Which department should I register for sciatica?

Written by Na Hong Wei
Orthopedics
Updated on September 06, 2024
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Sciatica is divided into primary and secondary types. Primary sciatica is caused by inflammation of the sciatic nerve itself, thus one should visit the Department of Neurology. Secondary sciatica is more common and usually stems from spinal conditions, so initially one should visit the Department of Spinal Surgery. Alternatively, one can visit the Department of Orthopedics, which deals with broader orthopedic issues. If experiencing severe acute pain, a visit to the Pain Management Department can provide rapid and effective pain relief. For frequent episodes of sciatica and interest in rehabilitation, the Rehabilitation Department can be considered. Additionally, traditional Chinese medicine has unique approaches to treating sciatica, so visiting the Department of Traditional Chinese Medicine to try treatments with Chinese herbs and methods is also an option.

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Written by Na Hong Wei
Orthopedics
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Sciatica belongs to which department?

Sciatica mostly falls under the category of orthopedics. It is a common orthopedic disease, with primary and secondary causes. The secondary type is often caused by compression at the exit point of the lumbar spine and sciatic nerve, so sciatica can be treated in orthopedics or spinal surgery. Primary sciatica, generally caused by inflammation of the sciatic nerve, is managed by neurology. To address sciatica, many hospitals now have departments of pain management. Therefore, sciatica can be treated by four departments: orthopedics, spinal surgery, neurology, and pain management.

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Written by Lv Yao
Orthopedics
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What is the fastest way to treat sciatica?

When pain occurs in the sciatic nerve, the first thing we need to consider is whether it is caused by degeneration of the intervertebral disc. Accompanied by the rupture of the fibrous ring, it protrudes and compresses the nerve root, causing pain and numbness in the lower limbs, and even limited mobility. Once sciatic nerve pain occurs, it is essential to identify the cause so that treatment can begin as soon as possible. If it is due to degeneration of the intervertebral disc, early stages can involve back exercises and appropriate medication to alleviate these symptoms. For example, sleeping on a firm bed, wearing a lumbar support during activities, minimizing sitting time, or avoiding bending over to pick things up. Additionally, you can perform exercises like the "bird flying" and the "plank bridge" for back muscle training to help reduce pain symptoms. If these do not alleviate the pain, pain relief or anti-inflammatory medications may be prescribed for symptomatic treatment.

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Written by Feng Ying Shuai
Traditional Chinese Medicine
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Is cupping useful for sciatica?

Sciatica is a syndrome characterized by radiating pain originating in the lower back and extending through the buttocks, back of the thigh, outer side of the calf, and outer side of the foot. It particularly affects those who have experienced external exposure to cold, dampness, or injury from local strains or overexertion, leading to stagnation of Qi and blood stasis type of sciatic pain. Cupping therapy has been shown to be effective, meaning it can alleviate some of the clinical symptoms of sciatica to a certain extent. For example, cupping therapy for cold-dampness type can lighten the local cold and dampness, expel wind and open the channels, and thereby relieve pain. If the condition is due to Qi stagnation and blood stasis, blood-letting cupping can be used to promote the circulation of Qi and blood, remove stasis, regenerate new blood, and alleviate joint pain.

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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.

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Written by Cheng Bin
Orthopedics
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Is moxibustion effective for sciatica?

First of all, it must be affirmed that moxibustion can promote local blood circulation, thereby effectively improving the edema of the sciatic nerve and alleviating symptoms of sciatic nerve pain. Thus, moxibustion is effective. In addition to moxibustion for patients with sciatic nerve pain, other treatments such as acupuncture, electrical stimulation, traction, massage, and cupping can also be combined with very good effects. For those with severe pain, oral administration of non-steroidal anti-inflammatory drugs and blood-activating and stasis-removing drugs can be used. For those with severe spinal nerve compression that cannot be improved through conservative treatment, it is necessary to actively consider surgical treatment to relieve the pressure on the spinal nerves and create conditions for the recovery of sciatic nerve pain.