What is Sciatica?
This is a pain in your lower back caused by a problem with the sciatic nerve. When the sciatic nerve has pressure on it, the pain can be felt in the lower back and down each leg. The pain is not just located at the point of the problem. The irritation can be manifested in many ways: a mild ache, burning sensation, numbness, tingling or severe discomfort. The source of the pain can be a herniated disc or spinal tumor or cyst. Sometimes the cause of the pain is not in the back at all but due to diabetic condition or fractured or dislocated hip.
Since about one-quarter of Americans will fall prey to back pain, it is likely that you will need to deal with this problem sometime in your life. And there are Pain Treatment Clinics conveniently located near you for advice.
Best Medication for Sciatica: Over the Counter Medication
- Pain Management Drugs: The standard pain medications such as aspirin, or acetaminophen may be helpful.
- Muscle Relaxants: Medication such as ibuprofen (Advil, Motrin) and naproxen (Aleve) are pain relievers.
- Tорісаl Pаіn Rеlіеvеrѕ: Many topical rubs can be used in the area of the pain generation. Some familiar names are included Iсу Hоt, Voltaren, Bеn-Gау, аnd Cарzаѕіn-P.
Alternative Treatments: Herbal Remedies
- Turmeric: Turmeric suppresses the release of hormones that cause inflammation. While there is no recommended dosage for sciatica, the maximum dosage is 1 tablespoon, 2 to 3 times per day.
- Garlic: Just like turmeric, garlic has some anti-inflammatory properties. Use garlic in your cooking or consume 4 raw cloves each day to realize the pain relieving effect.
- Jamaican Dogwood: This powerful substance from the Dogwood tree in Jamaica can be applied in a variety of ways to ease the pain. Look for capsules or a tincture.
- John’s Wort: This plant also has anti-inflammatory properties. The claim is that it regenerates nerve tissue and relieves the pain of sciatica.
Signs that your Sciatica Pain Requires Professional Help
If you notice any of the following, it is time to seek help of the pain doctor in New York or the pain doctor in New Jersey.
- If your pain does not subside within a couple of weeks.
- If your pain is severe or gets worse over time despite using home remedies.
- If you feel numbness or tingling in the area.
- If you lose control of your bowel or bladder.
Do not hesitate to contact your pain doctor pain doctor in NY or pain doctor in NJ as soon as possible, if these are your symptoms.
Best Medication for Sciatica: Prescription Medication
- Pain Relief: Opioid painkillers are effective and popular for nerve pain. Some side effects are constipation, nausea, and sedation. Due to the likelihood of misuse and ease of addiction, your doctor may be reluctant to prescribe these drugs.
- Anticonvulsants: Although these drugs were developed to control seizures, the side effects manage to dull the pain of the nervous system. Gabapentin and pregabalin are now commonly used for pain.
- Antidepressants: These drugs are also valid for controlling pain and are commonly used. There are 2 basic types that are prescribed by Tricyclic antidepressants and SNRIs.
- Tricyclic Antidepressants: These type of drugs have been used for many years for depression. Currently, their role has changed to being used for pain control. Unfortunately for some people, the side effects can be uncomfortable: unsteady feeling, constipation, vision issues and nausea. They are not recommended for people with heart problems.
- SNRIs: (Serotonin and Norepinephrine Reuptake Inhibitors) This more modern antidepressant is useful for controlling pain with relatively few side effects and may be safer for people with heart problems.
- Muscle Relaxants: Flexeril (generic name: cyclobenzaprine) is a popular medication used for sciatica pain. It blocks the nerve impulses that are sent to your pain centers in the brain.
- NSAIDs: (Nonsteroidal Anti-Inflammatory Drugs) These might be useful, but their effectiveness has recently been called into question. Naproxen is a common prescription drug that is popular while Flurbiprofen, Diclofenac, Naprelan 375, and Voltaren-XR are highly rated. These drugs reduce the hormone that causes inflammation and pain.
- Topical Treatments: If you are able to isolate the source of the pain effectively, these can bring some relief. With sciatica, the pain radiates down the spine and legs, so it is hard to determine where the source of the problem is.
Best Medication for Sciatica: Injections
- Lumbar Epidural Steroid Injections: In general , steroids reduce inflammation. In this procedure, the steroid is injected adjacent to the spinal nerve roots. For some patients, the pain relief can last for months. For others, it is not effective.
- Lumbar Facet Injection: In this procedure, a local anesthetic is injected into the joints along the vertebrae of the spine.
- SI Jоіnt Injесtіоn: This injection procedure is effective because it is able to accurately locate and then relieve the pain in the lower back, groin, and legs.
- COOLIEF SI Joint Cооlеd RF: The COOLIEF SINERGY Sасrоіlіас Cооlеd RF Sуѕtеm makes use of a cooling technology to denervation the joint. The lesions it creates blocks the nerve signals from reaching the brain.
- Lumbаr Rаdіоfrеquеnсу Ablаtіоn: In this non-invasive procedure electromagnetic waves are used to reduce the pain in a local area.
What other Options are there to Relieve Sciatica Pain?
If medications, do not relieve the pain there are still some other options available at pain treatment clinics.
- Physical Therapist: Often a physical therapist will be able to design a set of exercises to build muscle to relieve your pain. Your therapist will provide you with advice about how to reduce the likelihood of inducing the pain through your activities.
- Chiropractor: This medical professional manipulates your spine to align the vertebrae so that the nerve is not being pressured by a misplaced bone.
- Sріnаl Dесоmрrеѕѕіоn: In this procedure, your spine is gently stretched to relieve the pressure of the disc on the nerves.
- Acupuncture: This ancient Chinese treatment can be very useful in treating sciatica. Thin needles are placed at certain points in the body according to traditional practices.
- Laminectomy Surgery: If all of these less intrusive methods are not effective, your expert pain physical may suggest surgery to correct the situation. Your pain specialist will explain your options and the procedure in detail.
- The best medication for sciatica depends on the seriousness of your condition.
- You can start treatment with home remedies first, but is you experience any signs that indicate a more serious problem, you need to seek professional help.
- The pain specialists at the pain treatment clinic have many choices for you.
- Your physician will try less intrusive methods first. Only if these methods do not bring relief, will surgery be suggested.