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you can try phDiagnosis and Treatment
Because of the many conditions that can compress nerve roots and cause sciatica, treatment options often differ from patient to patient. Treatment of the underlying cause of the compression is often the most effective course. When the cause is due to a prolapsed or lumbar disc herniation research has shown that with supportive treatment to help relieve pain 90% of disc prolapse will recover with no specific intervention. Genetics appear to influence the risk of developing disc herniation.

Imaging methods such as MRI neurography may help diagnosis and treatment of sciatica. MR neurography is a modified MRI technique using MRI software to provide better pictures of the spinal nerves and the effect of compression on these nerves. MR neurography may help diagnose piriformis syndrome which is another cause of sciatica that does not involve disc herniation. MR neurography is considered experimental and is not covered by insurances.

Most cases of sciatica can be effectively treated by physical therapy or massage therapy and appropriate changes in behavior and environment (for example cushioning, chair and desk height, exercise, stretching). Other conservative treatment options include anti-inflammatory medications (i.e. NSAIDs or oral steroids), pain medications, and epidural steroid injections (however the latter carries the risk of possible side effects and complications from the needle puncture and medications used).

"Alternative" and "complementary" treatments include chiropractic manipulation (although there is no scientific consensus for chiropractic's effectiveness) and somatics. Acupuncture has no effect beyond placebo in treating sciatica.

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See also
Lumbar disc herniation
Back pain
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External links
Sciatica: A Neuromuscular Perspective
What you need to know about sciatica
Retrieved from "http://en.wikipedia.org/wiki/Sciatica"
Categories: Neurology | General practice

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2006-07-06 09:54:25 · answer #1 · answered by qwq 5 · 0 0

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2016-09-22 19:59:04 · answer #2 · answered by Marsha 3 · 0 0

Surgery. Sciatica is not a disease or a condition, but a symptom of a disorder in the low back causing spinal nerve compression. The most common disorder that can cause sciatica is a lumbar herniated disc or a bulging disc. Other spinal disorders can cause sciatica and include spondylolisthesis, lumbar spinal stenosis, spinal tumor, and trauma. Spine specialists are doctors who can determine what is causing sciatica. Once a diagnosis is made, a treatment plan is formulated and put into action to relieve sciatic nerve pain and related symptoms (numbness, tingling sensations).

Doctors recognize that some patients with sciatica can be helped by self-care efforts. Some of these self-help measures include:

1. Being aware of and avoiding activities or bodily movements that trigger or aggravate sciatica.

2. Avoiding prolonged bed rest. Although sciatica is painful, some activity is better than none. Inactivity can make symptoms worse. A day or two of rest may be helpful, but avoid the temptation to lay in bed doing nothing else for a week.

3. Over-the-counter Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) are helpful to reduce inflammation and sciatic nerve pain. NSAIDs include aspirin and ibuprofen.

2006-07-06 03:35:18 · answer #3 · answered by Anonymous · 0 0

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2016-12-20 00:54:27 · answer #4 · answered by Anonymous · 0 0

I use to suffer from lower back pain, hip pain and sciatica.
I am now going to a chiropractor and it has all gone away.
It also helped with allergies and headaches. Not enough people know what wonders chiropractic care can give!!!!!

2006-07-06 04:22:35 · answer #5 · answered by justin 2 · 0 0

What is Sciatica? Sciatica refers to pain experienced along the path of the sciatic nerve - the longest nerve in the body, which runs from the lower back through the pelvis and buttock area, right down to the back of the lower leg. Sciatica is a fairly common form of lower back and leg pain and is due to the sciatic nerve being irritated or compressed. The pain of sciatica varies from an infrequent discomfort to a continuous, excruciating and debilitating pain. Sciatica is usually experienced as pain that radiates from your lower back to your buttock and down the back of your leg. This pain may be mild or severe and is sometimes felt as a burning sensation or a sharp jolt. Sciatica may be sudden or insidious in onset and worsen over time. In some people who suffer from sciatic pain it may be accompanied by a numbness or weakness in the leg or foot as well as a feeling of tingling or pins-and-needles in the toes. What causes Sciatica? The most common cause of sciatica is pressure on the sciatic nerve from a herniated or slipped vertebral disc (“Pinched nerve”). Between each of the vertebrae in your spine lies a disc of cartilage to act as a cushioning shock-absorber and allow flexibility of the spine. With age and wear-and-tear, these discs may become brittle and compressed - allowing part of the disc to protrude from its normal position within the spinal column and press on the nerve root. This generally happens in people between the ages of 30 and 50. Other less common causes of sciatica include narrowing of the spinal canal (known as stenosis), spinal tumors, injury and trauma. Various other problems affecting the bones, joints and muscles of the back and pelvis can also cause sciatica though these may not always be easily diagnosed, sometimes leaving the cause of the sciatic pain unknown. People in their 30’s and 40’s are most likely to develop sciatica, which is uncommon in younger people. Physically demanding occupations which require heavy lifting, driving long hours or twisting the back are all risk factors for developing sciatica. Depending on the cause, sciatic pain often resolves on its own in approximately six weeks. Complications of sciatica Depending on the cause of sciatica, numbness or lameness in the affected limb may occur as well as loss of bladder and bowel control in some cases. In severe cases of sciatica, permanent nerve damage may occur. How is sciatica usually treated? Most people with sciatica are prescribed pain-killers or anti-inflammatory medications to relieve the pain. These generally provide some relief but have the potential to cause serious adverse side-effects. Medications are usually used in combination with physical therapy and stretching/strengthening exercises as well as hot and cold packs. In severe cases of sciatic pain that does not respond to the usual treatments, conventional health practitioners may advise injections of anti-inflammatory steroids into the affected area. These injections are not always very effective and can also cause serious side-effects. Because of the dangers, there is a limit on how many of these injections an individual can receive - not usually more than three per year. Surgery to remove the herniated part of a disc is sometimes performed on people with severe symptoms like weakness or incontinence or if the pain is worsening despite treatment

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2016-04-16 05:55:16 · answer #6 · answered by Lilly 4 · 0 0

The cause of sciatic nerve compression must be treated. Say by disc decompression
Other things disappear.

2006-07-06 02:21:51 · answer #7 · answered by J.SWAMY I ఇ జ స్వామి 7 · 0 0

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2006-07-06 09:31:01 · answer #9 · answered by seth22rr 3 · 0 0

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