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Top Health Tips on Managing Sciatica

Ways To Treat Degenerative Disc Disease And Spondylosis!

MD, FIPP
Pain Management Specialist, Kolkata
Ways To Treat Degenerative Disc Disease And Spondylosis!
It is important for you to know about degenerative disc disease (DDD) and spondylosis. Spondylosis is an umbrella term for spine pain, which occurs because of degenerative conditions. Spondylosis refers to several conditions. They include spinal stenosis, which is the abnormal narrowing of the spinal canal, leading to leg pain, degeneration due to DDD and degenerative arthritis or osteoarthritis involving the spine. It may also include cervical osteoarthritis or neck arthritis.

Spondylosis is a common condition, which is age related. The joints and discs present in the neck are specifically affected as a result of this condition. It commonly develops on account of the wear and tear of the cartilage and bones present in the neck. This condition, in spite of being common, worsens with age. In many patients, symptoms are not observed externally, but pain and muscle spasms are experienced.

Many people with spondylosis do not undertake treatment in spite of suffering from the symptoms and pain. In case the symptoms are prevalent over a long time and tend to worsen, you have several modes of treatment to choose from. They may include medicines, corticosteroid injections, physical therapy and even surgery in some extreme cases.

How does DDD or spondylosis occur?

DDD is a spinal condition. It is caused due to the breakdown of the intervertebral discs. With ageing, the spine starts to show signs of wearing and tearing. This happens on account of the discs drying out and shrinking. All these age-related changes are responsible for arthritis, spinal stenosis and disc herniation. Because of these factors, pressure is likely to fall on your nerves and spinal cords, which may further cause back pain. DDD or spondylosis also develops on account of these factors.

Treatment for DDD and spondylosis

There are various modes of treatment, which are available for you to choose from in order to get relief from the symptoms and pain associated with DDD or spondylosis. It can be medicines. You may be prescribed typical painkiller medications, such as non- steroidal anti-inflammatory drugs or NSAIDS, muscle relaxants, oral steroids,etc, It can be physical therapy like ultrasound and massage, transcutaneous electrical nerve stimulation (TENS) etc. When above modalities fails interventional pain management may do miracles. There are few interventional procedures like epidurals, Rami communicantes fibre RF, or some intradiscal procedures. Rarely these patients needs surgery.

Every mode of treatment has got its own benefits, but has its limitations as well.
8296 people found this helpful

5 Causes Of Sciatica Pain And Its Treatment!

MD, FIPP
Pain Management Specialist, Kolkata
5 Causes Of Sciatica Pain And Its Treatment!
The sciatic nerve spreads down the spine till the legs. The pain in this nerve can feel like sparks running down your back of leg from buttock area. Anything that puts weight on or aggravates this nerve can cause pain that shoots down the back of one butt cheek or thigh. The amount of pain can increase gradually. Sciatica may feel like a gentle ache, a sharp sensation or extreme uneasiness. Sciatica can bring feelings of shivering, numbness and weakness.

Sitting, standing up, coughing, sneezing, lifting, or straining for a very long time, might aggravate pain. Now and then, individuals experience numbness or shivering in the leg, too.

Some of the most regular symptoms of sciatic pain include:

Pain in the buttock and/or back of leg when sitting or walking
Hip pain
Burning sensation in the leg
Numbness or trouble moving the leg or foot
Shooting pain that makes it hard to stand up properly
The most common causes of sciatic pain include:

Lumbar spinal stenosis (narrowing of the spinal channel in the lower back)
Degenerative disk disease (breakdown of discs, which go about as pads between the vertebrae)
Spondylolisthesis (a condition in which one vertebra slips over another)
Piriformis syndrome
Muscle spasms
How to treat:

Visit doctor early, have a proper diagnosis. As you can see that several diseases can cause sciatica, diagnosis is very important before starting treatment. Outline of treatment:

