Top Questions on Managing Sciatica

Dr. G.Arun Kumar MptBachelor of Physiotherapy, Master of Physiotherapy, London shoulder clinic Licensed PractitionerPhysiotherapist

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Hi lybrate-user. Nothing serious. Don't panic. It looks like mild deficiencies and mechanical imbalance in&around your spine and pelvic junction. *get enough rest, sunlight, adequate exs, walking, posture and body mechanic's while lifting and pushing activities. Apply some hot water bag (moderate temp. If any help and guidance reach us. 

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Dr. N S S GauriBachelor of Unani Medicine and Surgery (B.U.M.S)Unani Specialist

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Follow these herbal combinations for complete cure ras raj ras 1 tablet twice a day vatari awleh 10 gm twice a day. 

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Dr. Julie Mercy J DavidErasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPTPhysiotherapist

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This simple stretch helps relieve sciatica pain by loosening your gluteal and piriformis muscles, which can become inflamed and press against the sciatic nerve. 1.lie on your back with your legs extended and your feet flexed upward. 2.bend your right leg and clasp your hands around the knee. 3.gently pull your right leg ac 4.ross your body toward your left shoulder. Hold it there for 30 seconds. Remember to pull your knee only as far as it will comfortably go. You should feel a relieving stretch in your muscle, not pain. 5.push your knee so your leg returns to its starting position. 6.repeat for a total of 3 reps, and then switch legs. 7.sitting spinal stretch sciatica pain is triggered when vertebrae in the spine compress. This stretch helps create space in the spine to relieve pressure on the sciatic nerve. 1.sit on the ground with your legs extended straight out with your feet flexed upward. 2.bend your right knee and place your foot flat on the floor on the outside of your opposite knee. 3.place your left elbow on the outside of your right knee to help you gently turn your body toward the right. 4.hold for 30 seconds and repeat three times, then switch sides. 6. Standing hamstring stretch this stretch can help ease pain and tightness in the hamstring caused by sciatica. 1.place your right foot on an elevated surface at or below your hip level. This could be a chair, ottoman, or step on a staircase. Flex your foot so your toes and leg are straight. If your knee tends to hyperextend, keep a slight bend in it. 2.bend your body forward slightly toward your foot. The further you go, the deeper the stretch. Do not push so far that you feel pain. 3.release the hip of your raised leg downward as opposed to lifting it up. If you need help easing your hip down, loop a yoga strap or long exercise band over your right thigh and under your left foot. 4.hold for at least 30 seconds, and then repeat on the other sideif you have low back pain and sciatica you can undergo intermittent pelvic traction where in your half of your body weight will be added in the electronic traction so that that would help you to reduce the pain, along with interferential therapy stimulations which would help you to get relieved from the radiating pain. Apply ice for the pain to get subsided immediately. If you cannot go immediately for the physiotherapy treatment. Ice can be kept in the low back where you have back pain. It is suggestible to wear lumbo sacral belt which would help you to build the abdominal muscle tone which itself would make you feel better. You can also wear mcr chappals which would help you to have less weight falling in the painful back. U have to take vitamin d rich foods. Likemilk, cheese, yogurt, brocoli, spinach. U need calcium consumption for increase the bone density. Lackof bone and bones crush inside the body vitamin d intake via supplements or exposure to low levels of sunlight. Vitamin d is used to absorb calcium in the bone and regulate calcium in the blood.this might be due to low calcium or vitamin d which has more impact on the bone density and also it makes one to feel that there is lack of bone strength or in a way the bones are brittle and almost breaking and they feel it is crushed in a way there are many bones breaking at the same time. You have to take vitamin d rich foods. Likemilk, cheese, yogurt, brocoli, spinach. U need calcium consumption for increase the bone density.You may do the next 2 exercises when the pain in the groin muscles decreases. •side-lying leg lift, cross over: lie on your injured side with your top leg bent and your foot placed in front of the bottom leg. Keep your bottom leg straight. Raise your injured leg as far as you can comfortably and hold it for 5 seconds. Keep your hips still while you lift your leg. Hold this position for 5 seconds and then slowly lower your leg. Do 2 sets of 15. •straight leg raise: lie on your back with your legs straight out in front of you. Bend the knee on your uninjured side and place the foot flat on the floor. Tighten the thigh muscle on your injured side and lift your leg about 8 inches off the floor. Keep your leg straight and your thigh muscle tight. Slowly lower your leg back down to the floor. Do 2 sets of 15. Once it is easy to do the leg lifts, start strengthening your thigh muscles and groin muscles with the following elastic tubing exercises. •resisted hip flexion: stand facing away from a door. Tie a loop in one end of a piece of elastic tubing and put it around the ankle on your injured side. Tie a knot in the other end of the tubing and shut the knot in the door near the floor. Tighten the front of your thigh muscle and bring the leg with the tubing forward, keeping your leg straight. Return to the starting position. Do 2 sets of 15. •side plank: lie on your side with your legs, hips, and shoulders in a straight line. Prop yourself up onto your forearm with your elbow directly under your shoulder. Lift your hips off the floor and balance on your forearm and the outside of your foot. Try to hold this position for 15 seconds and then slowly lower your hip to the ground. Switch sides and repeat. Work up to holding for 1 minute. This exercise can be made easier by starting with your knees and hips flexed toward your chest. •resisted hip abduction: stand sideways near a door with your injured side further from the door. Tie elastic tubing around the ankle on your injured side. Knot the other end of the tubing and close the knot in the door near the floor. Pull the tubing out to the side, keeping your leg straight. Return to the starting position. Do 2 sets of 15. For more resistance, move farther away from the door. •resisted hip adduction: stand sideways next to a door with your injured side closer to the door. Tie a loop in one end of the tubing and slip the loop around the ankle on your injured side. Make a knot in the other end of the tubing and close the knot in the door near the floor. Bring the leg with the tubing across your body sideways, crossing over your other leg and stretching the tubing. Return to the starting position. Do 2 sets of 15. • 

