Treatment FAQ

what is the best treatment for sciatic nerve pain?

by Prof. Sallie Kautzer II Published 3 years ago Updated 2 years ago
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Medication

Which Therapy Treats Sciatica the Best?

  • Passive Physical Therapy Options for Sciatica. A physical therapist uses heat to increase the supply of oxygen and essential nutrients by getting more blood to the target area.
  • Active Physical Therapy Options for Sciatica. ...
  • Other Alternative Treatments for Sciatica. ...

Procedures

Sciatica Treatment

  • Nonsurgical Treatment for Sciatica. First line treatments of sciatica typically include some combination of physical therapy, medications, therapeutic injections, and alternative therapies.
  • Physical Therapy for Sciatica. ...
  • Medication for Sciatica Pain. ...
  • Chiropractic Therapy. ...
  • Massage Therapy. ...
  • Lumbar Therapeutic Injections for Sciatica. ...

Self-care

While the pain may be intense, sciatica usually goes away on its own in 3 out of 4 people. People should make sure they have good posture when they plan to sit for a long period of time. Exercise, such as walking, yoga, pilates, and light stretching, will help reduce pain and keep sciatica from returning.

Nutrition

Which Muscle Relaxants Are Best for Neck and Back Pain?

  1. Methocarbamol. Methocarbamol (Robaxin) is a well-studied medication that treats back pain. ...
  2. Cyclobenzaprine. At the standard dose of 10 mg to 30 mg a day, cyclobenzaprine (Flexeril) will make you sleepy. ...
  3. Carisoprodol. ...
  4. Metaxalone. ...
  5. Tizanidine. ...
  6. Baclofen. ...
  7. Oxazepam and diazepam. ...
  8. Chlorzoxazone. ...
  9. Orphenadrine. ...

Which is therapy treats sciatica the best?

What are the best pain relief options for sciatica?

Does sciatic nerve pain ever go away on its own?

What is the best muscle relaxer for sciatica?

See more

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How do I get my sciatic nerve to stop hurting?

How is sciatica treated?Appling ice and/or hot packs: First, use ice packs to reduce pain and swelling. ... Taking over-the-counter medicines: Take medicines to reduce pain, inflammation and swelling. ... Performing gentle stretches: Learn proper stretches from an instructor with experience with low back pain.

What is the most successful treatment for sciatica?

The vast majority of people with sciatica usually benefit from physical therapy and/or exercise programs that include stretching, strength training, and low-impact aerobic exercises. A short course of prescription or over-the-counter medications may be taken alongside these therapies.

How long does it take for sciatic nerve pain to go away?

For the majority of patients, acute sciatica pain resolves within 1 – 2 weeks. In some cases, behavioral modification or at-home remedies may be adequate for relieving sciatica pain. However, certain patients may develop chronic sciatica pain which may wax and wane but remains present over many years.

What does a doctor do for sciatic nerve pain?

Sciatica treatment includes a variety of methods, including medication, physical therapy, steroid injections, and surgery from an orthopedic surgeon. The sciatica treatment recommended will vary based on the severity of your sciatica.

Is walking good for sciatica?

Walking is a surprisingly effective approach for relieving sciatic pain because regular walking spurs the release of pain-fighting endorphins and reduces inflammation. On the other hand, a poor walking posture may aggravate your sciatica symptoms.

What happens if sciatica is left untreated?

If left untreated, sciatica can cause permanent nerve damage that worsens back and leg pain. Over time, the pain may extend to other parts of the body. In some cases, patients stop responding to pain medication, thereby developing chronic pain that cannot be remedied.

Is bed rest good for sciatica?

Discussion. We found no evidence that bed rest is an effective treatment for patients with sciatica.

Can a chiropractor fix sciatica?

You may be wondering, “can a chiropractor help with sciatica?” and the answer is yes! Many people don't realize that a chiropractor can help with sciatica pain. In fact, the chiropractic techniques we use can provide instant drug-free relief to sciatica pain.

Is sciatica a serious condition?

Severe damage to your sciatic nerve roots can cause progressive neurological symptoms and requires immediate treatment. The symptoms may affect one or both legs and typically include the following: Numbness. Weakness.