No exercises during acute painful condition. No absolute rest is also needed. Do normal daily activities.
Medications to relieve nerve pain, like pregabalin etc.
Interventional pain management is the best way to confirm the diagnosis, relieve pain, and cure the condition.
Surgery is rarely needed.
6951 people found this helpful

Top Ways To Get Pain Relief From Sciatica

MPT, BPT
Physiotherapist, Noida
Top Ways To Get Pain Relief From Sciatica
Sciatica is probably one of those things which is vaguely familiar but a person is not fully aware of it. The sciatic nerve is one which is part of the spine and then spreads out over the legs. When this nerve gets pinched, it leads to sciatica, or pain of the sciatic nerve, which is tremendous! But, then, what exactly is a person to do in order to reduce the pain caused on account of sciatica?


The best answer for this is not medication, though it does have its uses, but rather, exercises which help the situation improve and reduce the risk of the person going mad due to the pain! One of the simplest exercises that a person can start with is known quite commonly as the knee to shoulder exercise. All that one needs to do is to lie down on the back and then, raise one knee and pull it across the body, with hands wrapped around it, so that it touches the opposite shoulder. This position of the knee touching the shoulder is to be held for about half a minute. About 3 repetitions need to be done and the same with the other side.


While it is important in the effort to relieve pain due to sciatica, it is equally important not to push oneself beyond natural limits, especially initially as this can cause injury. After all, more pain is the last thing which a person with sciatica is likely to want!


Since it is important to keep in mind the fact that consistency is one of the key secrets to reducing the sciatic pain, it is worth keeping in mind the standing hamstring stretch. What this exercise can boast of is the fact that it is one which can be done nearly anywhere. Also, it is pretty simple, too!


To do the standing hamstring stretch, one leg needs to be kept on an elevated surface which is not as high as the level of the hip. It is important to keep in mind that the leg is to be kept straight. The torso needs to then be bent towards the elevated leg. This process should be done slowly and again, maintained for about half a minute.


The sitting pose is useful to remember, as well. Sitting on the floor, one leg s ankle should rest on the other s knee. Like the standing hamstring stretch, the upper torso is to be bent towards the extended leg. With all these exercises, relief is not far away!
6675 people found this helpful

Sign and Symptoms of Slipped Disc

MD - Ayurveda
Ayurveda, Jaipur
Sign and Symptoms of Slipped Disc
When do you know that one of your discs from the spine has been slipped off from its original position? Here are some conditions and cases, as per our knowledge and these are different from low back and neck. First let s talk about the neck; it s more upper and closer to the brain!

Giddiness, Pain travelling in the arms, pain and tenderness in the cardiac region of chest and certainly you can have numbness and tingling sensations in your hands- all this is not about any of the heart problems, always! These are the most common signs and symptoms of the cervical disc compression and in most the cases patients reached to us with some complaints of cardiac problems in all such cases.

Besides this, other patients start feeling that they have something in their brain and they would have gone for MRI or CAT SCAN of Brain for the same condition because of severe headache and giddiness with some nausea along with these!

Why does the pain reflect on the different locations?

When the disc compresses any segment of the spinal cord or one of the nerves emerging from the part, the nerve will carry the sensation, without any external trigger for the pain or burning sensation in the area, supplied by that part of the spine or corresponding nerves. Certainly, if nerves are tingling these will affect the muscles for sure, supplied by the same nerves.

When this condition appears in neck, it will affect the parts supplied by the cervical nerves which emerge from between C1-C2/ C2-C3/ C4-C4/ C4-C5/ C5-C6/C6-C7/C7-C8 or C8-T1 vertebral bodies. These nerves from cervical region supplies to the muscles of head, upper back, arms, neck itself, chest region and sides of the chest. So wherever the supply goes, pain appears in the corresponding regions.

Same is the story of the lower back well known as Lumbar Region or Lumbo-sacral region of the spine. Nerves emerging from the lumbar region, supply to the lower limbs up to the toe, lower back and

The symptoms of a herniated disc: symptoms will be according to the location. The mostly affected areas are cervical region (neck); and lumber region (lower back).

