“What helps with sciatica?”
I have sciatica. What helps with sciatica?
2 Answers
The American Academy of Orthopaedic Surgeons (AAOS) recommends several strategies for managing sciatica, focusing first on non-surgical treatments. Initial treatment typically involves rest and avoiding activities that exacerbate symptoms. Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen or naproxen, can help reduce inflammation and alleviate pain. Physical therapy is often recommended to improve flexibility, strengthen core and back muscles, and promote proper posture, which can help relieve pressure on the sciatic nerve. Additionally, specific exercises and stretches can be tailored to the individual's needs to support recovery.
If pain persists, more advanced treatments like corticosteroid injections may be considered to reduce inflammation around the nerve root. These injections can provide temporary relief and are typically used in conjunction with physical therapy. For cases where conservative treatments fail to provide relief after a few months, surgical options such as a microdiscectomy or laminectomy might be considered to relieve nerve compression. It is important to work closely with a healthcare provider to determine the most appropriate treatment plan based on the severity and duration of symptoms.
If pain persists, more advanced treatments like corticosteroid injections may be considered to reduce inflammation around the nerve root. These injections can provide temporary relief and are typically used in conjunction with physical therapy. For cases where conservative treatments fail to provide relief after a few months, surgical options such as a microdiscectomy or laminectomy might be considered to relieve nerve compression. It is important to work closely with a healthcare provider to determine the most appropriate treatment plan based on the severity and duration of symptoms.
Dr. Amir Mahajer
Physiatrist (Physical Medicine)
For sciatica relief, start with gentle exercise and stretching as tolerated, focusing on strengthening your core and improving flexibility. Over-the-counter pain relievers, such as ibuprofen or acetaminophen, may help if you have no allergies or health conditions that restrict their use. If symptoms persist, physical therapy can provide targeted exercises to reduce pressure on the sciatic nerve. For ongoing or severe cases, consulting with a nonoperative spine specialist can provide additional treatment options to manage pain and improve function.