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Doctor insights on: Sciatica Physical Therapy Protocol

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Dr. Qamar Khan
1,075 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


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What is the best treatment for sciatica- injections or physical therapy?

What is the best treatment for sciatica- injections or physical therapy?

Hard to Say: Injections will give you pain relief early, but PT can be just as helpful but will take time to get relief. There is new research coming out that when you are in a lot of pain, you're body actually stops you from performing exercises so that you may not benefit from PT initially. So we believe that if you at least improve your pain first, you can then proceed with the exercise therapy programs. ...Read more

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Does anyone know the physical therapy that people with this sciatica do?

Does anyone know the physical therapy that people with this sciatica do?

Therapies: 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. Other Therapies include Spine Injections that use steroidal medications. ...Read more

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What is the superior treatment for sciatica--injections or physical therapy?

What is the superior treatment for sciatica--injections or physical therapy?

Adjunctive: Injections can be very helpful adjunctive treatments for sciatica but in my opinion they should be combined with a good physical therapy program. I find that the two together work better than either one separately however, depending on the situation I will often use pt alone as a first attempt and add an injection if the pt is not helping. Not everyone agrees with me on this however. ...Read more

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Which treatment for sciatica--injections or physical therapy is the very best?

Which treatment for sciatica--injections or physical therapy is the very best?

Integrate: The cause for the sciatica should be delineated first. Physical therapy is an important first step in most cases. In more severe or refractory cases, injection is indicated. In my opinion, the combination of injections and physical therapy is likely to be more effective than either one alone. ...Read more

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Can physical therapy cure sciatica? Is it possible to get rid of my sciatica with physical therapy? .

Can physical therapy cure sciatica? Is it possible to get rid of my sciatica with physical therapy? .

Cure, Unlikely...: Sciatica can be managed effectively and can be relieved in a vast majority of people, but it will always require diligence on your part for nsaids, exercise, stretching and weight control/loss. For those still having issues it may require treatments (injections, surgery, etc) to maintain relief as well. ...Read more

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Is physical therapy possible with degenerative disc disease and sciatica injury?

Is physical therapy possible with degenerative disc disease and sciatica injury?

Yes It is possible: Injections will give you pain relief early, but PT can be just as helpful but will take time to get relief. There is new research coming out that when you are in a lot of pain, you're body actually stops you from performing exercises so that you may not benefit from PT initially. So we believe that if you at least improve your pain first, you can then proceed with the exercise therapy programs. ...Read more

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What are my options for sciatica after an epidural did no work. I have tried physical therapy, accupuncture.?

What are my options for sciatica after an epidural did no work. I have tried physical therapy, accupuncture.?

May Want to Repeat: Epidural injection. There is a synergistic effect with injections in which you may receive more relief when 2 or more injections are used together. If you are not improving even after the 2nd injection, I would consider other options like radio frequency ablation or even stem cell therapy has shown good results. Otherwise it may be a trip to the surgeon to discuss your options. ...Read more

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27 year old athlete with sciatica? I'm a 27 year old athlete that has been dealing with some hamstring pain and what I believe might be sciatica for a few months. After some rest and physical therapy the hamstring has felt better, although it still hurts

27 year old athlete with sciatica? I'm a 27 year old athlete that has been dealing with some hamstring pain and what I believe might be sciatica for a few months. After some rest and physical therapy the hamstring has felt better, although it still hurts

Presacral plexus: Chronic sciatica in a late 20's female is often found in association with an hypermobile sacroiliac joint, which can result from acute mechanical trauma, childbirth, and/or joint hypermobility syndrome. Chronic sciatica probably derives from impingement of the presacral plexus, the "headwaters" region of the sciatic nerve. The presacral plexus overlies the ventral aspect of the sacroiliac joint. ...Read more

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When to start physical therapy for sciatica and lower back pain, while in pain or wait until the pain is reduced?

When to start physical therapy for sciatica and lower back pain, while in pain or wait until the pain is reduced?

Not Known: Nothing can work fast, however if PT can relieve pressure on the spine where the nerve is getting pinched gets relief than pain relief can occur. If you are not improving after 2-3 weeks with regular therapy sessions, I would suggest seeing a pain/spine specialist to see if a cortisone injection might be helpful. ...Read more

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How fast does physical therapy take to work for sciatica/s.I. Joint pain?

How fast does physical therapy take to work for sciatica/s.I. Joint pain?

See below: No correct answer here. Everyone is different and everyone's healing ability is different. In general, I would expect to see some improvement after about 10-15 pt sessions. ...Read more

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Can physical therapy help with my lower back pain and the sciatica in my left leg?