When it is in neck region the symptoms will be as follows:

Pain which may radiate in arms.
Numbness/ tingling sensation in arms
Stiffness in neck
Difficulty in neck movements
Headache and giddiness, specially, while rising from bed
Symptoms of herniated disc in lower back are:

Pain in lower back which radiates into one or both legs
Numbness or tingling or sensation of in areas of one or both legs
Stiffness in lower back
Pain increases if fellow remains in same posture for long time period.
Muscle weakness or wasting of muscle mass in certain muscles of one or both legs
Loss of the reflexes in one or both legs
Depending on the nerve affected by the herniated disc the location of above said symptoms will differ and not surprisingly, both the areas of the spine might be effected at a single time, because vertebral column is a unit, certainly it will behave like a unit.
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Disc Related Problem - Do you Think You Need Surgery?

B.P.T, M.P.T
Physiotherapist, Hyderabad
Disc Related Problem - Do you Think You Need Surgery?
You might be an elite athlete or just a commoner. There is always a possibility for you to develop back pain while carrying out your daily activities. You might not be aware, but regular activities like sitting at the computer, running on the treadmill or simply crawling into your bed for a good night's sleep can affect the health of your spine. You are always at the risk of damaging your spine. These damages lead to back pain. It has been found that faulty postures can cause back pain by causing straining of the back muscles, injuring the tendons and damaging the vertebrae or ligaments. Back pain can be caused due to the overuse of a particular activity or for undertaking a new activity. Besides all these possibilities, most people put the blame on their discs for back pain.

What is a disc?

The human spine is composed of 24 bony vertebrae. These are placed one on top of the other. There is a thin intervertebral disc between each vertebrae. These discs look like jam doughnuts. They are made up of a hard outer shell known as the annulus fibrosis. They have a soft, jelly-like inner core known as the nucleus pulposus. They are shock absorbers.

What Happens To The Discs When An Injury Occurs?

The jelly-like soft core in the discs can often get shifted as a result of the accident or injury. Thus, the discs become a reason behind back pain. The pain could be due to the problems with the disc while carrying out tasks like

Prolonged sitting

Bending

Lifting

Twisting

Pulling

Symptoms Of Disc-Related Pain:

Symptoms tend to vary due to the nature of the injury and the damage caused. However, some common symptoms have been listed below:

Localised back pain

Pain in thighs, lower legs and feet

Tingling sensations

Numbness or muscular weakness

Treatment-

It is best to consult a doctor to know about the treatment needed for back pain related to disc. Initial treatment after detection of the problem includes the following ways:

Intake of non-steroidal anti-inflammatory and pain medication.

Application of heat and ice packs.

Physiotherapy.

Home exercise program as suggested by the doctor.

Practicing of core and lumbar strengthening exercises.

One must stop movements that aggravate the pain and don t take difficult physical activities. You must take adequate rest to set things right.

Do You Need Any Surgery?

It is not always needed for all disc related problems. Most issues with the disc vanish after a week. Surgery is sought only after nonsurgical treatments prove useless. The decision must be taken by a doctor.
6062 people found this helpful

Lower Back Pain - 4 Yoga Asanas For Treating it

MD, DYA, PGDCR
Ayurveda, Nashik
Lower Back Pain - 4 Yoga Asanas For Treating it
Lower back pain is one of the most common ailments among adults all across the world. You may wake up in the morning with an energising drink before going out to work. After you arrive at work, you may have to sit there till lunch, which involves further sitting and you are required to sit for more hours for completing the remaining work. Then you come back home by sitting in the car and have the night s meal while again sitting. Did you know sitting through the day is the major culprit behind your back pain? Thankfully, yoga has effective ways of treating back pain to a considerable degree.