Nonsurgical Treatment For Sciatica

The goals of nonsurgical sciatica treatments are to relieve pain and any neurological symptoms caused by a compressed nerve root. There is a broad...

Alternative Sciatica Treatment

In addition to standard medical treatments, several alternative treatments have also been shown to provide effective sciatica pain relief for many...

Treatment For Recurring Sciatica Pain

For most people, the good news is that sciatica typically gets better on its own, and the healing process usually will only take a few days or week...

Medical Professionals Who Treat Sciatica

There are a number of types of nonsurgical spine care professionals who specialize in treating sciatica symptoms, such as chiropractors, physiatris...

How to treat sciatica pain in lower back?

Hot and cold packs. Apply each for several minutes on your lower back, a few times a day. Cold packs first for a few days, then heat packs. Alternative therapies. Many people believe that alternative therapies like yoga, massage, biofeedback, and acupuncture help with sciatica. Medicines.

What is sciatica pain?

Articles On Sciatica. What Is Sciatica? Sciatica is pain that starts in your lower back and shoots down through your legs and sometimes into your feet. It happens when something in your body -- maybe a herniated disk or bone spur – compresses your sciatic nerve.

How long does it take for sciatica to go away?

Most people with sciatica don’t end up needing surgery, and about half get better within 6 weeks with only rest and medication.

How long does a laminectomy last?

During a laminectomy, your surgeon removes the lamina and any tissue pressing on the nerve that’s causing you pain. You will get general anesthesia, meaning you will not be awake during the operation, which can last up to 2 hours.

How to get rid of inflammation in feet?

Your physical therapist can make sure your form is correct so you don’t injure yourself any further. Limited bed rest. Three days off your feet usually does the trick, and it’s important to be on a firm mattress or the floor.

Can sciatica cause bowel problems?

In rare cases, sciatica can cause cauda equine syndrome, a condition that makes you lose control of your bowels and bladder.

What is Sciatic Nerve Pain?

Your sciatic nerve runs from your lower back down through your hips and buttocks. It extends down both of your legs to your ankles, however, only one leg generally experiences sciatic nerve pain, also known as sciatica.

Common Sciatic Nerve Pain Causes

Understanding the causes of sciatic nerve pain can help you to find an effect treatment for it. Usually this occurs when something compresses, inflames, or irritates your sciatic nerve.

Pain Management Treatments

While you are getting to the root of the problem, most doctors will recommend pain relief options to people with sciatica.

Physical Therapy and Anti-Inflammatory Exercises

A lot of doctors will recommend physical therapy exercises to help relieve pressure on the sciatic nerve. Doing these regularly can help to relieve sciatica within a couple of weeks. Ideally, you should set aside a little time every day to target your sciatica.

Spinal Injections

Your doctor may recommend spinal injections to treat your sciatica. This often happens if a patient has been struggling with sciatica for four months or more. Or you may receive them if your pain is making physical therapy too difficult.

Surgery for Sciatic Nerve Pain Relief

It is very rare that a doctor will recommend having surgery to relieve sciatica. However, some conditions do require surgical assistance if they do not heal on their own.

Get Support With Sciatic Nerve Pain Treatment Today

As you can see, when it comes to sciatic nerve pain treatment you have plenty of options. An experienced doctor will be able to help you determine the best course of treatment for your condition. So what are you waiting for?

What is the best treatment for sciatic nerve pain?

Chiropractic Treatment for Sciatic Nerve Pain. Chiropractic Treatment for Sciatic Nerve Pain, along with other physiotherapy treatments, are a very common suggestion for cases of sciatic nerve pain. Unlike some at-home treatments and medication, the purpose of chiropractic treatment is to address the underlying cause of the pain.

How long does sciatic nerve pain last?

For some people, the pain will only last for a short duration (typically 4-6 weeks) and it will only cause slight irritation. For other people, the pain will last for much longer and can be quite severe.

What is the pain in the back of the leg called?

