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Doctor insights on: Prednisone Treatment Of Sciatic Nerve

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Dr. Charles Harvey Dr. Harvey
Neurosurgery
30 years in practice
Northwestern University Feinberg School of Medicine
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Is prednisone an effective treatment for siatic nerve pain?

Is prednisone an effective treatment for siatic nerve pain?

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.

Dr. Thomas Namey
2,544 Doctors shared insights

Prednisone (Definition)

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


Dr. Qamar Khan Dr. Khan
Pain Management
13 years in practice
Touro University Nevada College of Osteopathic Medicine
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What is the best treatment for sciatic nerve pain?

What is the best treatment for sciatic nerve pain?

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.

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Dr. Edward Hellman Dr. Hellman
Orthopedic Surgery
25 years in practice
University of Illinois College of Medicine
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How is a DX of Piriformis Syndrone made? Is it merely Sciatic Nerve irratation that radiates to buttocks. What is the Treatment?

How is a DX of Piriformis Syndrone made? Is it merely Sciatic Nerve irratation that radiates to buttocks. What is the Treatment?

Exam: The primary diagnostic tool is a detailed exam. A nerve conduction test specifically looking for piriformis syndrome can confirm. An injection in the piriformis area is used and can be both therapeutic and diagnostic. Physical therapy can be helpful in many cases.

Dr. Robert Sterling Dr. Sterling
Emergency Medicine
41 years in practice
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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?

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.

Dr. Andrew Germanovich Dr. Germanovich
Pain Management
9 years in practice
Midwestern University Chicago College of Osteopathic Medicine
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Piriformis syndrome and sciatic nerve treatment, do you have any recommendations?

Piriformis syndrome and sciatic nerve treatment, do you have any recommendations?

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.

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Dr. Adam Hebb Dr. Hebb
Neurosurgery
17 years in practice
Dalhousie University Faculty of Medicine
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Is there a clear top treatment available for the pain caused by the sciatic nerve in the human body? What is it?

Is there a clear top treatment available for the pain caused by the sciatic nerve in the human body? What is it?

Depends on cause: This is often a lumbar radiculopathy with compression of the nerve as it exits the spine. It often improves on its own with medication and physical therapy. However, surgical decompression is sometimes required.

Dr. James Rotchford Dr. Rotchford
Addiction Medicine
37 years in practice
University of Washington School of Medicine
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Major sciatic nerve pain seems to have gotten worse over last 4 works since workout without stretching. Other than NSAIDs + stretching, any treatment?

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.

Dr. Soren Singel Dr. Singel
Neurosurgery
25 years in practice
Free University of Berlin Faculty of Medicine
8
Dr. Qamar Khan Dr. Khan
Pain Management
13 years in practice
Touro University Nevada College of Osteopathic Medicine
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What are effective treatments for sciatic nerve pain?

What are effective treatments for sciatic nerve pain?

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.

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Dr. Tung Nguyen Dr. Nguyen
Neurosurgery
27 years in practice
Mount Sinai School of Medicine
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What are some therapy that is available for sciatic nerve pain?

What are some therapy that is available for sciatic nerve pain?

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.

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Dr. Adam Hebb Dr. Hebb
Neurosurgery
17 years in practice
Dalhousie University Faculty of Medicine
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Which types of treatments to manage irritation of the sciatic nerve?

Antiinflammatory Med: Severe nerve irritation may be treated with an antiinflammatory medication such as a steroid medication. These medications may have significant side effects, so a careful assessment is required. Also, physical therapy is an excellent treatment option as well.

Dr. Thomas Dowling Dr. Dowling
Orthopedic Surgery - Spine
36 years in practice
Boston University School of Medicine
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Are there any effective treatments for sciatic nerve pain (in pregnancy)?

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.

Dr. Qamar Khan Dr. Khan
Pain Management
13 years in practice
Touro University Nevada College of Osteopathic Medicine
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If epidural steroid blocks have not elevated my sciatic nerve pain, what treatments are recommended?

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.

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Dr. Heidi Fowler Dr. Fowler
Psychiatry
21 years in practice
Uniformed Services University of the Health Sciences F. Edward Hebert School of Medicine
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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

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.

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Dr. Darrell Herrington Dr. Herrington
Family Medicine
30 years in practice
University of North Texas Health Science Center at Fort Worth Texas College of Osteopathic Medicine
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I have a minor pinched sciatic nerve that doesn't have any herniated disks. How long should I be seeing a chiropractor?

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.

Dr. Sassan Hassassian Dr. Hassassian
Anesthesiology
25 years in practice
Eastern Virginia Medical School
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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.

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).

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Dr. Herman Hammerstead Dr. Hammerstead
Surgery - Trauma
46 years in practice
University of Louisville School of Medicine
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What could be causing severe r sciatic nerve irritation s/p ventral hernia repair?

Bulging Lumbar Disc: Not related to rep[air just fortuitous occurance. See ortho spine or neurosurgical consult and get MRI

Dr. Stephen Ram Dr. Ram
General Practice
27 years in practice
University of Auckland School of Medicine
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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.

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Dr. Romanth Waghmarae Dr. Waghmarae
Pain Management
35 years in practice
Faculty of Health Sciences of the University of the Witwatersrand
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Dr. Rohit Keswani Dr. Keswani
Physical & Rehabilitation Medicine
21 years in practice
University of Sheffield Medical School, Faculty of Medicine and Dentistry
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How can I treat my sciatic nerve?

How can I treat my sciatic nerve?

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.

Nerve (Definition)

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


Dr. John Feola
975 Doctors shared insights

Liquid Pred (Definition)

Liquid Pred is a corticosteroid which is a kind of ...Read more