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S CIATIC A TREATMENT. Sciatica is characterised by pain in the lower back and gluteal region. This pain can radiate down one or both legs into the thigh, calf, ankle, and foot. Genuine sciatica occurs when pain travels below the knee. Sciatica Is Caused by Nerve Compression
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SCIATICATREATMENT Sciaticaischaracterisedbypaininthelowerbackandglutealregion.Thispaincanradiatedownoneorbothlegsintothethigh,calf,ankle,andfoot.Genuinesciaticaoccurswhenpaintravelsbelowtheknee.
SciaticaIsCausedbyNerveCompression Sciaticaisgenerallycausedbysciaticnervecompression.Disordersknowntocausesciaticnervepainincludelumbarspinesubluxations(misalignedvertebralbody/ies),herniatedorbulgingdiscs(slippeddiscs),pregnancyandchildbirth,tumors,andnon-spinaldisorderssuchasdiabetes,constipation,orsittingonone'sbackpocketwallet. Onecommoncauseofsciaticaispiriformissyndrome.Piriformissyndromeisnamedafterthepiriformismuscle.Thepiriformismuscleislocatedinthelowerpartofthespine,connectstothethighbone,andassistsinhiprotation.Thesciaticnerverunsbeneaththepiriformismuscle.Thismuscleissusceptibletoinjuryfromaslipandfall,hiparthritis,oradifferenceinleglength.Suchsituationscancausecramping and spasm to develop in the piriformis muscle, thereby pinching the sciatic nerve and causing inflammation and pain. Sciaticnervecompressionmayresultinthelossoffeeling(sensoryloss),paralysisofasinglelimborgroupofmuscles(monoplegia),andinsomnia. Thecauseofyourpaindeterminesyourtreatmentoptionstorelievesciatica
DRUGS,MEDICATIONS Yourdoctormayprescribecertainmedicationsorspinalinjectionstotreatyoursciatica.Theseverityofyourpaindeterminestheprescrip-tion,whichcouldbe: EpiduralSteroidInjections:Steroids, which reduce inflammation, can help ease your sciatic pain. With an epidural steroid injection, yougetacorticosteroidmedicineinjectednearthespinalnerveroots.Theseinjectionscanreducepainformonthsandsometimeslonger.However,epiduralsteroidinjectionsaren'teffectiveforallpatients. Over-the-counter NSAIDs (non-steroidal anti-inflammatory drugs): Thesewillhelpreduceswellingwhilerelievingyourpain.Ifanover-the-counterNSAIDisanoptionforyou,youandyourdoctorhaveplentytochoosefrom.Youcanuseibuprofen(Advil)ornaproxen(Aleve). PrescriptionMedications:Ifyouhavechronicsciatica,youmayneedamusclerelaxanttohelpeasemusclespasms.Assurprisingasitmayseem,anti-depressantscanbeeffectivedrugsfortreatingpainbecausetheymayhelpblockpainmessagesontheirwaytothebrain.Theycanalsohelpincreaseyourbody'sproductionofendorphins,anaturalpainkiller. Aswithanytreatment,youmustfollowyourdoctor'sadviceprecisely.Nevermixover-the-counterandprescribeddrugswithoutconsultingyourdoctor.Youshouldalsoletyourdoctorknowaboutallothermedicationsyou'retaking(andevenwhichvitaminsandsupplementsyoutake);therecouldbeinteractionsyouwanttoavoid. Thegoalofusingmedicationstoaddresssciaticnervepainistoprovidepainrelief.However,medicationsarenotaddressingtherootcauseofyoursciaticpain;theyaren'thealingorcuringthespinal condition that is leading to sciatica. While you're experienc-ingrelieffromyoursciatica,youmaybebetterabletodophysicaltherapyorexercisesthatmayhelpaddressthesciaticnervecom-pression.
PHYSICALTHERAPY Thosewithlowerbackpainhavehistoricallybeenprescribedbedrestinordertoofferreliefforachingbonesandjoints.Researchinrecentyearshassuggestedthatbedrestalonewillnotofferreliefforthosesufferingfromnervepainsuchassciatica. Stayingactivemaybemorebeneficialforthosewhosufferfrombackpain.Nottosaythatyoushouldberunningmarathons!Activitymeansbeingupandmobileforperiodsoftimethatarenotenoughtocausefurtherpainandaggravationtoyourback.Somephysiciansmayprescribespecificexercises,orsomemaysimplysuggestwalking. Yourdoctormayreferyoutoaphysicaltherapisttohelpyourelieveyoursciaticaandrestoremovement.Physicaltherapyincludesbothpassiveandactivetreatments.Passivetreatmentshelptorelaxyouandyourbody.Theyalsoprepareyourbodyfortherapeuticexercise,whichistheactivepartofphysicaltherapy.
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