Treatment And Prevention Of Sciatica

Sciatica is irritation of the sciatic nerve due to compression of the nerve or herniated disc in the lumbar or sacral area as the most common causes. It occurs with pain, weakness, numbness or tingling throughout the nerve, that is, lumbar area, buttocks, back of the thigh and back of the leg, reaching the heel.

The symptoms can start with a simple tingling and are suddenly aggravated by poor posture, carrying excessive weight, maintaining the same position for a long time, etc., to such an extent that it is invalidating to walk or move and forces to maintain rest.

Although the pain can be severe, most cases resolve within weeks with the help of non-surgical treatments. How to intervene? What are the recommended measures for his rehabilitation?

Sciatica treatment

There are some basic cares that support recovery from sciatica pain. However, for proper management of this condition, it is important to consult a doctor or physiotherapist. The professional will be able to determine an appropriate treatment based on the cause of the pain. In addition, you can evaluate if there is another associated condition.

In addition to the physical examination, tests such as X-rays, magnetic resonance imaging (MRI), computed tomography (CT) and electromyography may be suggested, as indicated by the Mayo Clinic. Later, depending on the diagnosis, treatment may include:

• Medications: anti-inflammatories, muscle relaxants and tranquilizers.
• Physical therapy: The program may include exercises to correct posture and strengthen the muscles that support the back.
• Steroid injections: it is used only in specific cases, for a limited time due to possible side effects.
• Surgery: it is an option that is reserved only for severe cases. For example, when the compressed nerve causes severe weakness or problems with sphincter control.

Lifestyle and sciatica care

To complement the medical treatment of sciatica, we can consider some care and lifestyle changes. These help relieve pain and also reduce the risk of complications. Of course, before applying them, it is advisable to ask your doctor. Thus, from  MedlinePlus they recommend us:

• Bed rest is not recommended.
• In the first two days, apply ice to the area that hurts to reduce inflammation, the following days, apply heat to improve circulation and recovery.
• You can take over-the-counter medications such as ibuprofen or acetaminophen. However, if you are taking other medications, consult your doctor first.
• When the pain disappears, you should be a few weeks without intense physical exercise.

Prevention of sciatica

Sciatica tends to recur; in this case, it is essential to go to the doctor again to determine the cause. There are some basic tips to prevent acute attacks from recurring regularly, although prevention varies depending on the cause of the nerve damage.

• Sleep on a firm mattress and always use a pillow to avoid straining your neck and spine.
• When standing, spread your weight between both legs, keeping your back straight.
• Keep your head and shoulders back as you walk.
• Wear low-heeled or high-heeled shoes, avoid those that are totally flat.
• If you are sitting for a long time, support your back and keep it straight; knees and hips should be at the same height, using a foot stool if necessary.
• When lifting an object, lift your back straight and use your leg muscles to lift yourself up.
• When driving, keep your back against the seatback and if the trip is long, take a break every few times.

• Do exercises that strengthen your back and lower back muscles, such as swimming, yoga, or Pilates.

In short, there are several treatments available to alleviate the pain caused by sciatica. In addition, some preventive measures reduce the risk of its recurrence. In any case, it is best to consult your doctor for proper diagnosis and treatment.