Sciatic nerve pain or sciatica, is an incredibly common type of pain that experts estimate 40% of people experience at some point in their lives. This pain can be very disabling and leave one of your legs feeling weak or numb, possibly with a burning or stabbing sensation. If you have sciatic nerve pain or you think that you may be experiencing ...

Where is the sciatic nerve located?

The sciatic nerve is located between the hips and feet and runs down the back of each leg. The location of the nerve explains why the symptoms of sciatica can involve experiencing pain in the lower back, hips, and leg.

Does chiropractic help with sciatica?

From the initial diagnosis, to relief from pain by targeting the cause of the pain, and afterwards with preventive care., in general, chiropractic treatment is immensely well-suited to treating sciatica, as it’s focused on helping the body to heal itself through treatments that improve spinal movement.

Can a tumor cause sciatic nerve pain?

Tumors. Sometimes, other back injuries may also cause sciatic nerve pain. While not generally a cause, the pain experienced can be worse for people that are overweight or accentuated by additional problems, such as inadequate sleeping provisions.

Can a chiropractor help with sciatic nerve pain?

As well as treating the cause of sciatica, a chiropractor will also be able to advise you on good practices that can prevent re-occurrences of sciatic nerve pain in the future, such as: Which exercises to do at home to improve the muscles in your back. How to correct your posture when you’re sitting and standing.

What is the treatment for sciatica?

Sciatica treatment usually starts with nonsurgical methods and includes some combination of physical therapy, medications, therapeutic injections, and alternative therapies. Watch Now.

How to get rid of sciatica pain?

Stretch tight and inflexible muscles, such as hamstrings. Encourage the exchange of fluids and nutrients in the body by light aerobic exercises such as walking, swimming, or pool therapy. See Sciatica Exercises for Sciatica Pain Relief.

How long does sciatica pain last?

As a general rule, if nonsurgical methods fail to provide relief after 6 to 8 weeks of treatment or if neurologic deficits (such as leg weakness) increase, surgery may be considered. 2.

What is the best medicine for sciatica?

Both prescription and over-the-counter (OTC) medications may be used to relieve sciatica pain. A few examples of medications used to treat sciatica pain include: 1 Nonsteroidal anti-inflammatory drugs (NSAIDS), such as ibuprofen or naproxen 2 Oral steroids, such as prednisone 3 Anticonvulsant medications, such as gabapentin 4 Tricyclic antidepressants, such as amitriptyline 5 Opioid analgesics, such as tramadol or oxycodone

How long does it take to get rid of sciatica?

Acute sciatica usually gets better with 4 to 6 weeks of nonsurgical treatment. For chronic sciatica with pain lasting over 8 weeks, treatment time may take longer and may depend on ...

What are the goals of physical therapy for sciatica?

The goals of physical therapy and exercises for sciatica include: Strengthen the spine and muscles of the lower back, abdomen, buttocks, and hip.

Does massage help with pain?

The benefits of massage therapy include: Improving blood circulation, which in turn creates a better healing response in the body. Relaxing tight muscles, which may be contributing to the pain.

How to get rid of sciatica pain?

"Lying in bed makes it more likely that the pain will last longer," says Ruppert. "Exercise increases blood flow to the disk and the nerve, helping to get rid of the chemicals causing the inflammation.".

What is the best massage for sciatica?

Trigger Point Massage. Don't expect a chilled-out spa massage if you have sciatica. In this instance, trigger-point therapy is best, says Jeff Smoot, vice president of the American Massage Therapy Association. The sciatic nerve sits underneath a muscle called the piriformis, which is located beneath the glutes.

What causes leg pain in the lower back?

When it comes to sciatica, there's no shortage of treatments. Sciatica is leg pain caused by a pinched nerve in the lower back. Although the pangs begin in nerve roots located on either side of the lower spine, they then course through the sciatic nerve, which runs the length of each leg from the buttock down to the foot.

How long does sciatica pain last?

Usually, symptoms clear up within about six weeks, but for some people, the pain can last far longer.

What percentage of people with sciatica don't get relief from other therapies?

