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Sciatica Health Feed

Sciatica Problem Tips!

Dr. Sameer Kumar Singh 86% (115 ratings)
B.Sc, BHMS
Homeopath, Lucknow

Today's Tips

Sciatica is pain in the lower back or hip that radiates down into the buttock and back of the leg along the sciatic nerve, often to the foot.

How to avoid Sciatica?

  • Maintain a healthy weight.
  • Keep your back muscles strong.
  • Stretch your muscles.
  • Focus on good posture.
  • Lift properly.
  • Leave your purse at home.
  • Practice stress relief for back pain relief.
  • Sleep well.
     

I had sciatica nerve problem from last 8 month but my back pain is there and my little finger of my left leg there is numbness. Please advice. I need your guidance.

Dr. Richa Gupta 91% (49 ratings)
Physiotherapist, Bangalore
I had sciatica nerve problem from last 8 month but my back pain is there and my little finger of my left leg there is...
Visit physiotherapist for evaluation and treatment. For your radiation you need a modalities called tens with proper stretching and strengthening of back and leg muscles. Don't press and lie down on left side. Always turn and then get up from bed.
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I'm 57 years suffering from sciatica left from 2 years recently pain increased along with interscapular radiculopathy at back doctors advised me for surgery diagnosing spondylolisthesis but silent for scapular radiating pain kindly advise me.

Dr. Richa Gupta 91% (49 ratings)
Physiotherapist, Bangalore
I'm 57 years suffering from sciatica left from 2 years recently pain increased along with interscapular radiculopathy...
For sciatica: consult physiotherapist. No forward bending. Always turn and then get up from bed. No long hours of sitting or standing. Avoid hard surfaces. Do stretching exercises for back and legs with core muscle strengthening. For scapular radiculopathy: consult physiotherapist. Some nerve is getting compressed so you need tens machine with proper stretching and strengthening of hand and neck muscles. Don't lift or carry heavy weight over that hand.
1 person found this helpful
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Hi Sir, Mere baye pair me bahut dard hai doctor se dikhne pe wo mujhe sciatica ka Problem bata raha Mujhe sciatica ka koi achha sa doctor bataye.

Dr. Madhu Thumu 87% (40 ratings)
MBBS, MS - Orthopaedics
Orthopedist, Hyderabad
Hi Sir, Mere baye pair me bahut dard hai doctor se dikhne pe wo mujhe sciatica ka Problem bata raha Mujhe sciatica ka...
Sciatica is a common symptom associated with back pain. It is due to disc prolapse in the spine compressing the nerve root of the leg. You consult an orthopaedician nearby.
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4 Causes Of Sciatica Pain And Its Treatment!

Dr. Kailash Kothari 85% (36 ratings)
MD - Anaesthesiology, MBBS
Pain Management Specialist, Mumbai
4 Causes Of Sciatica Pain And Its Treatment!

Sciatica pain arises due to compression or injury to the sciatic nerve, which is the single largest nerve in our body. It consists of individual nerve roots, which branching out from the lower back (spine) to the back side of each leg. It supplies the sensation to the leg structures and power to the muscles of the legs. The origination of the sciatic pain lies in the lower back of the body and radiates down the buttock to the sciatic nerve. 

Causes of the sciatica pain 

  1. Herniated disc (also known as PIVD/DISC bulge) : Most common cause of low back pain and radiating leg pain could be a herniated disc in the lower back of the body. 
  2. Spondylosis: Spondylosis in the lower back would also be a reason for the development of the sciatica pain.It can cause reduction in the size of the gap though which the nerve exits. 
  3. Muscles and ligaments: In some cases spasm of the muscles in lower back may cause sciatica pain. Other causes are a spinal injury, degenerative disc disease, infection in and around the lower back. The pain would worsen, if an individual is in an occupation where he or she has to stand or sit for hours at length without physical activities. The lifting of heavy things would strain the sciatic nerves as well. 

How to identify sciatica pain? 
Sciatica pain varies from infrequent aching pain to a constant throbbing pain travelling down the lower back. So initially it is difficult to detect whether it is sciatic pain or not. But when the constant pain in the lower back leads right down in the leg, most of the times till the toes and foot, it is really time for an individual to get in touch with a doctor. The pain can give a burning or pricking sensation, sometimes very severe, making it difficult for the person to stand up or walk properly. Along with the pain, one can feel fatigued. If left untreated, it may cause permanent damage to the nerves and spinal cord (Rare). Treating it early is very important to prevent long term problems. 

