Question

Hi, My mom experience a very severe pain in lumbar region and pain radiates to groin and thigh region after an mri scan show that tenderness in sacroillajoint, illac fossa and chance of lumbar ligament to get tear so orthopedician suggest that to put injection in the si joint or otherwise opt for a minor operation if we opt for a inject it may be a steroids and does it have any side effects or any other way to get rid from this my mom experiences a severe pain.

Dr.Julie Mercy J David · Accepted Answer

Pain radiating along the sciatic nerve, which runs down one or both legs from the lower back.
Back bracea back brace or corset can provide excellent relief for most sciatica sufferers. Those who gain the most benefit are those who find their pain eases when they wrap/bind a towel or sheet (folded-lengthwise) tightly around their stomach and back. If this simple test eases your pain, you should use a back brace in the short-term. Back braces and strong deep core muscles help to avoid a recurrence in the future.
Massage therapyyour spinal muscles will often present in muscle spasm, which responds favourably to soft tissue techniques such as massage therapy. You should seek the assistance of a quality remedial massage therapist to assist your sciatica treatment. Tens machinetens machines are an electronic pain relieving device that will reduce your pain and your need for pain-relieving drugs. Exercise 1: squeeze buttocksthe patient lies supine and squeezes the buttocks. Contraction is held for 5 seconds. The exercises are repeated 10 times. The patient only contracts the gluteal muscles.
- exercise 2: swingthe patient is standing with the legs sligthly apart. The shoulders are relaxed and the patient swings the arms loosely alongside the body. This exercise is repeated 20 times.
U have to take vitamin d rich foods. Like milk, cheese,yogurt, brocoli,spinach. U need calcium consumption for increase the bone density
swiss exercise ball
the unstable surface that your swiss exercise ball provides can help awaken your deep core stability muscles. Your physiotherapist can advise you specific exercises.
Your swiss exercise ball will help to:
eliminate your pain
improve your muscular endurance and strength
attain better posture, balance, body awareness and co-ordination
improve your balance and flexibility
learn to lift properly
enjoy a low impact aerobic workout
posture supportspoor sitting posture is a common cause of sciatica. To assist the support of your lower back many simple and effective products have been developed over time. These include:
lumbar d-roll
bassett frame
kinesiology lumbar tape
please ask your physiotherapist for their advice in what will help you most.
Exercise sciatic nerve pain
1. Reclining pigeon posepigeon 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.
1.While on your back, bring your right leg up to a right angle. Clasp both hands behind the thigh, locking your fingers.
2.Lift your left leg and place your right on top of the left knee.
3.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.
4.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
1.Sit on the floor with your legs stretched out straight in front of you.
2.Bend your right leg, putting your right ankle on top of the left knee.
3.Lean forward and allow your upper body to reach toward your thigh.
4.Hold for 15 to 30 seconds. This stretches the glutes and lower back.
5.Repeat on the other side.
3. Forward pigeon pose
1.Kneel on the floor on all fours.
2.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.
3.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.
4.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.
5.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.
6.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.
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 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.
4.Push your knee so your leg returns to its starting position.
5.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.
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.

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