You can choose to do the following yoga poses for alleviating your back ache:

Supine hamstring stretch: You will have to lie back on your back and bend the right knee to the chest. Then you will have to place a rolled-up towel around the football and straighten the leg towards the ceiling and press both the heels. In case your lower back feels strained, you can bend your left knee and place the foot right on the ground. Hold the position for about 3 to 5 minutes and practice regularly for soothing back pain.
Two knee twist: You will have to bend your knees to the chest while lying on the back and try to bring out the arms forming a T-shape. Then try to exhale and lower down the knees on the ground towards your right side. Keep both the shoulders pressed down firmly and hold this position for about 2 minutes for best results.
Sphinx: You will have to prop yourself on the forearms while lying on the stomach. You will then have to align the elbows right under the shoulders and press through the tops and palms of the feet. You are likely to feel terrific sensations down your lower back, but it is advised to bear through it as it allows the flow of blood to that region which is required for healing. Practice the position regularly and hold it for at least one minute.
Thread the needle: This is quite an easier pose where you will have to lie flat on your back by bending both the knees with your feet flat on the ground. You will now have to bend the right knee by placing the outer left ankle through the right thigh. You will have to thread the right hand between the leg and interlace the hands behind the left thigh.
These positions would help in soothing your lower back pain, but it is recommended to consult a doctor if the pain still persists. Ayurvedic Tiktaksheer basti, massage therapy and certain oral medicines can help a lot in speedy recovery from spine/back related problems.

Ayurved has a very unique way of drug administration called Basti in which various medicines are given through the anus ( Rectal route)...For Lumbosacral / spine disorders a very specialised form of enema Tiktaksheer Basti (Medicated Bitter Milk enema) is given which shows amazing results. Kindly consult a specialized Ayurvedic practitioner for additional details.

Kati Basti (Vasti) is a traditional Ayurvedic treatment used for lower backache and disorders of lumbosacral region, including slip disc, lumbar spondylosis, sciatica, spinal problems etc. Kati Vasti is a part of external oleation (Snehana) therapy in Ayurveda. It is very safe, non-invasive and green category procedure.

In this procedure, you will get instant relief from backache. After completing a course of 7 to 21 days, you may not need any kind of oral medicines. It is a complete therapy for back pain and lumbosacral disorders.

However, the results vary person to person, but in most of cases, people get quick relief after the procedure.
6051 people found this helpful

Cure for Slipped Disc

MD - Ayurveda
Ayurveda, Jaipur
Cure for Slipped Disc
We have cured almost 10000 patients for slipped disc, few of them were in a complicated state and were not able to walk or move for few steps too. Those were relieved with complete Ayurvedic treatments and that too without any surgery or further distress. We do it by all Ayurvedic way, through Ayurvedic Remedies, Panchakarma and Yoga.testimonial_cured_withoutSurgery

How do we cure Slipped Disc?
When we claim that we can cure a condition where surgery is just like a mandatory condition- it sounds a false statement, a hoax call or just another overconfidence claim? This might sound like this! Not an issue!! We don t believe in making some calls, we do rely on the feedback of cured patients of slipped disc. This is all about those persons, patients who came to us crying with pain and departed with smiles on their faces.

We align the spine in its normal position- this is how we cure the condition! Yes, we do exactly the same. Spine or vertebral column is just like an axis of the body and if this axis shifts on one side- due to any reason- this will certainly imbalance the body. This imbalance is exerted on the spine in form of spasm of muscles and that forces the vertebrae to move out of its place and press the nerves. This slipped or protruded disc exerts pressure on the nerves which translates in making mild to severe pain in low back to the lowest of the leg. We do all this in three different steps-

Oleation of the spine and surrounding muscles
Relaxing the muscles and body
Aligning the spine in its real shape.
Oleation of the Spine and Surrounding muscles:

Stiff things are hard to move and if we force these to move, surely we will hurt the stiffened tissue. This is what modern conventional chiropractors and physiotherapists keep on doing in all these cases and have least success with them. We do it according to the ancient Vedic Knowledge and some time-tested techniques of Panchakarma and Ayurveda as per one s requirements and body type.

