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
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
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
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 moreSee 1 more doctor answer
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 moreSee 2 more doctor answers
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 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 2 more doctor answers
Recommend: avoid flexing his hip and raising leg up into air. those movements will aggravate sciatica symptoms. Otherwise its hit or miss what might actually be an issue for the patient. Muscles can be tight and hurt if nerve is irritated, not sure that would be a problem but if it hurts patient suggest avoiding those areas with deep pressure. ...Read moreSee 1 more doctor answer
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
Neuralgia is a condition in which there is a sharp, unexpected pain along a nerve that is due to the irritation and damage of that nerve. Chemicals, diseases such as diabetes, medications, previous surgery, and trauma are potential causes of neuralgia. Numbness and weakness of the muscles supplied by the ...Read more
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