Sixty percent of people with sciatica who didn't get relief from other therapies and then tried spinal manipulation experienced the same degree of pain relief as patients who eventually had surgery, found a 2010 study in the Journal of Manipulative and Physiological Therapeutics.

What can a physical therapist do to help a back injury?

It may also be worth seeing a physical therapist, who can prescribe stretching exercises to restore flexibility to the back or moves that strengthen core muscles, helping to stabilize the spine and reduce the likelihood of a similar injury .

How long does it take to get a herniated disk surgery?

The Spine Patient Outcomes Research Trial found that those who had surgery for a herniated disk had greater decreases in pain and disability 3 months afterward than patients who did not. The benefits lasted up to 4 years.

What is the best medicine for sciatic nerve pain?

Several types of medications may be used for sciatic pain. Oral medications include: 1 Over-the-counter pain relievers such as acetaminophen, aspirin, or NSAIDs (such as ibuprofen [ Advil, Motrin ], ketoprofen, or naproxen [ Aleve ]) 2 Prescription muscle relaxants to ease muscle spasms 3 Antidepressants for chronic low back pain 4 Prescription pain medications for more severe pain

What is the best treatment for sciatica?

Some people find pain relief from complementary and alternative therapies such as biofeedbackand acupuncture. Keep in mind, though, that these therapies have not been shown by scientific studies to help sciatica.

What does sciatica feel like?

The sensation of pain can vary widely. Sciatica may feel like a mild ache; a sharp, burning sensation; or extreme discomfort. Sciatica can also cause feelings of numbness, weakness, and tingling. Pain may be made worse by prolonged sitting, standing up, coughing, sneezing, twisting, lifting, or straining.

How to help with sciatica pain?

If symptoms are not severe but persist beyond a couple of weeks, your doctor may recommend physical therapy. The proper exercises may actually help reduce sciatic pain. They can also provide conditioning to help prevent the pain from coming back. The exercises recommended will depend on what's causing the sciatica.

What kind of doctor can help with sciatica?

To get the proper direction, you will most likely work with one of the following specialists: Physical therapist. Physiatrist -- a doctor who specializes in physical medicine. Complementary and Alternative Remedies for Sciatica Pain Relief.

How many people get sciatica?

As many as 4 out of every 10 people will get sciatica, or irritation of the sciatic nerve, at some point in their life. This nerve comes from either side of the lower spine and travels through the pelvis and buttocks. Then the nerve passes along the back of each upper leg before it divides at the kneeinto branches that go to the feet.

What is the best pain reliever for back pain?

Over-the-counter pain relievers such as acetaminophen, aspirin, or NSAIDs(such as ibuprofen[Advil, Motrin], ketoprofen, or naproxen[Aleve]) Prescription muscle relaxants to ease muscle spasms. Antidepressantsfor chronic low back pain. Prescription pain medications for more severe pain.

How to treat sciatic nerve pain?

Place ice packs on your lower back to reduce inflammation of the sciatic nerve. Be careful not to give yourself frostbite. Icepacks shouldn't directly touch the skin; wrap them in a cloth or towel. Leave them in place for no more than 15 to 20 minutes at a time, with at least a 15- to 20-minute break in between.

How to help sciatica pain?

It's okay to rest for the first couple of days after sciatica pain starts; after that, staying in bed usually makes things worse, not better. Moving helps your pain in several ways: 1 It strengthens your muscles, which helps to support your spine. 2 It can improve flexibility and range of motion. 3 It boosts blood flow to all areas of the body, including injured areas, which speeds healing. 4 It reduces the perception of pain.

How to help a swollen thigh?

You can use a hot water bottle or heating pad wrapped in a towel, or soak in a warm bath.

How to apply cold to a painful area?

Another way to apply cold to a painful area is an ice massage. Freeze water in a paper cup and then tear away the top half of the cup. Using a circular motion, massage the lower back with the ice. Cover an area about six inches in diameter, and keep the cup moving to prevent frostbite. Avoid the bony part of the spine.

Is it okay to rest after sciatica?

It's okay to rest for the first couple of days after sciatica pain starts; after that, staying in bed usually makes things worse, not better. Moving helps your pain in several ways: It strengthens your muscles, which helps to support your spine. It can improve flexibility and range of motion.

