Doctor insights on:
Pinched Sciatic Nerve Pain Relief
Is steroid nerve block contradicted if sciatic nerve pain is caused by tumor compression? How long does the pain relief usually last?
The brain and spinal cord communicates with what is occurring in the internal organs and limbs by nerve fibers where are like electrical wires with insulation (myelin) and the "copper" (axon). Within brain and spinal cord these nerves connect to other nerves via synapses on both axons and dendrites. A nerve can carry information regarding sensations, and ...Read more
Time plus: Time is the best healer but activity restriction, guided exercise, medication especially a steroid pack, and even epidural steroid injections may help. Cessation of smoking, weight reduction and regular exercise will help prevent a recurrence which has a rate of 5% if due to a disc herniation. Read moreSee 4 more doctor answers
I'm experiencing excruciating chronic sciatic nerve pain due to a pinched sciatic nerve caused by a herniated disc. Are there any non narcotic prescription meds that would be effective with this pain?
Natural pain methods:
Some things that help for irritated nerve pain naturally are:
Magnesium malate or glycinate 1000 mg- This is a natural muscle relaxer. Work your way up to 1000 mg. If loose stool, reduce dosing.
Omega fish oil- I like combinations of omega 3 and omega 7 for their anti-inflammatory effects. Up to 5000 mg.
Vitamin D- If levels are low, can help with back pain.
Good Luck Read more
Multiple ways: The sciatic nerve can be irritated because of a herniated disc, arthritis that results in tightening of the spinal canal, falls, injuries, or other rare reasons (tumors, infections). Anti-inflammatory medications, alternating heat/cold therapy, physical therapy (especially with traction) can be helpful to relieve sciatic pain. Read moreSee 2 more doctor answers
4-6 weeks: Initially the symptoms last 4-6 weeks and if your body heals like it supposed to then pain relief starts. However disc herniations which are the cause of majority of sciatica symptoms last for 6-9 months and therefore people can have pain during that time as well. If not better after 6 weeks see a spine specialist to evaluate this further. Read moreSee 2 more doctor answers
Stretching: Many times acute sciatic pain will resolves after stretching the area abit. The muscles will loosen up and help resolve pain. If not, then consider further imaging studies to see which exact nerve in your spine is getting pinched for further treatment options. Read moreSee 2 more doctor answers
Many options: I would suggest seeing a pain/spine specialist to evaluate you further to evaluate what level your problem is at 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 moreSee 1 more doctor answer
It can help: However conventional wisdom is that if you haven't gotten enough relief with one Medrol (methylprednisolone) dose pack, unlikely its better to give more. In fact new research is showing that your risk of fracture increases almost 400% after one oral dosepack of steroids. You are better off getting an epidural steroid injection instead. Risk still exists but way less compared to oral steroids. Read moreSee 1 more doctor answer
Conservative Rx 1st:
After a thorough neurological evaluation, your doctor might prescribe anti-inflammatory medications, muscle relaxants, narcotic and/or non-narcotic pain medications, referral for physical therapy, and steroid injections. At some point an MRI scan will be needed if your symptoms persist.
Check with your doctor. Read more
Spine Pain Options: This 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 moreSee 2 more doctor answers
No: Likely you are having referred pain through the muscles that are irritated. Sometimes the fascial layers that hold each muscle can get irritated and then can send that irritation to another muscle and fascial layer. See a pain/spine specialist if you are not improving. Read moreSee 2 more doctor answers
Which feels better: Which feels better? WE use ice for acute injury. Then heat after 36 hours. But for chronic pain either can work. Read more
Core Exercises: Typically core strengthening exercises are the best to help relieve pressure and forces in the spine. I would try and google some or look them up on youtube to see descriptions. If you can do them yourself, wonderful otherwise ask your doctor to get a referral to a good physical therapist for further assistance. Read moreSee 2 more doctor answers
Your primary doctor: You should start by seeing your primary doctor. You may get better with physical therapy, medications, or heat and ice. Your doctor may order an MRI or other studies, and depending on those you might be referred to a neurosurgeon or neurologist. Read moreSee 2 more doctor answers
Pinched Nerve: Sounds like you have a pinched nerve in your back. Can take up to 6 months to go away on its own. 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 moreSee 2 more doctor answers
NSAIDs vs Tylenol (acetaminophen): Aleve and Ibuprofen area non-steroidal anti inflammatory medications that can be used to reduce pain and inflammation. Tylenol (acetaminophen) or Acetaminophen is a anti-pyretic medication used to reduce pain and fever, however tylenol (acetaminophen) does not reduce inflammation. Read moreSee 3 more doctor answers
I have peed on myself twice without knowing I have could this happen because of my sciatic nerve pain?
Cauda Equina: Cauda equine syndrome is an emergency. Unfortunately this requires surgery to correct. Often times the nerves are just bruised abit and the signals aren't being sent quick enough, you may need an epidural steroid injection to relieve this irritation. Either way, I would see a pain/spine specialist to evaluate your options. Read moreSee 1 more doctor answer
Someone recommended ruta graveolens to help with sciatic nerve pain. Can you tell me if this could work?
A recent study showed that in a hospitalized group of patients it was not the actual degree of pain relief that determined patient satisfaction. It was the perceived concern on the part of the heath care providers and their attempts to alleviate the degree of pain that mattered. Even ...Read more
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