Treatment options include rest, painkillers, epidural injections and surgery.
If your pain is severe and treatments from a GP have not helped, they may refer you to a hospital specialist for: painkilling injections. a procedure to seal off some of the nerves in your back so they stop sending pain signals. surgery – an operation called decompression surgery can sometimes help relieve sciatica.
Rarely, people with sciatica may also have more serious symptoms. If you're experiencing tingling or numbness in your legs that makes it hard to walk or move, you should make a doctor's appointment. If you're having difficulty controlling your bladder or bowels go to the emergency room right away.
However, a possible complication of sciatica is chronic (long-term) pain. If there's serious damage to an affected nerve, chronic muscle weakness, such as a “drop foot,” might happen. That's when nerve damage causes numbness in your foot, which makes normal walking difficult or even impossible.
If the pain is excruciating, lying down for short periods can help, but prolonged bed rest does not. So, once the pain becomes manageable, it's important to get up and start walking short distances. Since sitting increases pressure on the discs in the lower back, avoid prolonged sitting or driving.
One of the big red flags for diagnosing sciatica is that the pain is usually limited to only one side of the body. Other red flags that indicate sciatica include pain when standing or sitting, numbness in the legs and weakness or numbness when moving a leg or foot.
It affects your legs
One of the reasons sciatica gets so much attention is because the sciatic nerve's roots feed into the legs, and we use our legs a lot. Patients may perceive sciatica as being more painful than a compressed root in a less active part of your body, such as in the torso.
It may feel like a mild tingling, dull ache, or burning sensation. In some cases, the pain is severe enough to make a person unable to move. The pain most often occurs on one side. Some people have sharp pain in one part of the leg or hip and numbness in other parts.
Medications for Relief of Pain From Sciatica
Over-the-counter pain relievers such as acetaminophen, aspirin, or NSAIDs (such as ibuprofen [Advil, Motrin], ketoprofen, or naproxen [Aleve]) Prescription muscle relaxants to ease muscle spasms.
Go to A&E or call 999 if you:
have sciatica on both sides. have weakness or numbness in both legs that is severe or getting worse. have numbness around or under your genitals, or around your anus.
Your spine might suffer damage from poor posture, which worsens Sciatica pain. Stand tall and keep your shoulders back as you walk. Carrying heavy objects should be avoided. Whenever you're sitting, support your back and consider raising your feet slightly to alleviate some pressure on your lower back.
For the majority of patients, acute sciatica pain resolves within 1 – 2 weeks. In some cases, behavioral modification or at-home remedies may be adequate for relieving sciatica pain. However, certain patients may develop chronic sciatica pain which may wax and wane but remains present over many years.
Most sciatic pain lasts 4–6 weeks. Acute pain can feel like a stabbing, shooting, or burning sensation, which may subside into a dull ache. Sciatica becomes chronic if it lasts longer than 6 weeks and does not improve.
The most common cause is a herniated disk in the lower spine. Another risk factor is spinal stenosis, a condition that causes the spinal column to narrow. Doctors do not know why some cases of sciatica become chronic. Many acute and chronic cases happen because of a herniated disk.
If the pain persists, a doctor will likely order imaging tests to make sure the pain is, in fact, due to sciatica. Potential causes of sciatica, such as herniated disks or bone spurs, will show up on MRI scans, computed tomography (CT) scans, or X-rays.
For lots of people, sciatic pain can be some of the worst pain they have ever felt. When sciatica is at its worst, relief can seem unlikely and nothing will seem to help… So the idea of your sciatica pain getting better is a huge relief for those that struggle with it.
Muscle relaxers: When the underlying cause of your sciatica is muscle spasms, muscle relaxers such as carisoprodol and cyclobenzaprine can provide relief. Tricyclic antidepressants: Doctors prescribe the anti-depressants amitriptyline and nortriptyline to reduce nerve pain.
What's the best painkiller for nerve pain? Tricyclic antidepressants like amitriptyline and anti-epileptic drugs like gabapentin and pregabalin are very effective at treating nerve pain.