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News

West Nile fogging commences Sept. 2

West Nile fogging commences Sept. 2


Courtesy of the Santa Clara County Vector Control District
Fogging commences Wednesday within the highlighted area.

The detection of West Nile Virus-infected mosquitos means that Santa Clara County officials will begin mosquito fogging operations...

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Schools

LASD trustees reopen negotiations with Los Altos Teachers Association

The Los Altos School District Board of Trustees last week directed staff to reopen negotiations with the Los Altos Teachers Association, a move intended to shore up the district’s financial picture.

According to the district’s current co...

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Community

LA teenager crowned Miss Golden State, advances to national pageant in Florida

LA teenager crowned Miss Golden State, advances to national pageant in Florida


Alicia Castro/Town Crier
Alexandra McCarthy, crowned Miss Golden State Teen in July, earned “Ms. Personality” honors from her peers.

Alexandra McCarthy has a ways to go before reaching her coveted role as a U.S. Supreme Court justice. Bu...

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Sports

After rough year, Eagles aim to soar once more

After rough year, Eagles aim to soar once more


Megan V. Winslow/Town Crier
Los Altos High senior running back Patrick Vargas snares a pass in practice last week.

Don’t dismiss the Eagles. Coach Trevor Pruitt is adamant that his Los Altos High football team will be better than expected.

&#...

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Comment

Car spotting 2015: A Piece of My Mind

When I was a kid, September was exciting, almost like Christmas, because that was when the Big Three automakers would reveal the new models for the upcoming year.

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Special Sections

Loving on the Edge

Loving on the Edge


Courtesy of Ford
The Ford Edge has been redesigned for 2015. Ford lengthened the wheel base and added cargo space, among other things. The Titanium model sells for approximately $42,000.

Once in a while, a vehicle we test-drive is just right for our...

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Business

Wine bar aims for October opening

Wine bar aims for October opening


Rendering courtesy of Honcho
Honcho, the wine and beer lounge on First Street, expects an October launch. A rendering of the space reveals the interior layout, which includes bar and lounge-style seating.

A downtown libations lounge that anticip...

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People

LOIS CAROLINE WALLES

LOIS CAROLINE WALLES

November, 1928

Lois lost a long and courageous battle with a prolonged illness on July 14th, 2015. She passed away knowing how well she was loved. She was always the life of the party and loved bringing everyone to her home for dinner or an event,...

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Travel

Carmel Valley Ranch unveils upgrades

Carmel Valley Ranch unveils upgrades


Courtesy of Carmel Valley Ranch
Carmel Valley Ranch recently upgraded its Vineyard Oak suites, which feature sweeping views, rocking chairs and private outdoor tubs for soaking under the stars.

Things are heating up at Carmel Valley Ranch, with 30 n...

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Stepping Out

'Dead Man' comes alive at Bus Barn

'Dead Man' comes alive at Bus Barn


Richard Mayer/Special to the Town Crier
The cast of Los Altos Stage Company’s “Dead Man’s Cell Phone” includes, from left, Marjorie Hazeltine (as Hermia), Kristin Walter (Jean) and Adrienne Walters (Carlotta).

Los Altos Stage Company opens its ...

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Spiritual Life

Inside Mountain View

MV actress/playwright Garvin wins NY festival award for

MV actress/playwright Garvin wins NY festival award for "Corners Grove"


Courtesy of Undiscovered Countries
Kaela Mei-Shing Garvin received a New York arts festival award for a featured role in “Corners Grove,” a play she wrote.

New York recognized that one of Mountain View’s own can “make it there” when the Planet C...

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Hitting a nerve: Experts weigh in on sciatica


From WEBMD.com
The sciatic nerve runs from the lower back to the foot. Sciatica symptoms often include numbness and tingling in the low back and typically occur on one side of the body.

Sciatica, a condition associated with pain in the hip that may include weakness, numbness or tingling, can start in the lower back and extend down the leg to the calf, foot or even toes. Symptoms usually occur on one side of the body only.

The sciatic nerve – the longest and widest nerve in the body – runs from the low back down the leg to the foot. It’s actually a collection of nerves that begins in the spine of the low back and later branches off to other nerves in the lower leg.

Medical professionals will offer a number of different opinions regarding the true cause of the symptoms. The most common diagnosis, however, is that sciatica results from a problem with the discs or vertebrae in the lumbar spine. Alternatively, muscle tightness or spasms in the low back and hip region can create radiating symptoms that present very much like nerve pain.

Sciatica may sometimes be caused by a contracture of the piriformis, a muscle deep in the buttocks. The sciatic nerve runs just below this muscle and, in some unlucky individuals, it runs through the piriformis.

Signs of actual nerve impingement include lack of sensation to touch (numb patch), loss of muscle function and sharp, shooting pains. Nerve pain is often described as feeling “electric” in nature.

Physicians usually confirm disc problems and changes to the spine with an MRI or X-ray. They are looking for bony changes in the spine that could cause compression on the nerve root.

When sciatica is the result of a lumbar disc herniation, most cases resolve spontaneously over weeks to months.

Course of action

How should someone suffering from sciatic pain decide whether to watch and wait versus seeking medical attention? And which intervention is best? I consulted several experts in the field to solicit their opinions and advice on how to correctly diagnose and treat sciatica.

• John Welsh, M.D., pain management specialist with a practice in Los Altos. Welsh recommends the following approach for treating sciatica: “Wait three to four weeks to see if (the pain) resolves on its own. If not or it worsens, then it might be time to consult a physician.”

In the early stages, Welsh suggests conservative treatments like physical therapy, anti-inflammatory medications and acupuncture. However, there are cases where symptoms may be of greater concern. If there is significant weakness, buckling of the knee or foot drop, Welsh advises immediate intervention, as it may be a sign of significant nerve impingement.

• Kristen Shadduck, physical therapist, owner of PT Works in Los Altos. According to Shadduck, sciatica is often the result of “abnormal stressors on the spine from poor posture or (incorrect) body mechanics.” In her practice, she uses therapies like traction, ice and electrical stimulation to relieve sciatica symptoms. Shadduck said there’s no substitute for “skilled, hands-on care” of the tissues and joints.

“I like to instruct my patients on proper posture, how to move correctly and ways to strengthen their cores so that they can take the load off their spines and allow healing to begin,” she said.

• Charmaine Tu, chiropractor with a practice in Los Altos. In cases of sciatica, Tu favors initial techniques like ice on the low back and stretching of the hamstrings and quad muscles.

“One myth I’d like to dispel is that you have to get ‘racked and cracked’ when you see a chiropractor. That’s not the case at all,” she said.

Tu said it’s important to find the root cause of the problem first, be it tight muscles, nerve root compression or bony changes in the spine.

“I first like to evaluate the pelvis and alignment of the spine before initiating treatment,” she said, adding that getting rid of inflammation is often the first step.

Acupuncture: A combined approach

In my clinic, I use acupuncture to improve circulation in the muscles of the low back and the hip, while treating trigger points to release muscle spasm. In addition, acupuncture can often calm irritated nerves by blocking some of the pain signals emanating from the brain.

Cupping is another therapy that works well to release muscle spasms in the low back and hip region.

As with any modality, there is no single best approach. In treating sciatica, I typically encourage people to start with a doctor or therapist they trust, and go from there.

Ted Ray is a licensed acupuncturist and herbalist in private practice in Mountain View. For more information, call 564-9002 or visit peninsulaacupuncture.com.

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