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Mr. Samidh Kumar ThakurBPTh/BPTPhysiotherapist

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Neuro surgeon take pregabelin 75 after dinner daily after dinner for 5 months nortipan m take daily after launch x 180 days daily. 

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Dr. Julie Mercy J DavidErasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPTPhysiotherapist

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•rest. Avoid doing things that require you to bend at the hip or put a lot of pressure on the hip. Avoid sleeping on the side of your hip that is painful and sitting for long periods of time •cold and heat. Treating pain with heat and cold may help. Wrap an ice pack or a bag of frozen vegetables in a towel to ice your hip. A warm bath or shower may also help reduce your pain and prepare your muscles for stretching. •stretch. Gently stretching your body may reduce hip pain, especially if the cause is a strain or pinched nerve. 1. Knee lift 7.Lie on the back, extending both legs flat along the floor. 8.Keeping the left leg straight, pull the right knee up toward the chest. 9.Place both hands on top of the knee to help pull it in toward the chest. 10.Hold the stretch for 10 seconds. 11.Let go of the knee and gently lower the leg back toward the floor. 12.Repeat this exercise 5–10 times on each knee. 2.double hip rotation 6.Lie flat on the back. Then, bend the knees and bring them toward the body until the feet are flat on the floor. 7.Gently rotate the knees to the left, lowering them toward the floor. Rotate the head to face the right while keeping the shoulders against the floor. 8.Hold this position for 20–30 seconds. 9.Slowly return both the head and knees to the starting position. 10.Repeat on the opposite side. 3.bridging 6.Lie on the back, bending both legs at the knee and placing the feet flat on the floor. Keep the arms by the sides of the body with the palms facing downward. If necessary, place a small pillow underneath the neck and head for support. 7.Slowly lift the pelvis and lower back upward. Be sure to keep the shoulders and upper body on the floor. 8.Hold the position for 5 seconds. 9.Gradually lower the back and pelvis toward the floor, starting at the top of the spine. Roll down through the spine until the entire back is flat against the floor again. 10.Repeat this exercise 5–10 times. 4.butterfly stretch 3.Sit on the ground, bend your legs, and bring the soles of your feet together so they touch, letting your knees fall out to the sides. 4.Bring your heels as close to your body as you can and lean forward into the stretch, using your elbows to gently push your knees toward the ground. 5.side lying leg raise 3.Lay on your right side with your legs straight and stacked on top of each other, propping yourself up with your elbow. If you’re using an exercise band, position it just above your knees. 4.Keeping your hips stacked, engage your core and lift your left leg straight up as far as you can. Slowly lower back down. Repeat on other side. 6.hip flexion 7.Stand upright. 8.Extend one arm out to the side and hold on to a sturdy surface, such as a wall, table, or chair, for support. 9.Slowly raise the right knee to the level of the hip or as far as is comfortable while keeping the left leg straight. 10.Only hold this position for a second before placing the left foot back on the floor. 11.Repeat with the left knee. 12.Do 5–10 repetitions of this exercise. 7.hip extension 5.Stand upright with the legs straight and the feet shoulder-width apart. 6.Extend both arms out in front and hold on to a chair, table, or wall for support. 7.Keeping the right leg straight, lift the left leg backward without bending the knee. 8.Lift the leg as far as possible without causing discomfort, then clench the buttock tightly and hold the position for 5 seconds. Repeat this stretch 5–10 times on each leg. To increase the resistance, try attaching small weights to the legs. 8.hip abduction 5.Stand upright. 6.Extend the left arm out to the side and hold on to something solid, such as a chair, table, or wall. 7.Starting with the feet together, lift the right leg out to the right side. Keep the left leg straight and avoid rotating the hips. 8.Hold the position for 5 seconds and then slowly return the leg to the starting position. Do this exercise 5–10 times on one leg, then repeat it on the other side. Posture when standing: make sure you have a neutral pelvic position. Stand upright, head facing forward, back straight, and balance your weight evenly on both feet. Keep your legs straight and your head in line with your spine. Posture when sitting: a good seat for working should have good back support, arm rests and a swivel base. When sitting, try to keep your knees and hips level and keep your feet flat on the floor, or use a footstool. You should ideally be able to sit upright with support in the small of your back. If you are using a keyboard, make sure your elbows are at right-angles and that your forearms are horizontal. Shoes: flat shoes place less of a strain on the back. Driving: it is important to have proper support for your back. Make sure the wing mirrors are properly positioned so you do not need to twist. The pedals should be squarely in front of your feet. If you are on a long journey, have plenty of breaks. Get angle. Out of the car and walk around. Bed: you should have a mattress that keeps your spine straight, while at the same time supporting the weight of your shoulders and buttocks. Use a pillow, but not one that forces your neck into a steep. 

