A 47-year-old male asked:
i have lower back herniated discs causing sciatica. theres advice for ice and heat treatments but not heat during first days of a flare up since that aggravates inflammation. my local doctor says never use ice and immediately use heat. whats true?
1 doctor answer
Dr. Donald Colantino answered
60 years experience Internal Medicine
Disks: Since I don't consider a flare up of nerve impingement caused by a herniated intervertebral disc an acute injury, I think immediately going to heat applications does no harm. Use what feels best including alternating heat and cold applications. These may not be enough to relieve severe pain or inability to sleep. Anti-inflammatory medications, analgesics like opioids and epidural steroid injection
Answered on Feb 29, 2020
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