Does sciatica help with range of motion?

It can improve flexibility and range of motion. It boosts blood flow to all areas of the body, including injured areas, which speeds healing. It reduces the perception of pain. If you have sciatica, move as much as you can as soon as you can.

Is sitting for long periods of time bad for sciatica?

Sitting for long periods of time isn't good for anyone. Extended sitting can increase your risk of sciatica and also can make sciatica worse once you have it. To learn more about ways to ease your sciatica pain, purchase Finding Relief for Sciatica from Harvard Health Publishing.

How to stop sciatica pain?

One of the great things about physical therapy is that you will learn exercises and stretches to strengthen your muscles to not only stop sciatica pain, but to prevent a reoccurrence.

What does it mean when your sciatic nerve hurts?

Sciatica simply means that the sciatic nerve is being compressed or irritated in some way, resulting in pain. The root cause of sciatic pain needs to be diagnosed by a professional, such as a chiropractor. Some of the more common causes of sciatic pain include: There are other possible causes, but those are rare.

What type of massage is used for sciatica?

Your chiropractor might suggest a trigger point massage, which is a special type of massage designed to release muscle knots, known as trigger points, for the relief of sciatica pain. Imagine receiving substantial pain relief from a chiropractic massage that uses no drugs, no injections, and no steroids.

What nerve controls the skin of the foot?

The sciatic nerve controls multiple muscles in the lower legs and gives you feeling and sensations to the skin of the foot, as well as most of your lower leg. You might have heard people complain about or say that they suffer from “sciatica”, but this is actually a symptom and not a condition.

What exercises can help with sciatica?

When your chiropractor approves of it, or when you feel less pain, you can move on to more advanced exercise routines that can strengthen muscles that will help prevent sciatica in the future, including: Strength training (weight lifting) Bicycling. Elliptical machine. Low impact aerobics.

How to get rid of a swollen lower back?

Some of the more successful home remedies include: Alternating hot and cold compresses to the lower back. Massaging a mixture of ginger essential oil to equal part of coconut or olive oil into the lower back.

Can yoga help with sciatica pain?

First, if you are experiencing the pain of sciatica, we want to warn you not to do anything, even stretching or yoga, that makes your pain worse. Yoga is perhaps one of the best ways to not only relieve the pain of sciatica but for preventing its reoccurrence as well, depending on the root cause.

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Diagnosis

Treatment

Alternative Medicine

Preparing For Your Appointment

Medically reviewed by
Dr. Shreenidhi Kulkarni
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Most cases of sciatica resolve spontaneously over weeks to months; medication is used in some cases.
Medication

Anti inflammatory medications: Could provide effective sciatica pain relief.

Aspirin . Celecoxib . Diclofenac


Narcotics: Narcotic pain medications are strong pain relievers widely used to treat back pain. These medications change the perception of pain by weakening pain signals.

Codeine . Hydrocodone . Oxycodone


Muscle relaxants: Medications that act as central nervous system depressants and have sedatives and musculoskeletal relaxant properties.

Carisoprodol . Tizanidine . Chlorxoxazone . Thiocolchicoside


Tricyclic antidepressants: Antidepressants increase the levels of certain brain chemicals that improve mood and regulate pain signals. Low doses of antidepressants also relieve pain.

Amoxapine . Desipramine . Trimipramine

Procedures

Decompression of the nerve root: Surgically compression of the nerve root is relieved. Usually done for severe and refractory cases.

Self-care

Always talk to your provider before starting anything.

To reduce pain try

  • Hot packs
  • Cold packs
  • Stretching

Nutrition

Foods to eat:

  • Halibut, a magnesium-rich food, especially for sciatica associated with tight muscles or muscle spasms

Foods to avoid:

  • Saturated fat

Specialist to consult

Neurologist
Specializes in treating diseases of the nervous system, which includes the brain, the spinal cord, and the nerves.
Orthopedist
Specializes in the prevention and correction of injuries or disorders of the skeletal system and associated muscles, joints, and ligaments.

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