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Dr. Karuna ChawlaBHMSHomeopathy Doctor

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Do these exercises to relieve sciatica pain 1. Reclining pigeon pose— pigeon pose is a common yoga pose. It works to open the hips. There are multiple versions of this stretch. The first is a starting version known as the reclining pigeon pose. If you are just starting your treatment, you should try the reclining pose first. While on your back, bring your right leg up to a right angle. Clasp both hands behind the thigh, locking your fingers. Lift your left leg and place your right ankle on top of the left knee. Hold the position for a moment. This helps stretch the tiny piriformis muscle, which sometimes becomes inflamed and presses against the sciatic nerve, causing pain. Do the same exercise with the other leg. Once you can do the reclining version without pain, work with your physical therapist on the sitting and forward versions of pigeon pose. 2. Sitting pigeon pose— sit on the floor with your legs stretched out straight in front of you. Bend your right leg, putting your right ankle on top of the left knee. Lean forward and allow your upper body to reach toward your thigh. Hold for 15 to 30 seconds. This stretches the glutes and lower back. Repeat on the other side.3. Forward pigeon pose— kneel on the floor on all fours. Pick up your right leg and move it forward on the ground in front of your body. Your lower leg should be on the ground, horizontal to the body. Your right foot should be in front of your right knee while your right knee stays to the right. Stretch the left leg out all the way behind you on the floor, with the top of the foot on the ground and toes pointing back. Shift your body weight gradually from your arms to your legs so that your legs are supporting your weight. Sit up straight with your hands on either side of your legs. Take a deep breath. While exhaling, lean your upper body forward over your front leg. Support your weight with your arms as much as possible. Repeat on the other side. 4. Knee to opposite shoulder— this simple stretch helps relieve sciatica pain by loosening your gluteal and piriformis muscles, which can become inflamed and press against the sciatic nerve. Lie on your back with your legs extended and your feet flexed upward. Bend your right leg and clasp your hands around the knee. Gently pull your right leg across your body toward your left shoulder. Hold it there for 30 seconds. Remember to pull your knee only as far as it will comfortably go. You should feel a relieving stretch in your muscle, not pain. Push your knee so your leg returns to its starting position. Repeat for a total of 3 reps, and then switch legs. 5. Sitting spinal stretch— sciatica pain is triggered when vertebrae in the spine compress. This stretch helps create space in the spine to relieve pressure on the sciatic nerve. Sit on the ground with your legs extended straight out with your feet flexed upward. Bend your right knee and place your foot flat on the floor on the outside of your opposite knee. Place your left elbow on the outside of your right knee to help you gently turn your body toward the right. Hold for 30 seconds and repeat three times, then switch sides. 6. Standing hamstring stretch— this stretch can help ease pain and tightness in the hamstring caused by sciatica. Place your right foot on an elevated surface at or below your hip level. This could be a chair, ottoman, or step on a staircase. Flex your foot so your toes and leg are straight. If your knee tends to hyperextend, keep a slight bend in it. Bend your body forward slightly toward your foot. The further you go, the deeper the stretch. Do not push so far that you feel pain. Release the hip of your raised leg downward as opposed to lifting it up. If you need help easing your hip down, loop a yoga strap or long exercise band over your right thigh and under your left foot. Hold for at least 30 seconds, and then repeat on the other side. For this homeopathic treatment is very effective for more details you can consult me. 

