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Learn about sciatica, its causes, symptoms, and various treatment options including drugs, medications, and physical therapy. Understand how to effectively manage sciatic nerve pain for relief.
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SCIATICATREATMENT Sciaticaischaracterisedbypaininthelowerbackandglutealregion.Thispaincanradiatedownoneorbothlegsintothethigh,calf,ankle,andfoot.Genuinesciaticaoccurswhenpaintravelsbelowtheknee.
SciaticaIsCausedbyNerveCompression Sciaticaisgenerallycausedbysciaticnervecompression.Disordersknowntocausesciaticnervepainincludelumbarspinesubluxations(misalignedvertebralbody/ies),herniatedorbulgingdiscs(slippeddiscs),pregnancyandchildbirth,tumors,andnon-spinaldisorderssuchasdiabetes,constipation,orsittingonone'sbackpocketwallet. Onecommoncauseofsciaticaispiriformissyndrome.Piriformissyndromeisnamedafterthepiriformismuscle.Thepiriformismuscleislocatedinthelowerpartofthespine,connectstothethighbone,andassistsinhiprotation.Thesciaticnerverunsbeneaththepiriformismuscle.Thismuscleissusceptibletoinjuryfromaslipandfall,hiparthritis,oradifferenceinleglength.Suchsituationscancausecramping and spasm to develop in the piriformis muscle, thereby pinching the sciatic nerve and causing inflammation and pain. Sciaticnervecompressionmayresultinthelossoffeeling(sensoryloss),paralysisofasinglelimborgroupofmuscles(monoplegia),andinsomnia. Thecauseofyourpaindeterminesyourtreatmentoptionstorelievesciatica
DRUGS,MEDICATIONS Yourdoctormayprescribecertainmedicationsorspinalinjectionstotreatyoursciatica.Theseverityofyourpaindeterminestheprescrip-tion,whichcouldbe: EpiduralSteroidInjections:Steroids, which reduce inflammation, can help ease your sciatic pain. With an epidural steroid injection, yougetacorticosteroidmedicineinjectednearthespinalnerveroots.Theseinjectionscanreducepainformonthsandsometimeslonger.However,epiduralsteroidinjectionsaren'teffectiveforallpatients. Over-the-counter NSAIDs (non-steroidal anti-inflammatory drugs): Thesewillhelpreduceswellingwhilerelievingyourpain.Ifanover-the-counterNSAIDisanoptionforyou,youandyourdoctorhaveplentytochoosefrom.Youcanuseibuprofen(Advil)ornaproxen(Aleve). PrescriptionMedications:Ifyouhavechronicsciatica,youmayneedamusclerelaxanttohelpeasemusclespasms.Assurprisingasitmayseem,anti-depressantscanbeeffectivedrugsfortreatingpainbecausetheymayhelpblockpainmessagesontheirwaytothebrain.Theycanalsohelpincreaseyourbody'sproductionofendorphins,anaturalpainkiller. Aswithanytreatment,youmustfollowyourdoctor'sadviceprecisely.Nevermixover-the-counterandprescribeddrugswithoutconsultingyourdoctor.Youshouldalsoletyourdoctorknowaboutallothermedicationsyou'retaking(andevenwhichvitaminsandsupplementsyoutake);therecouldbeinteractionsyouwanttoavoid. Thegoalofusingmedicationstoaddresssciaticnervepainistoprovidepainrelief.However,medicationsarenotaddressingtherootcauseofyoursciaticpain;theyaren'thealingorcuringthespinal condition that is leading to sciatica. While you're experienc-ingrelieffromyoursciatica,youmaybebetterabletodophysicaltherapyorexercisesthatmayhelpaddressthesciaticnervecom-pression.
PHYSICALTHERAPY Thosewithlowerbackpainhavehistoricallybeenprescribedbedrestinordertoofferreliefforachingbonesandjoints.Researchinrecentyearshassuggestedthatbedrestalonewillnotofferreliefforthosesufferingfromnervepainsuchassciatica. Stayingactivemaybemorebeneficialforthosewhosufferfrombackpain.Nottosaythatyoushouldberunningmarathons!Activitymeansbeingupandmobileforperiodsoftimethatarenotenoughtocausefurtherpainandaggravationtoyourback.Somephysiciansmayprescribespecificexercises,orsomemaysimplysuggestwalking. Yourdoctormayreferyoutoaphysicaltherapisttohelpyourelieveyoursciaticaandrestoremovement.Physicaltherapyincludesbothpassiveandactivetreatments.Passivetreatmentshelptorelaxyouandyourbody.Theyalsoprepareyourbodyfortherapeuticexercise,whichistheactivepartofphysicaltherapy.
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