Doctor insights on:
What Is The Best Treatment For Siatic Nerve Pain
Injections: First of all the definition of true sciatic pain is low back pain that radiates down the back of your leg, usually all the way down to your lower leg/foot. Pain in the buttocks is not sciatica. Sciatica is an irritation of one or more of the nerve roots in the lumbar spine. Depending on severity and duration of symptoms, physical therapy, meds and/or injections may help. ...Read moreSee 1 more doctor answer
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
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 moreSee 2 more doctor answers
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
Options: You have multiple options, the mainstay of treatment are interdisciplinary and include physical therapy, acupuncture, medications (anti-inflammatories, nerve pain agents) and epidural steroid injections. Depending on your response surgery may need to be considered. There continue to be emerging technologies to treat sciatica in a minimally invasive fashion. ...Read moreSee 2 more doctor answers
Control glucose: Most important is to control ur blood sugar-w/o that it will likely cont to progress. Tx aimed @ sx include oral: gabapentin, pregabalin, some antidepressants (ex duloxetine), more & topical: capsaicin, lidocaine, tens, more. Dfclt to predict who will respond to which the best. Lots of choices & i gen talk thru in's & out's of many & decide together which to try 1st, etc. May need combo top + oral. ...Read moreSee 1 more doctor answer
Take off pressure: I'm assuming you have numbness in your ring and small fingers from ulnar neuropathy. Most often, this is caused by resting the forearm on a desk/table edge or armrest on a chair or in a car. Simply remove your arm from ever resting weight on these places, and the problem should resolve. If it doesn't, then the worst case scenario is that an orthopedist may need to reposition the nerve. ...Read more
Relief pain sciatica: You mean pain of sciatica.Sciatica is caused by irritation or compression of one or more of the five spinal nerve roots which comprise sciatic nerve.It can be from herniated disc, spinal stenosis or piriform syndrom.Your doctor will be able to explain what these are.The treatment is non steroidal pain meds like motrin, muscle relaxants, bed rest is controversal, and some time physical therapy may help. ...Read moreSee 2 more doctor answers
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 moreSee 1 more doctor answer
ConservativeApproach: Pinch nerve is easy to diagnose by taking a comprehensive history and performing a physical examination. Usually conservative, reversible approach (pt, acupuncture, nsaids) will manage the condition. In many cases interventional pain procedure under fluoroscopy needs to be done. See pain management specialist for proper diagnosis and treatment. ...Read more
ANTI-INFLAMMATORIES: You're not really looking for a pain medication, which addresses the pain but not really the inflammatory process. Instead, the broad class of NSAID's would be more helpful. These are not without side effects, and should be monitored by a physician. Dr. Latva ...Read moreSee 1 more doctor answer
See a rheumatologist: There's no one best way to manage arthritis pain or achieve pain relief.Once a diagnosis of arthritis has been made, effective management of arthritis involves three specific strategies: 1) Patient education, 2) Body rehabilitation, and 3) Pharmacological (medical) management. See a rheumatologist for evaluation and professional management. ...Read more
Multi-Modal approach: Here are many non surgical options of things to try to reduce pain or improve function before moving on to surgery. -ice -nsaids -nutritional supplements that reduce inflammation -good hydration -reducing caffeine -knee braces -knee compression sleeves -physical therapy & exercise -cortisone injections -lubricant injections (hylauronic acid) -avoiding lots of stairs or ladders -accupuncture. ...Read more
Location: First that depends on what nerve in "pinched" and what are your true symptoms. Are you having just pain or are you have problems with muscle control as well. The pinched nerve of your arm is often caused by a problem at the level of your neck and your symptoms just show up in your arm. I recommend you see an orthopedic surgeon for evaluation. ...Read moreSee 2 more doctor answers
Exercise: Exercise is the number 1 treatment for deg disease. Now once to have attempted this and if you still need more help then you can discuss medication with your doctor ...Read more
Many options.: Topical capsaicin may be helpful for some, while others may benefit with oral medication such as Pregabalin (lyrica), Amitriptyline (elavil), duloxetine (cymbalta), Gabapentin (neurontin), Carbamazepine (tegretol), or valproate (depakote) to reduce the painful symptoms in the feet due to neuropathy. Watch you sugar intake, and have your vitamin b levels checked and supplemented as necessary. ...Read moreSee 1 more doctor answer
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