Treatment for sciatica pain 

Sciatica can be treated in both surgical and non-surgical way. The non-surgical pain treatment would include physical exercises and oral medications along with natural treatment. 

  1. Medications: Painkiller medications prescribed by the doctor can be used to reduce sciatica. Medicines like aspirin, non-steroidal, mild opoioids or oral steroids can help reduce the pain. 
  2. Pain Management Steroid injection: Epidural steroid injection acts faster as it is injected in the affected area, thus providing relief from the pain quickly. This is done when other non surgical treatments are not working. This helps in avoiding surgery in almost 80% of the cases. 
  3. Exercise: Early morning exercises can be quite helpful. Surgery : Surgical treatment is required rarely as sciatica tends to respond well with non-surgical treatments. If the pain continues for over a month despite treatment, or patient is having some serious complications like loss of bladder and bowel function, surgical treatment will be considered. 
  4. Percutaneous Endoscopic Discectomy: The surgical treatment named Percutaneous endoscopic disc discectomy and foraminotomy constitutes a large part of interventional pain physicians and it has evolved considerably in terms of surgical technique and instrumentation. Percutaneous endoscopic discectomy is a relatively new technique for removing lumbar disc herniation. It involves using an endoscope to visualize the disc removal. The discectomy is performed from under local anesthesia and sedation using specially developed instruments. The advantage of percutaneous endoscopic discectomy is that the disc is approached posterolaterally through the triangle of Kambin without the need for bone or facet resection thus preserving spinal stability. The procedure is day care and is done under local anaesthesia. Minimally invasive surgical options like endoscopic discectomy are boon for patients as they avoid any cut or sutures on the skin.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3970 people found this helpful

Hi doctor, I am suffering sciatica from last 4 years. I am getting pain only if I walk cont 7 to 8 minute than pain start otherwise I do not have pain if I am jogging, driving, seating or sleeping. What to do?

Dr. Amit Agarwal 88% (77 ratings)
BPTh/BPT
Physiotherapist, Ghaziabad
Hi doctor, I am suffering sciatica from last 4 years. I am getting pain only if I walk cont 7 to 8 minute than pain s...
Consult physiotherapists, take some multi vitamins, do back strengthening exercise, avoid forward bending and wt lifting.
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Back Pain Lumbago Sciatica

Dr. Qaisar Raza 90% (48 ratings)
B.H.M.S
Homeopath, Kolkata
Back Pain Lumbago Sciatica

Hypericum perforatum
This honeopathic remedy relieves lower back pain with sharp throbbing pain.

Ruta graveolens
This is used to relieve lower back pain caused or worsened by staying immobile.

 Causes
Umbago is often provoked by banal causes, i. E. A muscular or ligaments’ sprain, that may occur after a bad movement (as a fall), or after having lifted heavy weights or having done an exaggerated physical effort.
Obviously inadequate training, a wrong posture, overweight together with many other factors can help the happening of the problem.Other causes source from the spine itself: lumbago may descend from an arthritis of the spine (spondylosis) degenerative arthritis of the spinal vertebrae and related tissue; on the vertebral surface they may form the so called osteophytes (bony projections) that sometimes impinge on nerves causing pain.

Spine arthritis often shows up together with a problem of the intra vertebral discs that tend to become more thin. This causes the vertebrae to come closer with a consequent reduction of the space left for the nerve roots.The result is an irritation of the nerve structures that causes a lumbar sciatica. Another possible cause of compression of the nerve’s root is spinal disc herniation, main factor of sciatica.

Lumbar sciatica may also be caused by a narrowing (stenosis) of the vertebral canal inside which is contained the spinal marrow. Some persons are simply born with a more narrow canal than normal, while in some other cases stenosis can appear later, in example caused by an arthritis.There can also be an alteration of the spine, when a displacement of a vertebra in relation to the vertebrae below occurs (spondylolisthesis).

Symptoms


Almost everyone knows what is back pain. Lumbago is one of the most frequent problems: it is the second cause of medical visits after influenza and it has been estimated that 4 on 5 people suffer from it sooner or later in life.The spine is made by vertebras, separated by intra vertebral discs that act as shock absorbers, and its stability is assured by a group of ligaments and muscles.Inside the spine it is located the spinal marrow from which the nerves source and, coming out from spaces between a vertebra and another, they reach different parts of the body.The lumbar section of the spine, composed by 5 vertebras, is involved in almost every movement: it is fundamental to hold the back straight, to allow the torso rotation and its flexion. The back sustains most of the body weight and efforts and if its functions are compromised this can be strongly invalidating.The main symptom of lumbago is obviously pain that can locate in a specific area of the back.