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Dr. Karuna ChawlaBHMSHomeopathy Doctor

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Do these exercises to relieve sciatica pain 1. Reclining pigeon pose— pigeon pose is a common yoga pose. It works to open the hips. There are multiple versions of this stretch. The first is a starting version known as the reclining pigeon pose. If you are just starting your treatment, you should try the reclining pose first. While on your back, bring your right leg up to a right angle. Clasp both hands behind the thigh, locking your fingers. Lift your left leg and place your right ankle on top of the left knee. Hold the position for a moment. This helps stretch the tiny piriformis muscle, which sometimes becomes inflamed and presses against the sciatic nerve, causing pain. Do the same exercise with the other leg. Once you can do the reclining version without pain, work with your physical therapist on the sitting and forward versions of pigeon pose. 2. Sitting pigeon pose— sit on the floor with your legs stretched out straight in front of you. Bend your right leg, putting your right ankle on top of the left knee. Lean forward and allow your upper body to reach toward your thigh. Hold for 15 to 30 seconds. This stretches the glutes and lower back. Repeat on the other side.3. Forward pigeon pose— kneel on the floor on all fours. Pick up your right leg and move it forward on the ground in front of your body. Your lower leg should be on the ground, horizontal to the body. Your right foot should be in front of your right knee while your right knee stays to the right. Stretch the left leg out all the way behind you on the floor, with the top of the foot on the ground and toes pointing back. Shift your body weight gradually from your arms to your legs so that your legs are supporting your weight. Sit up straight with your hands on either side of your legs. Take a deep breath. While exhaling, lean your upper body forward over your front leg. Support your weight with your arms as much as possible. Repeat on the other side. 4. Knee to opposite shoulder— this simple stretch helps relieve sciatica pain by loosening your gluteal and piriformis muscles, which can become inflamed and press against the sciatic nerve. Lie on your back with your legs extended and your feet flexed upward. Bend your right leg and clasp your hands around the knee. Gently pull your right leg across your body toward your left shoulder. Hold it there for 30 seconds. Remember to pull your knee only as far as it will comfortably go. You should feel a relieving stretch in your muscle, not pain. Push your knee so your leg returns to its starting position. Repeat for a total of 3 reps, and then switch legs. 5. Sitting spinal stretch— sciatica pain is triggered when vertebrae in the spine compress. This stretch helps create space in the spine to relieve pressure on the sciatic nerve. Sit on the ground with your legs extended straight out with your feet flexed upward. Bend your right knee and place your foot flat on the floor on the outside of your opposite knee. Place your left elbow on the outside of your right knee to help you gently turn your body toward the right. Hold for 30 seconds and repeat three times, then switch sides. 6. Standing hamstring stretch— this stretch can help ease pain and tightness in the hamstring caused by sciatica. Place your right foot on an elevated surface at or below your hip level. This could be a chair, ottoman, or step on a staircase. Flex your foot so your toes and leg are straight. If your knee tends to hyperextend, keep a slight bend in it. Bend your body forward slightly toward your foot. The further you go, the deeper the stretch. Do not push so far that you feel pain. Release the hip of your raised leg downward as opposed to lifting it up. If you need help easing your hip down, loop a yoga strap or long exercise band over your right thigh and under your left foot. Hold for at least 30 seconds, and then repeat on the other side. For this homeopathic treatment is very effective for more details you can consult me. 

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Dr. Julie Mercy J DavidErasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPTPhysiotherapist

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It looks like you are weak and it might be due to anaemia. You need to consume good iron diet in the body (haemoglobin and folic acid supplement) if not it is difficult for you to cope up the body metabolism. Since you are very young this might the reason. The reason might be due to back pain which is called sciatic nerve compression and it happens due to weakness where in the inflammed disc is not nourished and which touches the sciatic nerve which causes the radiating pain in the back and buttocks and also thighs and legs. 

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Dr. Prakhar SinghMBBS, Basic Life Support (B.L.S), Advanced Cardiac Life Support, Fellow of Academy of General Education (FAGE)General Physician

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I am sorry to hear about your concern but will be happy to assist you. Sciatica occurs when the sciatic nerve becomes pinched. The cause is usually a herniated disk in the spine or an overgrowth of bone, sometimes called bone spurs, form on the spinal bones. More rarely, a tumor can put pressure on the nerve. Or a disease such as diabetes can damage the nerve. Let's connect over a call so that we can discuss your concern in details and make a suitable treatment plan for you. 

