What should I do about sciatica?

Written by Na Hong Wei
Orthopedics
Updated on September 27, 2024
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For sciatica, absolute bed rest is initially required, ideally lasting three weeks. If three weeks is not possible, at least one week is necessary.

Secondly, continual traction is used, which can widen the intervertebral space, reduce the internal disk pressure, and potentially expand the spinal canal, thereby alleviating stimulation and compression of the nerve roots.

Thirdly, you can take some non-steroidal anti-inflammatory drugs, or some traditional Chinese medicines, many of which contain pain-relieving ingredients.

Fourthly, consider undergoing physical therapy, including physiotherapy, acupressure, and massage.

Fifthly, intradiscal injections, intradiscal blockade, or catheter blockade can be considered.

Sixthly, chemical dissolution of the nucleus pulposus can be considered.

Thus, these are the basic treatment methods for sciatica.

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Written by Na Hong Wei
Orthopedics
1min 27sec home-news-image

How to relieve sciatic nerve pain

How to alleviate sciatica pain. First, it is necessary to rest in bed absolutely, especially sleeping on a firm bed. While sleeping on a firm bed, you can also pad a soft pad in the lumbar area and place a soft pillow under the knee joints. The main purpose is to keep the knee and hip joints in a flexed state, allowing the muscles in the lower back to fully relax. Second, you can take some non-steroidal anti-inflammatory painkillers orally. Third, you can use traction therapy. Traction therapy is very effective for relieving sciatica pain as it can reduce the pressure inside the disc and expand the volume of the spinal canal, thus alleviating the stimulation and compression of the nerve roots. Fourth, you can consider undergoing physiotherapy, massage, and manipulation. However, aggressive massage is not recommended. Fifth, you can undergo intradiscal blockade or sacral canal injections. Sixth, you can perform nucleoplasty, which involves injecting collagenase into the intervertebral disc, or between the dura mater and the protruding nucleus pulposus. This often requires the intervention of a pain specialist. Therefore, after the aforementioned treatments, sciatica pain should generally be alleviated. If there is no relief or if symptoms worsen, then surgical treatment may be necessary.

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Written by Na Hong Wei
Orthopedics
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Can sciatica be cured completely?

Sciatica is difficult to cure completely. If it is primary sciatica, which is caused by inflammation of the sciatic nerve, there is a possibility of complete cure after medical treatment. However, secondary sciatica is generally difficult to completely cure because it is usually caused by spinal diseases, such as herniated discs, spinal stenosis, or even spondylolisthesis. In such cases, even after solving the primary disease, some problems may persist, continuing to stimulate the sciatic nerve, making it difficult to cure completely. If the sciatica is caused by spinal tuberculosis or a spinal tumor, the situation is even more complicated. Even if the primary lesion is resolved, it cannot guarantee that it will not recur. Therefore, sciatica is difficult to cure completely.

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Written by Na Hong Wei
Orthopedics
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Can you drink alcohol with sciatica?

Can people with sciatica drink alcohol? This question comes up often. In fact, sciatica is unrelated to drinking alcohol; people with or without sciatica can drink alcohol. However, it is best to drink less if you are suffering from sciatica. The reason is simple. After consuming alcohol, it might trigger an exacerbation of sciatica symptoms. Secondly, after drinking, the body's coordination and stability decrease, which may lead to uneven walking. At this time, if the sciatica has a specific cause, drinking may aggravate the factors that induce sciatica. Thirdly, excessive drinking is genuinely torturous and also harmful to health. Therefore, it is imperative to drink alcohol in moderation, and it is best to avoid excessive drinking. Otherwise, it is not good for the condition or the person.

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Written by Lv Yao
Orthopedics
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Which department should I go to for sciatica?

For sciatic nerve pain, it is recommended to first consult an orthopedic or spinal surgery specialist. Initially, it is important to determine the cause of the pain, such as whether it is caused by a herniated disc pressing on the nerve root. If it is confirmed that the pain is not caused by a herniated disc pressing on the nerve root, and it is purely sciatic nerve pain, you can then visit a pain management clinic to check for potential issues like piriformis syndrome. In essence, start with an orthopedic consultation to rule out orthopedic conditions. If no orthopedic issues are found, then consult a pain management specialist.

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Written by Cheng Bin
Orthopedics
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Can sciatica be treated with acupuncture?

Regarding whether acupuncture can be used for sciatica, it should first be clarified that acupuncture is feasible for treating sciatic nerve pain. Acupuncture can promote the recovery of nerves, thereby effectively alleviating the symptoms of sciatic nerve pain. However, it is important to note that it is best to undergo acupuncture in the acupuncture and massage department of a formal hospital. Formal hospitals are more professional, have a better grasp of indications, and tend to provide more satisfactory results. Additionally, for patients with sciatic nerve pain, it is crucial to minimize local irritation. It is essential not to expose the area to cold, apply local heat, and combine treatment with some neuro-nourishing medications, such as mecobalamin, which is quite effective.