">\n\n<div class=\"post-thumbnail-wrap\">\n\t<div class=\"post-thumbnail\">\n\t\t\n\t\t\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/a-importancia-de-uma-boa-noite-de-sono-na-regulacao-do-organismo\/\" class=\"post-thumbnail-rollover layzr-bg\"><img decoding=\"async\" class=\"preload-me owl-lazy-load aspect\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D&#39;http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg&#39;%20viewBox%3D&#39;0%200%20768%20512&#39;%2F%3E\" data-src=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2023\/01\/Consulta-Sono-Integrativa-768x512.webp\" data-srcset=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2023\/01\/Consulta-Sono-Integrativa-768x512.webp 768w, https:\/\/integrativa.pt\/wp-content\/uploads\/2023\/01\/Consulta-Sono-Integrativa-1152x768.webp 1152w\" loading=\"eager\" style=\"--ratio: 768 \/ 512\" sizes=\"(max-width: 768px) 100vw, 768px\" alt=\"\" title=\"Integrative Sleep Consultation\" width=\"768\" height=\"512\"  \/><\/a>\t<\/div>\n<\/div>\n\n\n<div class=\"post-entry-content\">\n\n\t<h3 class=\"entry-title\">\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/a-importancia-de-uma-boa-noite-de-sono-na-regulacao-do-organismo\/\" title=\"The importance of a good night&#039;s sleep in regulating the body\" rel=\"bookmark\">The importance of a good night's sleep in regulating the body<\/a>\n\t<\/h3>\n\n\t\n\t\n\t\n<a href=\"https:\/\/integrativa.pt\/en\/a-importancia-de-uma-boa-noite-de-sono-na-regulacao-do-organismo\/\" class=\"post-details details-type-link\" aria-label=\"Read more about The importance of a good night&#039;s sleep in regulating the body\">Read more<i class=\"dt-icon-the7-arrow-03\" aria-hidden=\"true\"><\/i><\/a>\n\n<\/div><\/article><article class=\"post post-3677 type-post status-publish format-standard has-post-thumbnail hentry category-nervo-vago category-osteopata-david-brandao category-osteopatia-integrativa category-osteopatia-visceral category-psiconeuroimunologia tag-fisioterapia tag-osteopatia tag-pilates-clinico category-58 category-33 category-32 category-31 category-48 description-off\" data-name=\"O papel do Nervo Vago na digest\u00e3o e na sa\u00fade intestinal\" data-date=\"2025-01-16T10:51:00+00:00\">\n\n<div class=\"post-thumbnail-wrap\">\n\t<div class=\"post-thumbnail\">\n\t\t\n\t\t\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/o-impacto-do-nervo-vago-na-digestao-e-saude-intestinal\/\" class=\"post-thumbnail-rollover layzr-bg\"><img decoding=\"async\" class=\"preload-me owl-lazy-load aspect\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D&#39;http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg&#39;%20viewBox%3D&#39;0%200%20768%20512&#39;%2F%3E\" 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src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D&#39;http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg&#39;%20viewBox%3D&#39;0%200%20768%20512&#39;%2F%3E\" data-src=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2024\/09\/Atividade-Fisica-Desporto-Corrida-Osteopatia-768x512.webp\" data-srcset=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2024\/09\/Atividade-Fisica-Desporto-Corrida-Osteopatia-768x512.webp 768w, https:\/\/integrativa.pt\/wp-content\/uploads\/2024\/09\/Atividade-Fisica-Desporto-Corrida-Osteopatia-1152x768.webp 1152w\" loading=\"eager\" style=\"--ratio: 768 \/ 512\" sizes=\"(max-width: 768px) 100vw, 768px\" alt=\"\" title=\"Physical activity Sports Running Osteopathy\" width=\"768\" height=\"512\"  \/><\/a>\t<\/div>\n<\/div>\n\n\n<div class=\"post-entry-content\">\n\n\t<h3 class=\"entry-title\">\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/genetica-e-estilo-de-vida-o-poder-das-escolhas-ao-longo-da-vida\/\" title=\"Genetics, epigenetics and lifestyle: the power of choices throughout life\" rel=\"bookmark\">Genetics, epigenetics and lifestyle: the power of choices throughout