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Doctor insights on: How Do I Relieve The Pain Of Severe Sciatica Caused By A Herniated Disc

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How do I relieve the pain of severe sciatica caused by a herniated disc?

How do I relieve the pain of severe sciatica caused by a herniated disc?

Spine Pain Options: This chronic pain in the distribution as you suggested is the result of an irritated nerve or facet joints or other injury typically in the lumbar spine (low back) which are caused by herniated disks, spinal stenosis or degenerative disc disease, etc requiring further evaluation by a spine specialist and may be candidate for facet injections/radiofrequency ablation and epidural steroid injection. ...Read more

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Dr. James Lin
2,077 doctors shared insights

Low Back Pain (Definition)

Low back pain is pain that occurs in the back above the buttock area and below the ribs. Low back pain can be sharp, dull, intermittent or constant. Pain can be at rest or associated with activity. Back pain can also be accompanied with pain that shoots or radiates down into the lower extremities or legs which is frequently ...Read more


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What would you suggest for tight muscles caused by tension...and I also have a herniated disc at L5 S1 and suffer with sciatica. Neck position for sle?

What would you suggest for tight muscles caused by tension...and I also have a herniated disc at L5 S1 and suffer with sciatica. Neck position for sle?

Muscle tension: If you wish to avoid taking muscle relaxants like flexeril or robaxin, (methocarbamol) consider stress management therapy. Wearing a soft cervical collar off and on takes pressure of the neck. For sciatic pain which is chronic, epidural corticosteroid injections and/or surgery may be needed and follow up with a neurosurgeon is advisable. ...Read more

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What is a non-surgical method of relieving low back pain caused by a herniated disk?

What is a non-surgical method of relieving low back pain caused by a herniated disk?

4 options: The non-surgical options for a herniated disc are: pain meds, stretching (see harvardneurosurgeon.Com/pt2.Html), physical therapy, and epidural steroid injections. ...Read more

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What are the causes of sciatica? Is it always a herniated disc problem?

What are the causes of sciatica? Is it always a herniated disc problem?

No: Sciatica is really a misnomer. Most causes of leg pain are more appropriately called radiculopathy, because the compression occurs in the spinal canal and the sciatic nerve doesn't form until much lower in the body. Other causes "sciatic" pain include, spinal stenosis, tumors, pyriformis syndrome, pelvic pathology, neuropathy, and cervical spine pathology. ...Read more

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I have a herniated disc with severe sciatica for 6 months. I have not had a bowel movement in two weeks despite trying everything I can think of. ?

I have a herniated disc with severe sciatica for 6 months. I have not had a bowel movement in two weeks despite trying everything I can think of. ?

You should be seen: Given the timeframe that you haven't had a movement and your disc issues it would be best to be seen ASAP. Severe constipation can be dangerous if left untreated. Please be seen. ...Read more

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Esi today@s1. Pars fracture 7yrsago. Now pars defect. Herniated disc, chronic sciatica. Could this be cause? Surgery? Dr goin over mri/xray on monday

Esi today@s1. Pars fracture 7yrsago. Now pars defect. Herniated disc, chronic sciatica. Could this be cause? Surgery? Dr goin over mri/xray on monday

Discuss with MD: Esi sounds like a reasonable approach to your back pain. It may take several injections over time to really find the intervention that is most helpful. These chronic injuries in young patients are often from gymnastics, or sports injuries. Discuss with your doctor. ...Read more

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Can a herniated disk without nerve compression cause sciatica pain?

Can a herniated disk without nerve compression cause sciatica pain?

Yes: Nerve compression is just one way sciatica can happen. Often when looking at MRI, doctors don't take into consideration that this is a still image and doesn't show what your spine will do when you move, bend over or even stand up. That is why you need to see a spine specialist that can discuss this with you and your options for treatment. ...Read more

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Might a herniated disk without nerve compression still cause sciatica pain?

Might a herniated disk without nerve compression still cause sciatica pain?

Yes: Nerve compression is just one way sciatica can happen. Often when looking at MRI, doctors don't take into consideration that this is a still image and doesn't show what your spine will do when you move, bend over or even stand up. That is why you need to see a spine specialist that can discuss this with you and your options for treatment. ...Read more

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Could a herniated disk without nerve compression still cause sciatica pain?

Could a herniated disk without nerve compression still cause sciatica pain?

