Treatment FAQ

what is the best treatment for sciatic nerve problems

by Robin Runolfsdottir Published 2 years ago Updated 2 years ago
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Use hot packs, a heat lamp or a heating pad on the lowest setting. If you continue to have pain, try alternating warm and cold packs. Stretching. Stretching exercises for your low back can help you feel better and might help relieve nerve root compression.Aug 1, 2020

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

  • Severe pain in the back, leg, abdomen, and/or side of the body that may be felt: At rest At night While lying down, walking, bending at the hip, and/or pressing ...
  • Swelling in any part of the lower back, thigh, and/or leg
  • A pulsating feeling in the leg or thigh
  • Severe weakness or loss of sensation in the groin, legs, and/or genital area

More items...

Self-care

This movement involves the following steps:

  • Lie on the back with the legs bent so that the knees point upward and the feet are flat on the floor.
  • Bring one knee to the chest, leaving the other foot resting on the floor.
  • Hold the knee to the chest for up to 30 seconds or however long is comfortable.
  • Slowly release the leg and repeat the process with the other leg.

Nutrition

The following can play a key role in protecting your back:

  • Exercise regularly. To keep your back strong, pay special attention to your core muscles — the muscles in your abdomen and lower back that are essential for proper posture and ...
  • Maintain proper posture when you sit. Choose a seat with good lower back support, armrests and a swivel base. ...
  • Use good body mechanics. ...

Which is therapy treats sciatica the best?

What doctor should you see for sciatic nerve?

How to strengthen the sciatic nerve?

How to make my sciatic nerve feel better?

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What is the most successful treatment for sciatica?

Stretching and physical therapy One of the best ways to treat sciatica pain and to prevent sciatica in the future is through physical therapy and stretching. With physical therapy, we can target and strengthen the surrounding muscles in your back to take the pressure off your sciatic nerve.

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.

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

Sciatica is where the sciatic nerve, which runs from your lower back to your feet, is irritated or compressed. It usually gets better in 4 to 6 weeks but can last longer.

Is walking good for sciatic nerve pain?

Walking is a surprisingly effective approach for relieving sciatic pain because regular walking spurs the release of pain-fighting endorphins and reduces inflammation.

What causes sciatic nerve to flare up?

Sciatica occurs when the sciatic nerve becomes pinched, usually by a herniated disk in your spine or by an overgrowth of bone (bone spur) on your vertebrae. More rarely, the nerve can be compressed by a tumor or damaged by a disease such as diabetes.

Is bed rest good for sciatica?

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

Is sitting good for sciatica?

Sitting for long periods of time isn't good for your spine or your sciatica pain. If possible, stand up every 20 minutes and walk a couple of laps around your workspace. Make sitting more tolerable by choosing a well-designed ergonomic chair.

What are the 4 types of sciatica?

Types of SciaticaAcute sciatica. Acute sciatica is a recent onset, 4 to 8-week duration of sciatic nerve pain. ... Chronic sciatica. Chronic sciatica is persistent sciatic nerve pain that lasts for more than 8 weeks and usually does not subside with self-management. ... Alternating sciatica. ... Bilateral sciatica.

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...

What are some ways to help with sciatica?

Alternative therapies. Many people believe that alternative therapies like yoga, massage, biofeedback, and acupuncture help with sciatica.

How to relieve sciatica pain?

Stretching. You can help relieve your sciatica pain with lower-back stretches.

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.

What are the two options for sciatica?

The two main surgical options for sciatica are diskectomy and laminectomy.

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.

What is the best medicine for irritated muscles?

If the over-the-counter options don’t help, your doctor might prescribe stronger muscle relaxants or anti-inflammatories. Tricyclic antidepressants such as amitriptyline ( Elavil) and anti- seizure medications sometimes work, too. Steroid injections directly into the irritated nerve can also provide you with limited relief.

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.

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 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.

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 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 is the best way to relieve pain?

Massage Therapy . Certain forms of massage therapy, such as deep tissue massage, may have benefits for pain relief. 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.

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.

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.

What is the best thing to do for pain?

Moving is probably the most important thing you can do to help your pain.

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.

Can you use heat or ice packs for sciatica?

Both ice packs and heat can be used to ease the pain of sciatica and help you function better.