Can physical therapy help with my lower back pain and the sciatica in my left leg?

Hard to Say: Injections will give you pain relief early, but PT can be just as helpful but will take time to get relief. There is new research coming out that when you are in a lot of pain, you're body actually stops you from performing exercises so that you may not benefit from PT initially. So we believe that if you at least improve your pain first, you can then proceed with the exercise therapy programs. ...Read more

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Will physical therapy improve the posture of my body (my pelvis is tilted and I limp, because of severe sciatica and discopathy....no scoliosis!)?

Will physical therapy improve the posture of my body (my pelvis is tilted and I limp, because of severe sciatica and discopathy....no scoliosis!)?

It can: However it will need to be something you continue after the therapy has ended. If you stop doing the exercises then you will lose the benefits in the long run. ...Read more

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Can you tell me about physical therapy for low back pain?

Can you tell me about physical therapy for low back pain?

First see an MD/DO.: You will need a diagnosis and referral to see a physical therapist. Consult a physiatrist who specializes in spine care to get a specific diagnosis. Then based on the specific cause of your back pain, the doctor can coordinate care (including specific physical therapy modalities and therapeutic exercise) for optimal outcome. ...Read more

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Aquatic physical therapy - how helpful is it for low back pain?

Very: I like aquatic therapy for my patients with back pain because it allows them to get in the water and exercise while diminishing their own body weight and it's effect on the spine. ...Read more

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I have acute chronic low back pain. My orthopedic said to go for physical therapy instead of injections. Is there a limit to epidural injections?

I have acute chronic low back pain. My orthopedic said to go for physical therapy instead of injections. Is there a limit to epidural injections?

Yes and No: There are no limits to how many epidural injections you can have. That said repeated steroid based injections put your body at risk for other medical issues down the road. I am assuming based on your age your doctor wanted you to try a more conservative approach first and that is a good model to follow. However if your pain persists after a good physical therapy trial, consider the injections. ...Read more

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I have severe low back pain and have 2 bulging discs in T11 &t12 I have had 13 facet inj which have not helped and physical therapy not helped either?

Hard to Say: Without evaluating you fully what to do. Recommend if you are not getting relief, seek another opinion. See a Pain/Spine specialist that is fellowship trained and has understanding of the musculoskeletal system like a physiatrist. ...Read more

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What is more effective for low back pain and joint pain; physical therapy or chiropractic?

What is more effective for low back pain and joint pain; physical therapy or chiropractic?

Depends: Both specialists overlap quite a bit. Just depends on what you are comfortable with. Physical therapy is now doing a lot of manipulation therapies and vice versa chiropractors are noting the benefit of active exercise therapy for their patients as well. Often times seeing an sports medicine physician might be helpful since they have experience with both care types to guide you. ...Read more

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Anterior discetomy and fusion physical therapy protocol?

Anterior discetomy and fusion physical therapy protocol?

Lots of variables: Most doctors wait about four weeks before starting physical therapy after an acdf. Depending on the level of the surger, yphysical therapy activities will vary. Because of the long period of convalescence after a fusion like this, patients usually have compromised stamina, so treatment may include exercise to improve core strength. This is a good place to learn more: http://tinyurl. Com/p2z8ud. ...Read more

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What is the typical physical therapy protocol for total hip and total knee replacement?

What is the typical physical therapy protocol for total hip and total knee replacement?

Strengthening, etc: The cornerstone of therapy protocols following hip and knee replacement centers on gait training and strengthening. Hip replacement patients should focus on walking, abductor and gluteal strengthening, while knee replacement patients should focus on range of motion of the knee, quadriceps strengthening program. ...Read more

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What is the physical therapy protocol in treatment of a total hip replacement?

What is the physical therapy protocol in treatment of a total hip replacement?

Walking and more: Physical therapy is central to recovery. Standing and walking, with assistance, is usually started within 24 hrs. Beyond that, specific therapy protocols are tailored to the individual patient. In general, exercises are chosen to strengthen and stretch muscles like stair climbing and bending. Cycling and swimming, not running, are often introduced within months. Talk with your doctor for specifics. ...Read more

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Which is the physical therapy protocol for treatment of total hip replacement?

Which is the physical therapy protocol for treatment of total hip replacement?

Post THA PT protocol: It depend on the type of approach you had for your total hip. You should consult with your surgeon and physical therapist to determine the correct protocol. ...Read more

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What is the typical physical therapy protocol for treatment of total hip replacement?

What is the typical physical therapy protocol for treatment of total hip replacement?

