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 13sec home-news-image

What does sciatica cause?

Sciatica generally causes changes in six aspects. The first is pain, which mainly occurs along the distribution area of the sciatic nerve, including the back of the thigh, the posterior and lateral sides of the calf, and the lateral side of the foot and sole. I have seen a patient with severe sciatica who had to stay in bed with his head down and buttocks up to minimize spinal canal pressure, finding some relief only in this position. The second change is a decrease in muscle strength, which can even lead to muscle atrophy. The third aspect involves the pathway of the sciatic nerve, including the exit of the piriformis muscle, with tenderness and percussion pain along the course of the nerve. The fourth aspect includes symptoms of sciatic nerve traction, which involves positive results in straight leg raise tests and cross-legged tests. The fifth point is a weakened or absent Achilles reflex, due to the sciatic nerve's innervation of the muscles on the back of the thigh, leading to a decrease or disappearance of the Achilles reflex. The sixth point is abnormal sensations in the area innervated by the sciatic nerve, including reduced or lost sensations or mild sensory disturbances.

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Written by Na Hong Wei
Orthopedics
54sec home-news-image

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 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.

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Written by Na Hong Wei
Orthopedics
1min 21sec home-news-image

How to completely cure sciatica?

Treatment methods for sciatica include several approaches. First, resting on a hard board bed; typically, this rest period lasts three to four weeks, during which many patients experience symptom relief. Second, pharmacological treatment is recommended, usually involving non-steroidal pain relievers, as well as vitamins B1, B6, and B12. Short courses of corticosteroid hormones are also used. However, it is important to use hormones minimally and to stop their use correctly if possible. Third, traditional Chinese medicine and herbal treatments are preferred. Many cases of sciatica may be alleviated or even cured with the proper application of traditional Chinese medicine and herbs. Common remedies include Xuanluo Tongbi Decoction, Wutou Xixin Tongbi Decoction, and Duhuo Jisheng Decoction. Local injection treatments are also available, but it is crucial to ensure precise and successful injection on the first attempt. Fourth, exercise therapy is essential as inactivity can lead to muscle atrophy, so proper rehabilitation is necessary. Sixth, dietary therapy should focus on nutritious foods while avoiding junk food and spicy, stimulating dishes.

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Written by Li Jin
Orthopedics
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What foods should be avoided with sciatica?

Patients with sciatic nerve pain should be cautious with their diet in daily life. Avoid consuming spicy and stimulating foods such as chili peppers and black pepper. Avoid high-fat, high-calorie foods such as fatty meats, barbecued and fried foods. Also, reduce the intake of foods high in sugar like various pastries and sweets, as these foods are detrimental to health. Patients with sciatic nerve pain should eat more foods rich in high-quality protein and vitamins such as milk, eggs, beans, chicken, fish, fresh vegetables, and fruits. These foods are beneficial to health.