sciatica: nonsurgical and surgical treatment options
TRANSCRIPT
Sciatica Which treatment option is best for you?
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Symptoms of Sciatica
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•Sciatica is the pain radiating along the Sciatic nerve
•Pain which runs down one or both legs from the lower back
•Symptoms of Sciatica largely depend on where the nerve is pinched.
•Weakness, numbness, tingling in the leg, stiffness of calf muscles
•Difficulty in walking resulting in limping when sufferings are severe.
•Pain may become worse by prolonged sitting, squatting, standing up,
coughing, sneezing, twisting, lifting or straining.
Sciatic Nerve
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•The Sciatic nerve starts in the lower back at
lumbar segment L3
•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 knee into
branches that go to the feet.
Causes of Sciatica
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Anything that puts pressure on or irritates Sciatic nerve can cause
pain that shoots down the back of one buttock or thigh. Symptoms
are usually caused when sciatic nerve is compressed by a
herniated disk or bone spur in the spine. Injury to Sciatic nerve
may also cause sciatica.
Sciatica
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is a symptom of another medical problem, not a medical condition
on its own. As many as 4 out of every 10 people will get Sciatica,
or irritation of the sciatic nerve, at some point in their life.
Diagnosis of Sciatica
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Diagnosis of Sciatica is done by:
Physical examination like
Straight Leg Raise (SLR) test
Imaging tests like X-ray and MRI
How can I treat Sciatica pain and Sciatica itself?
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Many options available to treat Sciatica.
As every case is different, the remedy too will differ.
Certain decisions are to be made by patient only, doctor
may only guide. So awareness of every possible treatment option is
vital in order to take correct decision in the treatment of Sciatica.
Treatment of Sciatica
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For treatment of Sciatica you have two main options:
Nonsurgical treatment; and
Surgical treatment.
Treatment of Sciatica
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Nonsurgical treatment consists of medications and exercises /
physiotherapy. Surgical treatment consists of surgeries like
Microdiscectomy or Fusion Surgery or Lumbar Laminectomy
(Open Decompression) to release the compression on Sciatic Nerve
manually.
Let’s see in detail what nonsurgical and surgical treatment options
are available for Sciatica.
Nonsurgical treatment of Sciatica
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1. Home remedies or Self-help measures:
For acute sciatic nerve compression pain, heat and/or ice
packs are readily available and can help alleviate the leg pain,
especially in the initial phase. Usually ice or heat is applied for
approximately 20 minutes on painful areas, and repeated every
two hours. Most people use ice first, but some people find more
relief with heat. The two may be alternated.
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2. Exercise for Sciatica and Physiotherapy (Physical Therapy):
Simple exercises, such as walking and gentle stretching, can help
reduce the severity of your symptoms and strengthen the muscles
that support your back. While bed rest may provide some
temporary pain relief, prolonged bed rest is often considered
unnecessary and unhelpful. Physical therapy exercises
Incorporating a combination of strengthening, stretching, and
aerobic conditioning are a central component of almost any
Sciatica treatment plan. When patients engage in a regular program
of gentle exercises, they can recover more quickly from Sciatica
pain and are less likely to have future episodes of pain.
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3. Pain Medications:
In conventional medicine, a number of over-the-counter or
Prescription painkilling medications are used that may help in
Reducing or relieving Sciatica pain. These include NSAIDs, Muscle
relaxants, steroids, opioid medications, tricyclic antidepressants
etc.
These medications are not suitable for everyone, particularly when
used in the long term, so it’s important to consider all available
options. Some of these medications can also cause significant side
effects in some people.
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4. Homeopathy:
Homeopathy is the least known and least used treatment option.
However it is probably the simplest, effective and most
economical among all treatments discussed here. Homeopathy
treatment is completely non-invasive and safe and don’t have side
effects of any kind even when taken over a long period. This
treatment targets “Sciatica” rather than “Sciatica Pain”. Homeopathy
has been helpful in giving not only short term relief from Sciatica
pain but also long term benefits for the condition itself.
Homeopathy treatments are in the form of chewable sweet pills
Which are very easy and simple to take. If your doctor is not
trained in homeopathy, he may not be able to suggest you or
guide you regarding benefits of homeopathy in Sciatica.