life<\/a>\n\t<\/h3>\n\n\t\n\t\n\t\n<a href=\"https:\/\/integrativa.pt\/en\/genetica-e-estilo-de-vida-o-poder-das-escolhas-ao-longo-da-vida\/\" class=\"post-details details-type-link\" aria-label=\"Read more about Genetics, epigenetics and lifestyle: the power of choices throughout life\">Read more<i class=\"dt-icon-the7-arrow-03\" aria-hidden=\"true\"><\/i><\/a>\n\n<\/div><\/article><article class=\"post post-4978 type-post status-publish format-standard has-post-thumbnail hentry category-osteopatia category-dor-lombar category-fisioterapia category-pilates-clinico tag-fisioterapia tag-osteopatia tag-pilates-clinico category-17 category-50 category-6 category-9 description-off\" data-name=\"Import\u00e2ncia do movimento na Dor Lombar\" data-date=\"2025-10-17T09:01:58+00:00\">\n\n<div class=\"post-thumbnail-wrap\">\n\t<div class=\"post-thumbnail\">\n\t\t\n\t\t\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/importancia-do-movimento-na-dor-lombar\/\" class=\"post-thumbnail-rollover layzr-bg\"><img decoding=\"async\" class=\"preload-me owl-lazy-load aspect\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D&#39;http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg&#39;%20viewBox%3D&#39;0%200%20768%20512&#39;%2F%3E\" data-src=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/10\/Dores-de-Costas-Osteopatia-Integrativa-Lombar-Lisboa-768x512.webp\" data-srcset=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/10\/Dores-de-Costas-Osteopatia-Integrativa-Lombar-Lisboa-768x512.webp 768w, https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/10\/Dores-de-Costas-Osteopatia-Integrativa-Lombar-Lisboa-1152x768.webp 1152w\" loading=\"eager\" style=\"--ratio: 768 \/ 512\" sizes=\"(max-width: 768px) 100vw, 768px\" alt=\"Lower back pain\" title=\"Yoga relaxation health.\" width=\"768\" height=\"512\"  \/><\/a>\t<\/div>\n<\/div>\n\n\n<div class=\"post-entry-content\">\n\n\t<h3 class=\"entry-title\">\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/importancia-do-movimento-na-dor-lombar\/\" title=\"The importance of movement in low back pain\" rel=\"bookmark\">The importance of movement in low back pain<\/a>\n\t<\/h3>\n\n\t\n\t\n\t\n<a href=\"https:\/\/integrativa.pt\/en\/importancia-do-movimento-na-dor-lombar\/\" class=\"post-details details-type-link\" aria-label=\"Read more about the Importance of Movement in Lower Back Pain\">Read more<i class=\"dt-icon-the7-arrow-03\" aria-hidden=\"true\"><\/i><\/a>\n\n<\/div><\/article><\/div><\/div><\/div><\/div><\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>\u201cI have sciatica\u201d is a phrase that is heard frequently. The term is used in everyday life to describe almost any pain that travels from the lower back or hip to the leg. The problem is that \u201csciatic pain\u201d is not a diagnosis: it is the description of a symptom. And many of the pains\u2026<\/p>","protected":false},"author":1,"featured_media":4351,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"footnotes":""},"categories":[17,33,32],"tags":[4,27,8],"class_list":["post-7509","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-osteopatia","category-osteopata-david-brandao","category-osteopatia-integrativa","tag-fisioterapia","tag-osteopatia","tag-pilates-clinico","category-17","category-33","category-32","description-off"],"_links":{"self":[{"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/posts\/7509","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/comments?post=7509"}],"version-history":[{"count":0,"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/posts\/7509\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/media\/4351"}],"wp:attachment":[{"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/media?parent=7509"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/categories?post=7509"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/tags?post=7509"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}