Relaxing the muscles and nerves of the body:

Along with the first step, we keep on relaxing the muscles so that there won t be a single percent of stiffness and hardness in the body. This is being done to make the neuromuscular junctions smooth and easy to maintain. This step ensures that we will be able to place the things in the right place in next step. This is done through Ayurvedic Medicines.

Aligning the spine in its real shape:

Spine is inverted S shaped and if we can maintain the curves of the spine everything will be in its own place. This we do with help of some Yoga techniques, we have developed in previous years.

These are the three steps we perform one by one or all together for making the spinal column in its own shape. This is what we do with a perfection and we have almost 95% percent results in curing the slipped disc condition without surgery. 5% patients are those who became very careless with the time and were not able to continue the treatment or follow the regime. Our team of dedicated physicians and therapists is well trained and we are working since last 7 years in field of Ayurveda.
6039 people found this helpful

Slip Disc - Why It Happens?

MD - Ayurveda
Ayurveda, Jaipur
Slip Disc - Why It Happens?
Why Does Disc Slip?
Before we go and look for the treatment of the slip disc (at any region) of the spine, we need to be sure that why discs slip from their places and what are the basic causes behind the slip disc? This will help you to better understand the whole problem and its severity, because understanding your disease and to be educated about the problem is the basic step we need to take for complete cure of the condition.

What this Disc is?
Discs are fluid containing bag like structures which are located between every two vertebrae. These are destined to absorb the shocks while movements of the spine and to ensure the smooth movements of the spine. These are connective tissues which are important to hold the spine together and to for smooth movements of the spine. If there won t be gaps in between the vertebrae, we won t be able to move ourselves in any direction and that stiffness will make us like a hard-dried up tree, which can swing on either side but cannot bend properly.
So this Intervertebral disc is not a hard piece. This is a bag filled with some fluid, which provides cushion to the two bones above and below .

What does Slip Disc mean?
Slip is a very non-scientific term. There is no medical term like this. This is the protrusion. Dictionary meaning for the protrusion is- something that bulges out or is protuberant or projects from its surroundings!! A protrusion is- hump of a camel. So the fluidic-bag between the two vertebrae protrudes on one side. This condition of PRTRUSION OF INTERVERTEBRAL DISC (PIVD) is known as Slipped disc or slip disc in laymen language.

Why dose disc slip from its actual position?
Discs are held in an alignment between the vertebrae. These are not alone the bones, which held the things together. Muscles surround the bones and ligaments are similarly responsible for holding these in their actual, desired location. These all together- bones, muscles, and ligaments decide the curvature of the spine and this curvature is the most important factor to decide the location of the intervertebral discs.
In most of the cases we have CURED we found that there were two common factors-

Stiffness of the muscles of the back
Loss of normal curvature of the spinal column
We just adjusted these two with the help of Ayurveda-Yoga and Panchakarma and this only ensures us with 95% results at our facilities. Reason is very clear that- WE DO REMOVE THE ROOT CAUSE! We follow the notion of Ayurveda which tells us- Sanksheptah Kriyayogo Nidan Parivarjanam which means- remove the causative factors and this is the basic and exact form of treatment.
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Ayurvedic Management For Slip Disc!

Bachelor of Ayurvedic Medicine and Surgery (BAMS), Certificate In Osteopathy, Panchakarma Training
Ayurveda, Udaipur
Ayurvedic Management For Slip Disc!
A slipped disc is when the soft part of the disc bulges through the circle of connective tissue. This prolapsed may push on the spinal cord or on the nerve roots. However, it is worth noting that 20 percent of the population has slipped discs without experiencing any noticeable symptoms. The term 'slipped disc' does not really describe the process properly - the disc does not actually slip out of place, but bulges out towards the spinal cord. This condition is also known as a herniated, ruptured, prolapsed, or, more commonly, slipped disk. Some of the most common symptoms of slipped disk are pain in back, neck and lower part of the body, feeling of partial or complete numbness in the parts above and below the affected area, weakness in the lower limbs, scratchy/itchy (tingling) feeling around the genitals, pain while doing any activity such as sneezing, coughing, walking, people suffering from slipped disk often complain of experiencing partial or regular unconsciousness.

