Best way to treat sciatica


Medications used in the treatment of sciatica include pain relievers, muscle relaxants, anti-inflammatories, and antidepressants. Other medications that may be helpful include gabapentin (Neurontin) and duloxetine (Cymbalta).

Treatments for sciatica depend on the underlying cause. 1. Herniated Disc Sciatica Management - Extension exercises or press ups are often prescribed. 2. Spinal Stenosis Sciatica Management - Flexion exercises of the lower back are suggested. 3. Degenerative Disc Disease Sciatica Management - A dynamic lumbar stabilization program is recommended. 4. Spondylolisthesis Sciatica Management - Flexion based exercises and stabilization excercises are included in this program. 5. Piriformis Syndrome Sciatica Management - Stretching the piriformis muscle 6. Sacroiliac Joint Dysfunction Sciatica Management - This management strategy consists of range of motion exercises for the SI joint.

Level of nerve compression and amount of indentation is important to decide line of treatment Conservative line NSAIDS Muscle relaxants And tab gabapentin 300mg+nortryptiline 10mg 1od at bedtime Tab neurobion forte 1od Hard bed rest Physiotherapy Avoid forward bending and cross leg sitting Conservative line is good where there is no radiculopathy But severe compression requires decompression hence surgery is only choice

Thanx dr Ramesh C Yadav

Nsaid Gabapentin with methylocobalmine od shelecal 500mg vitamin d 3 tab intermittent lumbar traction Tens back extension exercise lumbar corset bridging exercise avoid forward bending heavy wt lifting jerky movement

Depends upon symptoms and severity. In acute case NSAIDs and muscle relaxant. After that physiotherapy 1 McKenzie back extension exercises can be key. Along with postural education and precautions Also some electro therapy for initial pain reduction can be helpful


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