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Homeopathy treatment is highly recommended for those who have
already tried exercises, pain medications, corticosteroid
injections without relief.
Homeopathy is best option for those
who are not medically fit or not willing for the surgery.
Surgery can be avoided in many cases with homeopathy treatment.
This may be the best non invasive / non surgical cure for Sciatica.
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Homeopathy treatment can be received by visiting any qualified,
trained, registered and experienced homeopathy doctor nearby
you.
Also you can order your Customized Sciatica Homeopathy
Treatment to be delivered by submitting required information
online.
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5. Chiropractic / manual manipulation:
Spinal adjustments and manual manipulation performed by approp
riately trained health professionals, such as chiropractors and
osteopathic physicians, are focused on providing better spinal
column alignment, which in turn should help to address a number
of underlying conditions that can cause sciatic nerve pain. It has
shown to provide effective Sciatica pain relief for many patients.
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6. Massage therapy:
Certain forms of massage therapy have been shown to have a
number of benefits for back pain, including increased blood
circulation, muscle relaxation, and release of endorphins (the
body’s natural pain relievers).
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7. Spinal / epidural steroid Injections:
An epidural injection is injected directly into the inflamed and
Painful area around sciatic nerve which may temporarily reduce
your pain. The effects of Corticosteroids injections tend to be
temporary and the effects usually wear off in a few months and it
does not work for everyone. The number of steroid injections you
can receive is limited because the risk of serious side effects
increases when the injections occur too frequently. However, it can
provide some relief to allow a patient to progress with a
conditioning and exercise program and/or homeopathy.
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For most, readily available nonsurgical remedies along with
homeopathy will go a long way to relieving their pain and the
condition itself.
For others, when the pain does not get better with above
nonsurgical remedies, possibly surgery may offer the pain relief.
Surgical Treatment of Sciatica
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Surgery is rarely necessary to treat Sciatica, although it may be con
sidered if the condition has an identifiable cause, such as a
herniated or “slipped” disc and the symptoms have not responded
to other forms of treatment (especially homeopathy and
physiotherapy), or the symptoms are getting progressively worse.
Surgery can be considered when the condition is limiting the
patient’s ability to participate in everyday activities.
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In most cases, Sciatica surgery is elective, meaning that it is the
patient’s decision whether or not to have surgery. The patient’s
decision to have surgery is based primarily on the amount of pain
and dysfunction the patient is experiencing, and the
length of time that the pain persists. The patient’s general health
may also be a consideration in whether or not to have surgery.
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The type of surgery recommended will depend on the cause of
your Sciatica. Some surgical options include:
•Microdiscectomy –
Done in cases where the Sciatica pain is due to a lumbar disc
herniation. In this surgery the part of the herniated disc pressing
on your nerve is removed – the rest of the disc is left intact. This is
the most common type of surgery required.
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•Fusion Surgery –
It may be possible to fuse a vertebra that has slipped out of place
by using a metal or plastic cage between the vertebra, supported
with metal rods and screws
•Lumbar Laminectomy –
Decompression laminectomy is a procedure often used to treat
cases where the Sciatica pain is due to lumbar spinal stenosis,
where a section of vertebrae called the lamina, that is pinching the
nerve root, is removed.
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Patients may have a positive result from surgery but, as with all sur
gical procedures, spinal surgery carries some risks. Potential
complications range from the relatively minor, such as an
infection at the operation site, to the more serious, such as
permanent damage to the spinal nerves. Before choosing
spinal surgery, your orthopaedic surgeon will discuss the relative
risks and benefits with you.
Before going for surgery it is highly recommended that you try all
nonsurgical options first, especially homeopathy. Because spine
surgeries are delicate and don’t always give expected output
even when done at highly skilled hands.
For more details, please visit http://www.homeopathyhelps.com/blog/sciatica-treatment-options/
Thanks!
Dr. Nitin Dhole
Sushanti Homeopathy Clinic
Ground Floor, GuruGajanan Apartment,
Gajanan Colony, Behind Reliance Mart, Garkheda,
Aurangabad (Maharashtra) India. 431009
Email: [email protected], Website: www.HomeopathyHelps.com