Doctor insights on:
Prednisone Treatment Of Sciatic Nerve
Sciatica: Low back pain that radiates into the leg is called sciatica. A herniated disc in the lumbar area is one common cause. Simple exercises and stretching, over the counter pain medication, or prednisone or other steroid medications like Medrol (methylprednisolone) dosepak can reduce inflammation. Physical therapy can help. If it has been present for more than 3 weeks, see a Doctor. An MRI might be the next step. ...Read more
Prednisone is a synthetic cortisone. The body makes cortisone, a natural hormone made in adrenal glands. The body converts it to Hydrocortisone to become active. 25 mg of cortisone has about same effect as 5 mgm prednisone. The average person would produce 3-6 mg of pred daily. So why use a substitute? The synthetic has more anti-inflammatory effect; but has less effect ...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 injections. ...Read more
How is a DX of Piriformis Syndrone made? Is it merely Sciatic Nerve irratation that radiates to buttocks. What is the Treatment?
Hi there, My GP has advised me that I have a slipped disc in my lower back possibly affecting my sciatic nerve. What treatment is available?
•Conservative treatment generally first:
A) Supportive care: ice packs and rest;
B) Meds: NSAIDs, muscle relaxants, analgesics, steroids, nerve pain meds
C) Physical therapy and exercises;
D) Chiropractic techniques, stretching, yoga, massages, heat/ultrasound, acupuncture
E) Pain management: epidural steroid injection
•Surgical treatment generally last:
F) discectomy, foraminotomy
Any Treatment options suggested for a 20 year old (me) diagnosed at 17 yrs old with an appearing Schwannoma in my sciatic nerve. Seems to be inoperable?
Get Another Opinion: First, get a second opinion. Schwannomas are usually amenable to surgical correction, unless in your case there is an unusual circumstance. Quote: "Microsurgical excision is the treatment of choice. Schwannomas are removeable since they repulse fascicular groups without penetrating them thus allowing their enucleation while preserving nerve continuity." (www. Ncbi. Nlm. Nih. Gov/.) Don't give up. ...Read more
Stretch injury: If your piriformis pain is secondary to pelvic imbalance and it's constantly stretched, the last thing you want to do is stretch your piriformis. It will aggravate even if it feels good stretching it at the time. Find a physical therapist who can do myofascial release or facilitated positional release and teach you relaxing exercises. ...Read more
Is there a clear top treatment available for the pain caused by the sciatic nerve in the human body? What is it?
Major sciatic nerve pain seems to have gotten worse over last 4 works since workout without stretching. Other than NSAIDs + stretching, any treatment?
Get an exam: If there are neurological findings it can change what might be reasonably tried. Chiropractors, acupuncture, physical therapy, gabapentin, trigger point work, and believe it or not emotional work can all help as well as stretches. I like the ones that stretch the iliopsoas muscles. ...Read more
I have a sciatic nerve injury due to being shot in the leg. I have done much treatment, but my foot is numb. Can you recommend a doctor or further treatment?
Robert J Spinner: Robert j spinner at the mayo clinic is the national expert in peripheral nerve injury and nerve reconstruction. ...Read more
Spine Pain Options: This sciatica pain 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 pain/spine specialist and may be candidate for facet injections/radiofrequency ablation and epidural steroid injections. ...Read more
Conservative care: Unless the disc is so large on MRI scan that nothing short of surgery will help, patients should be started on non steroidal anti-inflammatory meds, muscle relaxants, pain medications, steroids if necessary. Try pt for some time. If symptoms persist, then I agree that epidural injections and surgery should be considered. ...Read more
Yes ranging from: A pregnancy harnessalong with physical therapy as well as use of tylenol (acetaminophen) if cleared by your doctor to even epidural steroid injections, again, if cleared by your physician. Sometimes, time is the biggest healer along with some rest and activity modification. ...Read more
If epidural steroid blocks have not elevated my sciatic nerve pain, what treatments are recommended?
