When sciatica has been long standing, the element that has most often been missed is muscular. The sciatic nerve, which is as thick as your thumb, runs underneath (and sometimes though) the hip rotator muscles. When these strong broad muscles are tight, they compress the nerve and cause inflammation, pain and dysfunction in the hip, down the leg and sometimes down to the knee and foot. Other large muscles may be involved like the ilio-psoas, quadratus lumborum and hamstrings. Massage will not only release the muscle tension but flush out the inflammation. The accumulation of inflammatory fluid can be profound in the entire hip, pelvis and leg area. This prevents good flow of blood, oxygen and nutrients to the tissues causing pain, burning, weakness and spasms. When waste products and old lymph is removed, the tissues and nerves will be able to get healthy again. We have seen this treatment regimen be successful in hundreds of cases.