What is the best treatment for sciatica pain?

Pain-Killers. Prescription medication are often the most effective way to reduce and/or alleviate sciatica pain, fast. Non-steroid/anti-inflammatory medication (such as ibuprofen or naproxen) or certain types of steroids can reduce inflammation, which is usually the cause of the pain. Pain medication can be prescribed for short periods ...

How to treat sciatica pain?

Physical therapy and physical exercises focus ing on strengthening, stretching, and conditioning the body are the central component of almost any sciatica treatment plan. When patients engage in a regular and well developed exercises, they can recover from pain faster and are less likely to have future episodes of pain.

What is the best natural sciatica cream?

Efficient and specialized natural sciatic creams have emerged only recently, and their effectiveness is surprising. However, you need to be careful what to buy, because not all natural creams are the same. For the time being, the most effective ones have been those of curcuma longa root oil, zingiber officinale root oil, aloe barbadensis leaf juice (aloe vera), camphor etc. Also, when choosing effective cream it is important to find one with: high quality ingredients, greater amount of natural ingredients and vitamins in the formula is better, the origin of the ingredients used in formula, the country of production, whether this cream is in direct sale through a pharmacy or not …

How long can you take pain medication?

Pain medication can be prescribed for short periods of time (several days and up to 2 weeks). If you need something effective that you can use for longer period of time without side effects, then maybe the best approach could be to use specialized sciatica and pain natural creams and capsules.

What are some exercises to help with sciatica pain?

Examples of types of exercises that may include strengthening and stretching include; yoga, tai chi and pilates. For anyone with chronic pain or a relatively high degree of sciatica-like pain, one of the options for gentle exercise is water therapy, a controlled, progressive exercise program in the hot tub.

What is non surgical sciatica?

Non-surgical Sciatica Treatment. The goals of sciatica treatment is to provide pain relief and address the neurological symptoms caused by the compressed nerve. There is a wide range treatment options, the below indicate one or more treatments options recommended to address this pain and condition:

What is behavioural therapy for sciatica?

This behavioural focuses on taking control of your body and via the power of will, self-control and self-management overcoming pain. This therapy can be useful in managing the pain that occurs in sciatica, however it should be noted that it is not for all patience.

How to treat sciatica?

Other treatment options for sciatica depend on its cause and include addressing the underlying cause. Transcutaneous nerve stimulators (TENS units) are sometimes useful for more chronic forms of sciatica. A variety of low back conditioning and stretching exercises are employed to help people recover from sciatica.

What are home remedies for sciatica?

Keys to the management of acute sciatica include relief of pain and relaxing associated muscle spasms. Home remedies include

What is sciatica?

The sciatic nerve is the largest nerve in the body. It’s rooted in the lower back and extends through the rump, providing nerve endings through the leg. Sciatica or sciatic nerve pain is centered on the lower back, and the cause is usually from a ruptured disc in the spinal column that irritates or inflames the nerve. Bone, tumors, muscles, and infections can also cause inflammation of the sciatic nerve and the resulting back and leg pain.

What type of doctor treats sciatica?

Physician specialties that evaluate and treat sciatica range from generalists to subspecialists. These specialties include

What kind of doctor treats low back pain?

Other health care providers for low back pain include physical therapists, chiropractors, massage therapists, psychologists, and acupuncturists.

What is the best medicine for sciatica?

Other medications that may be helpful include gabapentin ( Neurontin) and duloxetine ( Cymbalta ). Cortisone medications, given orally or by local injection (epidural injection), can sometimes be helpful in relieving sciatica.

Can sciatica be treated with surgery?

Surgical procedures can sometimes be required for persisting sciatica that is caused by nerve compression at the lower spine. Sometimes pain management specialists help with chronic sciatica conditions.

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.

How to stop sciatica pain from recurrence?

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 recurrence.

What causes sciatic nerve pain?

Some of the more common causes of sciatic pain include: Lumbar disc herniation. Degenerative disc disease.

How long does it take for sciatica to go away?

The answer to this question will depend on the root cause. Most people find that with effective treatment, their pain subsides substantially within a few weeks. Some even experience sciatica relief in minutes with the right treatment.

What type of massage is best 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.

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.

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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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