Facet Joints?: Maybe the pain is coming from your facet joints and you may be candidate for facet injections and/or radiofrequency ablation for longer lasting relief. Speak with your doctor regarding your options. In some situations spinal cord stimulation is an option, however surgery should also be considered at that time as well. ...Read more
I have two disk swollen smashing my sciatic nerve do I need to see surgen my right leg hurts real bad can't hardly walk need help please pain is getting unbearble
Hello.: Hello. That sounds so painful. You really do need to see either a neurosurgeon or an orthopedic surgeon who is a spinal specialist. They will be able to do studies and to determine if you are a surgical candidate or if you would respond to other treatment measures. Take care. ...Read more
I have a minor pinched sciatic nerve that doesn't have any herniated disks. How long should I be seeing a chiropractor?
Not very.: Three treatments ought to bring about relief, or you should pursue other modalities. The chiropracter should also have given you specific exercises to do at home. If not improving, see your doctor. ...Read more
Anything can/should do for sciatic nerve pain? It is not bad enough to warrant anything like surgery, but don't want it to get worse.
Conservative first: Sciatica is a pain radiating into lower extremities. Typically impingement of nerves exiting the lower spine causes this. Less common is impingement of nerves after they have exited the spine and in buttock area. Mild cases cases can be observed & treated conservatively with medication and physical therapy. Persistent pain and if there are nerve symptoms require further workup (e.g. Mri). ...Read more
Is there any reason why a sciatic nerve block wouldn't be appropriate (vs GA) for lateral ligament repair with internal brace?
Ask the anaesthetist: Spinal might be appropriate but sciatic nerve block only can be technically difficult/unavailable depending on the facility and skill of the staff plus ga can be quicker recovery You should get a chance to meet an anaesthetist before the operation and could discuss this option as part of your rights re making an informed decision. Usually they will talk on the day of op. ...Read more
Can arthritis in the lower back compress the sciatic nerve for 15 years causing leg numbness. I began experiencing this in my early 40's.?
Leg numbness: Yes certainly it can - this really depends on how ban it is and how much overgrowth of bone there is. ...Read more
Exercise: It really depends on the cause of your pain. Typically what is considered sciatic nerve pain comes from the back and is often a radiculopathy. Sometimes it can originate from a tight muscle known as the piriformis. Exercises the stabilize the spine, combined with oral steroid and occasionally an epidural may help for back associated leg pain. For piriformis, a therapist can assist with stretches. ...Read more
USUALLY disc disease: The sciatic nerve can 'get pinched' by a bulging disc in the low back. The mechanism of injury for bulging disc is usually some type of lifting injury with 'bent over posture' or twisting. I had a patient 'sneeze so hard' he developed a completely weak leg and had surgery the same day. Usually in men, another cause of sciatic compression is sitting on a wallet causing pain 'down the leg! '. ...Read more
See doc: Go see your pcp or a spinal surgeon. ...Read more
Sciatic nerve damage: It really depends on the reason and the extend of the damage. If it was cut, or crushed, recovery can be unpredictable. If it was just compressed for a ong time, there is a good chance for reconvery. All cases vary, and an emg/ncv study can help a lot over long-term reconvery. Good luck! ...Read more
Sciatica: Sciatica refers to a pain that radiates into the lower extremities typically because of impingement of nerves exiting the lower spine. Less common is impingement in buttock area. One does not need necessarily to experience any buttock pain with sciatica. In fact, sciatica itself should not cause localized buttock pain. This is a misnomer when sciatica is confused with buttock pain. ...Read more
May need a: Chiropractor or acupunture to help lesson the pain. Another thing that could help is to lye on the floor and rest your feet and lower leg on a couch this helps in reducing the discomfort in the lower back ...Read more
Pain down the leg: The sciatic nerve is a bundle of nerve fibers that emerge from the lower spine providing wiring for the leg. If the nerve is injured or "pinched" as it exits the spine (or for that matter anywhere along it's course), the brain receives signals of pain which it may interpret as coming from somewhere along the course of the nerve. That pain is called sciatica. ...Read more
Here are some...: Anatomically, sciatic nerve is derived from both anterior & posterior branches of spinal nerves form lumbar 1 level to sacral 3 level, distributing to mainly posterior aspect of leg, but could be interconnected with genitofemoral nerve from L1-2, so resulting in slight overlapping & leading to possible referring pain in few patients. More? Seek evaluation & counseling timely. ...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 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 more
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