Lots of exercise: You will need to strengthen the muscles around your hip. You will lift it in multiple directions, and walk on it ("weight bear") to get used to the new conditions. You may get on a stationary bike to aid in motion. You may have some motion precautions in the early stages, depending on the surgeon's approach to the hip. ...Read more

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Mom was prescribed celebrex (celecoxib) for siatica pain, did not take after reading terrible side effects, is drug safe or is physical therapy be better choice?

Mom was prescribed celebrex (celecoxib) for siatica pain, did not take after reading terrible side effects, is drug safe or is physical therapy be better choice?

Pretty Safe: Celebrex (celecoxib) is a poor pain reliever but a good anti-inflammatory. However if it does not help you may want to see if her doctor can prescribe her a stronger anti-inflammatory medicine or even a Medrol dose pack (steroid). If physical therapy and these don't help, then evaluation by a spine specialist would be warranted. ...Read more

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Can physical therapy for low back pain or neck pain help during pregnancy?

Can physical therapy for low back pain or neck pain help during pregnancy?

Yes: It's best to see a physical therapist or doctor of osteopathic medicine to help stretch out contracted muscles and release tension from baby. ...Read more

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Why is my surgeon telling me I don't need physical therapy?

Why is my surgeon telling me I don't need physical therapy?

Depends: 1) Some conditions do not seem to respond well to PT.

2) There may not be decent PT resources available.

3) The goal of PT is to teach you how to do exercises at home/in the community on your own and perhaps additional PT is not needed by you.

Does this help? ...Read more

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What is treatment for ilotibial band burning and pain after physical therapy didn't help?

What is treatment for ilotibial band burning and pain after physical therapy didn't help?

Difficult: This is a tough one. Itb symptoms can be very difficult to treat and often times persistent pt and time are the best answer. Topical nsaids such as voltaren gel or Flector Patch (diclofenac) may help. Consider massage therapy. Tens units (electrical stimulation) sometimes help. Lastly, local steroid injections are an option as well. ...Read more

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How to figure out why I can't walk after 4 months physical therapy?

How to figure out why I can't walk after 4 months physical therapy?

Talk to doctor: Many details needed, and would be best for you to talk to your doctor about your lack of progress at pt. ...Read more

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What should I do? Please lead me on to the right direction. Hello. I feel off a balance beam when I was 10 1/2. I am now 13. First I had dorsal capolitis then I went to physical therapy and the pain started to go away. Soon I felt so well that I thought t

Please: Please go immediately to your regular doctor and explain your situation and ask for an immediate referral. You can also call your er and ask for a referral so that you can be seen immediately. I understand that you cannot wait and are in so much pain, so please tell your parents and your doctor so that you can be immediately evaluated. ...Read more

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Got into a car accident earlier, I hit my arm and the pain won't go away. Do I need physical therapy?

Got into a car accident earlier, I hit my arm and the pain won't go away. Do I need physical therapy?

Maybe: You need a diagnosis as to what is causing pain, and then a treatment plan can be created. If this is being answered in a timely fashion, please consult a physiatrist, orthopedist or family practitioner for an evaluation if you are still experiencing pain. ...Read more

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Have peroneal tendonitis but insurance doesn't cover physical therapy. Is there anything I can do myself?

Have peroneal tendonitis but insurance doesn't cover physical therapy. Is there anything I can do myself?

Some initial Rxs: Local treatment by icing region several times a day along with use of OTC NSAIDs like Aleve (naproxen) if you have no allergies or stomach issues with these medications. Can also try a shoe insert such as a Donjoy Arch Rival which can provide for some lateral wedge support -if no improvement see an orthopedist, physiatrist or podiatrist. ...Read more

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Can you help cervical stenosis I have had 4 physical therapy treatments which left me with pain I didn, t have before?

Can you help cervical stenosis I have had 4 physical therapy treatments which left me with pain I didn, t have before?

Possibly: Cervical stenosis refers to narrowing of the central spinal canal or neural foramina where the nerves exit and is usually due to a combination of degenerative discs, arthritic changes and sometimes a congenitally small canal. In milder cases, therapy, medication, traction and sometimes injections can be helpful. In more severe stenosis surgical decompression may be needed. Eval is needed to decide. ...Read more

Dr. Jay Rosenfeld
3,582 Doctors shared insights

Physical Therapy (Definition)

Physical therapy can provide back exercises to relieve tension on discs and nerves in the back in order ...Read more


Dr. Dennis Giannini
3,249 Doctors shared insights

Physiotherapy (Definition)

Physiotherapy programs, or physical therapy, work to improve movement capacity in those recovering ...Read more