Annular tear: Sometimes the herniated disk has annular tear that releases the spongier nucleus pulposus out that can cause a chemical neuritis on the nerves that is similar to sciatica. Also if the MRI reflects any listhesis (slipping of one bone on the other) there may be a compression on the nerves that will not be appreciated on the MRI because you are lying down and not allowing gravity/forces to move it. ...Read more

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Do i need another back surgery? I have a herniated disk at l5-s1, i've been suffering for over 3 years now. I had a surgery in november of 2009, all that was done was scraping the calcium off of the nerve to relieve sciatica. It all started again 6 mont

Do i need another back surgery? I have a herniated disk at l5-s1, i've been suffering for over 3 years now.  I had a surgery in november of 2009, all that was done was scraping the calcium off of the nerve to relieve sciatica.  It all started again 6 mont

Pinched Nerve: Sounds like you have a pinched nerve in your back. I would suggest seeing a pain/spine specialist to evaluate you further to evaluate what level and what can be done to treat you. There are interventional treatments besides medications and surgeries that might reduce or eliminate the pain altogether. ...Read more

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Could X-ray of low back show a spinal tumor? X-ray was done for follow up for a flare up of a herniated disc. Severe low back pain where herniation is

Could X-ray of low back show a spinal tumor? X-ray was done for follow up for a flare up of a herniated disc. Severe low back pain where herniation is

Only at later stage: X=ray is not a good screening tool for spinal tumor, as visualization of a radiolucent defect on x-rays requires a 50% destruction of the vertebral body. One typically notices a sign called "winking owl sign" on plain x-ray as a late presentation of spinal tumor. There are better ways of visualizing and diagnosing spinal tumors. X-rays are least preferred as it is not very sensitive. ...Read more

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Herniated disc, severe back pain, no nerv siatica,Took antinfla. and muscle relax.pills. After 4 week , no pain but my big toe is numb,what to do?

Herniated disc, severe back pain, no nerv siatica,Took antinfla. and muscle relax.pills. After 4 week , no pain but my big toe is numb,what to do?

Numb big toe: Sound like your L5/S1 disc is involved if you are getting numbness in your big toe. A neuropathic med like gabapentin, lyrica, (pregabalin) etc. may help with numbness. Your L5 nerve root is affected. Might benefit from a selective nerve root block of your L5 nerve root with some steroid like dexamethasone, celestone, etc. Physical therapy may help your back symptoms too. ...Read more

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Can a herniated disc and my sciatica pain ever go away naturally?

Can a herniated disc and my sciatica pain ever go away naturally?

You can learn: hypnosis and lose weight to reduce the pain, however, if you have a herniated disc it will continue to cause pain until you are able to have an operation to fix the disc. Consult with a back specialist but in the meantime, learn hypnosis from a qualified clinical psychologist. ...Read more

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Herniated disc at L4 and L5 causing sciatica, please help?

Herniated disc at L4 and L5 causing sciatica, please help?

See your doctor: The doctor who ordered the scan which showed the disc herniations should be able to give advice regarding the next steps. Any numbness or weakness associated with the sciatica should be worked up by a neurosurgeon, who may recommend conservative management including injections, endoscopic or minimally invasive discectomy, laminectomy etc depending on the findings. ...Read more

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I just found out I have sciatica and herniated disc, but I want to get pregnant. Is it possible?

I just found out I have sciatica and herniated disc, but I want to get pregnant. Is it possible?

Yes its possible: You need to discuss with your OB/Gyn on how to deal with the sciatica while your are pregnant. If you can I would get the sciatica under control first before getting pregnant as the rigors on the body will be better tolerated. ...Read more

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How do a sciatica and herniated disc differ?

How do a sciatica and herniated disc differ?

Symptom Vs Cause: Sciatica is the symptom of leg pain caused by a disc herniation or narrowing where the nerve exits the spine. A disc herniation is a outpouching of the disc from its normal place into the spinal canal or on the nerve and can be a source of pain in the back or down the leg, . ...Read more

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Dr. Thomas Dowling
838 doctors shared insights

Bulging Disk (Definition)

Wear and tear can cause degeneration in the vertebral column, and cause discs to deteriorate. The supportive basket, nucleus fibrosis develops small tears. A bulge is minimal perhaps a few millimeters, and is clinically insignificant, but additional disc displacement such as protrusion or herniation may compress ...Read more


Dr. Qamar Khan
1,064 doctors shared insights

Sciatica (Definition)

A condition that results in pain, weakness, numbness, or tingling in the leg. It results from injury to or pressure on the sciatic nerve, which starts in the lower spine and runs down the ...Read more