The main symptom of lumbago is obviously pain that can locate in a specific area of the back.

It is often provoked by a muscle or ligaments sprain and it usually shows up together with a trauma, also called back strain.
Pain can be continuous and can sometimes ease by changing posture or practicing a light physical activity.
It is recommended not to practice heavy physical activity because it causes the symptoms to increase. When pain is provoked by a compression of one of the nerves' roots that come out from the lumbar spine, it tends to irradiate to the area reached by the entire nerve.So, if speaking of the lumbar spine, pain reaches the lower limb on the interested side of the body. In these cases the result is lumbar sciatica.
Ache may be felt after making an effort but also spontaneously and tends to be continuous and characterized by peaks of pain.

Prevention

Improving the physical conditions and following some simple rules can help preventing back ache: it is important to do aerobic physical activity periodically (i. E. Swimming or walking).In fact, training helps to strengthen the back and its resistance. Moreover it is important to hold in check the body weight, losing weight if necessary and doing reinforcement and stretching exercises focused on the abdomen, buttocks and back muscles.

Here are some suggestions that can turn useful in daily life.

  • When standing: if forced to spend a long time standing it is important to shift weight support from a leg to the other.
  • When sitting: it is recommended to use a chair suitable for the lumbar area;
  • The chair seat must allow to keep knees folded and feet well laid on the ground.
  • When lifting a weight. Knowing how to lift a weight in the correct way it is really useful to prevent low back pain: it is important to avoid using the back while doing it. Legs must be folded so that arms are at the same level of the object that needs to be lifted ; the object must be kept near the body. Moreover, it is better to avoid putting weights over the head.
  • When sleeping: in general the advice is to sleep on a hard mattress, even if recent studies recommended medium-hard ones. Avoid pillows which are too thick because they force the neck to bend excessively.

Self healing

  • It is important to avoid too long periods in bed: a light physical activity helps the recovery, obviously avoiding those movements that increase pain.
  • If lumbago is caused by an acute trauma it can be useful to initially apply ice. The latter can be applied for 15 minutes several times a day. Once spasm and acute pain are gone, heat can be applied.
  • With regard to body belt and corset, opinions are sometimes discordant therefore it is necessary a suggestion of an orthopedic specialist. In fact, even if they help keeping warmth on the damaged area, they tend to weaken the back muscle in the long term. For this reason it is better to do some exercises in order to reinforce the musculature.


Homoeopathic remedies
 

Aesculus
Pain in the very low back (the sacral or sacroiliac areas) that feels worse when standing up from a sitting position, and worse from stooping, may be eased with this remedy. Aesculus is especially indicated for people with low back pain who also have a tendency toward venous congestion and hemorrhoids.

Arnica montana
This remedy relieves lower back aches and stiffness from overexertion or minor trauma.

Bryonia
This remedy is indicated when back pain is worse from even the slightest motion. Changing position, coughing, turning, or walking may bring on sharp, excruciating pain. This remedy can be helpful for back pain after injury and backaches during illness.

Calcarea carbonica
This is often useful for low back pain and muscle weakness, especially in a person who is chilly, flabby or overweight, and easily tired by exertion. Chronic low back pain and muscle weakness may lead to inflammation and soreness that are aggravated by dampness and cold.

Calcarea phosphorica
Stiffness and soreness of the spinal muscles and joints, especially in the neck and upper back, may be relieved by this remedy. The person feels worse from drafts and cold, as well as from exertion. Aching in the bones and feelings of weariness and dissatisfaction are often seen in people who need this remedy.

Natrum muriaticum
Back pain that improves from lying on something hard or pressing a hard object (such as a block or book) against the painful area suggests a need for this remedy. The person often seems reserved or formal, but has strong emotions that are kept from others. Back pain from suppressed emotions, especially hurt or anger, may respond to natrum muriaticum.

Nux vomica
This remedy is indicated for muscle cramps or constricting pains in the back. Discomfort is made worse by cold and relieved by warmth. Pain usually is worse night, and the person may have to sit up in bed to turn over. Backache is also worse during constipation, and the pain is aggravated when the person feels the urge to move the bowels.

Rhus toxicodendron
This remedy can be useful for pain in the neck and shoulders as well as the lower back, when the pain is worse on initial movement and improves with continued motion. Even though in pain, the person finds it hard to lie down or stay still for very long, and often restlessly paces about. Aching and stiffness are aggravated in cold damp weather and relieved by warm applications, baths or showers, and massage.

