Question

Sciatica

What is the treatment of sciatic nerve pain?

A Answers (5)

  • AMehmet Oz, MD, Cardiology, answered
    Sciatic Nerve Pain

    Are you suffering from sciatic nerve pain?

    Watch the video to find out from Dr. Oz how sciatic pain should be treated.


    Helpful? 3 people found this helpful.
  • In most cases, sciatica will go away by itself with self-care practices like exercising, stretching, over-the-counter medications, and applying cold packs or heat. In some cases, your doctor may recommend other treatments, such as physical therapy or prescription medications. If your sciatica is still not responding to these treatments within three months, your doctor may recommend a more aggressive treatment. This may include corticosteroid injections, which help to reduce inflammation, or surgery. Surgery is usually left as a last resort when no other treatments are working or when serious complications have developed.
  • AAnthony Komaroff, MD, Internal Medicine, answered
    Common "home remedies" for sciatica include:
    • Losing excess weight
    • Applying ice
    • Stretching and exercising, with the goal of strengthening the muscles of the abdomen and low back
    • Avoiding sitting too long, especially on a hard surface
    • Changing your mattress to one that is firmer and more supportive
    • Massage
    • Yoga
    Avoid staying in bed too long. Prolonged best rest is unhelpful and may even make things worse.

    Standard medical approaches to treatment include:
    • Rest, balanced with stretching and exercise (often with a physical therapist)
    • Pain relievers, such as ibuprofen, naproxen or acetaminophen
    • Drugs for nerve pain, such as amitriptyline (Elavil) or gabapentin (Neurontin)
    • Injections of corticosteroids near the area of the compressed nerve
    • Surgery to repair a slipped disc or to decompress spinal stenosis (though surgery is generally considered a treatment of last resort and only in cases in which a surgically correctable abnormality is present)
    If you are bothered by sciatica, talk to your doctor about your treatment options, including home remedies.
  • Sciatic nerve pain can be caused by several factors including a herniated disk or piriformis syndrome. Piriformis syndrome occurs when the piriformis muscle (small, outer-hip muscle) becomes tight and puts pressure on the sciatic nerve. Some general exercises that may help sciatica include static stretching your hip flexors and piriformis and low-intensity strengthening exercises for your glutes (such as a floor bridge or ball bridge) and deep abdominal muscles (supine marching).

    Helpful? 8 people found this helpful.
  • ABrian Yee, Physical Medicine/rehabilitation, answered
    Sciatic nerve pain typically starts from the lower back due to a herniated disc, degeneration in the spine, or poor muscle stability of the vertebrae that can cause compression to the nerve. The sciatic nerve can also be compressed by such muscles as the pirofrmis in the hip.

    In Physical Therapy, there are manual therapy techniques, modalities such as traction, positions or exercises to relieve the pain, or specific techniques to improve nerve mobility that we call ‘neurodynamics’. A Physical Therapist will then provide specific home exercises for the patient to do to complement the treatment provided in the clinic.  Differential diagnosis of sciatic nerve pain from other sources of leg pain should also be considered. For example, muscle trigger points of the gluteus medius and minimius commonly refer pain down the leg that is similar to sciatic nerve symptoms.
    Helpful? 4 people found this helpful.
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