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Dr. Julie Mercy J DavidErasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPTPhysiotherapist

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•rest. Avoid doing things that require you to bend at the hip or put a lot of pressure on the hip. Avoid sleeping on the side of your hip that is painful and sitting for long periods of time •cold and heat. Treating pain with heat and cold may help. Wrap an ice pack or a bag of frozen vegetables in a towel to ice your hip. A warm bath or shower may also help reduce your pain and prepare your muscles for stretching. •stretch. Gently stretching your body may reduce hip pain, especially if the cause is a strain or pinched nerve. 1. Knee lift 1.Lie on the back, extending both legs flat along the floor. 2.Keeping the left leg straight, pull the right knee up toward the chest. 3.Place both hands on top of the knee to help pull it in toward the chest. 4.Hold the stretch for 10 seconds. 5.Let go of the knee and gently lower the leg back toward the floor. 6.Repeat this exercise 5–10 times on each knee. 2.double hip rotation 1.Lie flat on the back. Then, bend the knees and bring them toward the body until the feet are flat on the floor. 2.Gently rotate the knees to the left, lowering them toward the floor. Rotate the head to face the right while keeping the shoulders against the floor. 3.Hold this position for 20–30 seconds. 4.Slowly return both the head and knees to the starting position. 5.Repeat on the opposite side. 3.bridging 1.Lie on the back, bending both legs at the knee and placing the feet flat on the floor. Keep the arms by the sides of the body with the palms facing downward. If necessary, place a small pillow underneath the neck and head for support. 2.Slowly lift the pelvis and lower back upward. Be sure to keep the shoulders and upper body on the floor. 3.Hold the position for 5 seconds. 4.Gradually lower the back and pelvis toward the floor, starting at the top of the spine. Roll down through the spine until the entire back is flat against the floor again. 5.Repeat this exercise 5–10 times. 4.butterfly stretch 1.Sit on the ground, bend your legs, and bring the soles of your feet together so they touch, letting your knees fall out to the sides. 2.Bring your heels as close to your body as you can and lean forward into the stretch, using your elbows to gently push your knees toward the ground. 5.side lying leg raise 1.Lay on your right side with your legs straight and stacked on top of each other, propping yourself up with your elbow. If you’re using an exercise band, position it just above your knees. 2.Keeping your hips stacked, engage your core and lift your left leg straight up as far as you can. Slowly lower back down. Repeat on other side. 6.hip flexion 1.Stand upright. 2.Extend one arm out to the side and hold on to a sturdy surface, such as a wall, table, or chair, for support. 3.Slowly raise the right knee to the level of the hip or as far as is comfortable while keeping the left leg straight. 4.Only hold this position for a second before placing the left foot back on the floor. 5.Repeat with the left knee. 6.Do 5–10 repetitions of this exercise. 7.hip extension 1.Stand upright with the legs straight and the feet shoulder-width apart. 2.Extend both arms out in front and hold on to a chair, table, or wall for support. 3.Keeping the right leg straight, lift the left leg backward without bending the knee. 4.Lift the leg as far as possible without causing discomfort, then clench the buttock tightly and hold the position for 5 seconds. Repeat this stretch 5–10 times on each leg. To increase the resistance, try attaching small weights to the legs. 8.hip abduction 1.Stand upright. 2.Extend the left arm out to the side and hold on to something solid, such as a chair, table, or wall. 3.Starting with the feet together, lift the right leg out to the right side. Keep the left leg straight and avoid rotating the hips. 4.Hold the position for 5 seconds and then slowly return the leg to the starting position. Do this exercise 5–10 times on one leg, then repeat it on the other side. Posture when standing: make sure you have a neutral pelvic position. Stand upright, head facing forward, back straight, and balance your weight evenly on both feet. Keep your legs straight and your head in line with your spine. Posture when sitting: a good seat for working should have good back support, arm rests and a swivel base. When sitting, try to keep your knees and hips level and keep your feet flat on the floor, or use a footstool. You should ideally be able to sit upright with support in the small of your back. If you are using a keyboard, make sure your elbows are at right-angles and that your forearms are horizontal. Shoes: flat shoes place less of a strain on the back. Driving: it is important to have proper support for your back. Make sure the wing mirrors are properly positioned so you do not need to twist. The pedals should be squarely in front of your feet. If you are on a long journey, have plenty of breaks. Get angle. Out of the car and walk around. Bed: you should have a mattress that keeps your spine straight, while at the same time supporting the weight of your shoulders and buttocks. Use a pillow, but not one that forces your neck into a steep. 

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