Sulphur
This remedy is often indicated when a person with back pain has a slouching posture. The back is weak and the person feels much worse from standing up for any length of time. Pain is also worse from stooping. Warmth may aggravate the pain and inflammation.

Other remedies
Cimicifuga (also called actaea racemosa)

Severe aching and stiffness in the upper back and neck, as well as the lower back-with pains that extend down the thighs or across the hips - may be eased with this remedy. It is often helpful for back pain during menstrual periods, with cramping, heaviness, and soreness. A person who needs this remedy typically is talkative and energetic, becoming agitated or depressed when ill.

Dulcamara

If back pain sets in during cold damp weather, along with catching a cold, or after getting wet and chilled, this remedy may be indicated. Stiffness and chills can be felt in the back, and pain is usually worse from stooping.

Ignatia

Back pains related to emotional upsets-especially grief-will often respond to this remedy. Thee muscles of the lower back may spasm, and twitches, drawing pains, and cramps often occur in other areas.

Kali carbonicum

Kali carbonicum is a homeopathic medicine for lower back pain with the feeling that the knees are going to" give in"

Hypericum perforatum

This honeopathic remedy relieves lower back pain with sharp throbbing pain.

Ruta graveolens

This is used to relieve lower back pain caused or worsened by staying immobile.

 

Physiotherapy For Sciatica - Why Is It The Best Treatment Option?

Xcell Physiocare 85% (10 ratings)
MSPT (Master of Physical Therapy)
Physiotherapist, Delhi
Physiotherapy For Sciatica - Why Is It The Best Treatment Option?

352241The sciatic nerve is the longest nerve in the human body. It runs from the lower back, through the buttocks, your hamstrings and into the lower leg. Sciatica means pain in the leg, numbness or any kind of weakness in the lower back. There can be many reasons for a leg pain such as an injury to the leg or it can be due to the main nerve which travels in the lower back. Many times, it is not diagnosed properly and hence it will take a lot of time to respond to the treatment or in some cases, it may not respond at all. 

Symptoms of Sciatica: 

  1. You will experience pain in the lower back only on one side of the body. 
  2. The pain continues from the lower back to the sciatic nerve. 
  3. Rarely, you will see the pain on both sides of the body or buttocks. 
  4. The pain is very sharp. 
  5. In some cases, the patient may experience a needles or pins sensation in the leg and in some cases, it is weakness or numbness in the lower back. 
  6. The pain gets so severe that you will not be able to walk or even stand. 
  7. If you have lower back pain combined with leg pain, then lower back pain is not going to be as severe as the leg pain. With the help of the symptoms, your doctor will be able to diagnose sciatica but in order to know the exact cause and origin of this pain, you will have to undergo other tests and examinations. 

Physiotherapy for Sciatica: 
There are many surgical treatments available for sciatica, but it is always good to go for non-surgical treatments. So you can opt for physiotherapy. You will be able to see better and long lasting results with this treatment. As it involves a thorough assessment of it o352241n which the treatment protocol is laid. 

Physiotherapy involves four phases: 

  1. Pain relief 
  2. Restoration of normal flexibility 
  3. Restoration of full functionality 
  4. Prevention of recurrence 

In sciatica, it is due to unbearable pain, you seek treatment. So that has to be treated initially. When you can see that the pain is under control, then the physiotherapist will start working on the range of motion for your joints. The muscle tension will be reduced and muscle strength will be improved. In the third stage, your physiotherapist will start working on restoring the normal function of your body, especially your legs and your lower back. In the last stage, the physiotherapist will help you with some exercises that will stop its recurrence. Usually, sciatica will return after some time but taking a little care at the early stage can prevent it.  In case you have a concern or query you can always consult an expert & get answers to your questions!

5245 people found this helpful

My Mom is suffering from severe pain on her left leg on lower back below spinal cord we had refers two of doctors but the pain still remains same. Is it sciatica? If it is sciatica then please suggest some treatment. My mom's condition is very painful.

Dr. Priya Barai ( Gold Medalist ) 89% (1109 ratings)
BAMS, PG-Diploma In (Cosmetology & Laser Therapy)
Ayurveda, Kolhapur
My Mom is suffering from severe pain on her left leg on lower back below spinal cord we had refers two of doctors but...
Why don't you give her some hot oil massage twice a day till 15 days let me know how she feels so that further I can guide you better.
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