In the past, a patient suffering from Disc problems may have been prescribed painkillers/medications, instructed to refrain from physical activities, referred for Physiotherapy, received steroidal shots or injections, and when they weren t progressing, they were sent for Spinal Surgery. Frankly speaking only 5% of Back pains require Surgeries; the other 95% can be dealt with conservative & curative Ayurveda Panchakarma Chikitsa. The Ayurvedic treatment usually involves Panchakarma expert Ayurvedic doctor s consultation and a series of ayurvedic panchakarma treatments like Abhayangam, Swedam, Elakizhi, Navarakizhi, Nasayam, Kativasti, Anuvashan and Kashaya vasti, Marma chikitsa, Meru Chikitsa (Ayurvedic Neuro-Therapy) along with Vatahara chikitsa and Brumhana chikitsa and internal medicines. Usually the treatment p, riod is 7/14/21/28 days according to the severity of the disease.

Today, you may not have to live with that pain anymore. We have successfully treated Lower Back Pain resulting from herniated, bulging, or degenerative discs. We are dedicated to improving the health and function of our patients by combining Traditional Ayurveda Panchakarma Chikitsa with modern technology and Osteopathic manipulation techniques (OMT) to deliver an unprecedented level of service.

We have treated many patients with Spinal conditions like:

Herniated Discs
Bulging Discs
Degenerative Disc Disease
Sciatica Syndrome
Spondylosis (Cervical /Lumbar/ Ankylosing)
Cervical radiculopathy,
Lumbago
Dehydrated disc
Disc prolapsed
Spondylolisthesis
Spinal canal stenosis
Lower back pain
Neck pain
Scoliosis etc.
5752 people found this helpful

Different Types Of Exercises To Treat Sciatica!

mpt
Physiotherapist, Ahmedabad
Different Types Of Exercises To Treat Sciatica!
Sciatica is a very common neuropathic pain that is caused by damage to the sciatic nerve, a large nerve that runs from the lower back region down the end of each leg. It is the largest single nerve in the body.
This condition affects around 4 out of 10 people at some point of their lives. The nature of the pain varies from a mild ache to a sharp stinging sensation and may cause feelings of numbness and extreme weakness.

The causes for the onset of sciatica are numerous. Some of them are as follows:
-Slipped lumbar disc
-Muscle inflammation
-Internal bleeding
-Pregnancy
-Obesity
-Awkward sleeping position
-Uncomfortable footwear
-Spinal injury

How can physical therapy help?
There are many ways of treating sciatica such as medication, acupuncture and surgery, which can provide relief. The most common and easy treatment method however is physical therapy. A progressive and controlled exercise routine that is specifically tailored to the nature of the condition in consultation with a physical therapist acts as an effective remedy in treating the problem. It alleviates pain and also eliminates the chances of relapse.
Physical therapy exercises used to treat sciatica are of many types. These are a combination of core strengthening, muscular stretching and aerobic conditioning routines, which aim at correcting the root of the problem.

The different types of exercises employed to treat sciatica include the following:
Strengthening exercises
These aim at strengthening the spinal column and the pelvic region, which includes the hips and buttocks. They help in making the muscles and ligaments in this region more robust and allow for improved flexibility and support. Lunges and squats are some of the examples.

Stretching exercises
These provide pain relief through improved agility and flexibility. The most important aspect of these routines is stretching and exercising the hamstring. Hamstring, stretches, calf stretches and tricep stretches are a part of stretching exercises.

Aerobic conditioning
These are cardiovascular exercises of low intensity, which provide pain relief through the release of endorphins and the facilitation of fluid and nutrient exchange. Examples of these are swimming and brisk walking.
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