What are the sciatica treatments?

1. Rest. If there is a problem of sciatica, it is necessary to rest more in life, because insisting on rest can reduce the pressure on the sciatic nerve, and then make the patient get better results in the process. Therefore, it is recommended that everyone take more rest in the process of sciatica and rest in bed as much as possible.

2. Cold compress. For most patients, hot compresses are also a very good method, the advantage of this method is that it can help patients relieve pain, but this method can only help patients with short-term pain, and has no good effect on severe discomfort. Therefore, you can choose to use it according to your actual situation.

3. Exercise method. If it is in the ** stage, the patient can get sciatica through proper exercise, because exercise can help the patient increase the strength of the waist and abdomen, so that the body can get healthy.

4. Drug regulation. In the process of sciatica, many people will need to be adjusted by drugs, because drugs can help patients relieve pain, but different patients use different drugs, so it is best to analyze it in combination with the actual situation of the individual.

5. Psychological**. Sciatica can be a long time, so it's important to have a good mindset.

1. Bed rest: Sciatica patients should rest more, especially in the early stage of intervertebral disc herniation, and rest in a hard bed for 3-4 weeks, and some patients will relieve their symptoms on their own.

2. Occlusion and physiotherapy: This method can be used in the acute stage, and the occlusive injection is to directly inject the drug into the spinal canal or around the nerve root, and local anesthesia to achieve the effect of pain relief.

3. Drugs: Western medicine, analgesics, vitamin B group, short-course corticosteroid hormones can be taken orally, which can relieve the symptoms of sciatica to a certain extent, but cannot achieve the purpose of **.

In clinical practice, the principles of early and long-term, active and rational, comprehensive and comprehensive achievement, and individualized measures are mainly followed, and disease education, exercise, lumbar back muscle function exercise and medication are carried out for sciatica patients.

1. Drugs**.

1. Non-steroidal anti-inflammatory analgesics: Nimesulide dispersible tablets, celecoxib capsules, etc., can relieve the pain caused by sciatica and reduce the pain of patients.

2. Dehydration and swelling drugs: Eliminating and stopping tablets, horse chestnut seed extract, and mannitol injection can reduce the edema of nerve roots, which should be taken under the guidance of a doctor, and should not be self-medicated.

3. Nutritional neurodrugs: such as methylcobalamin and ganglioside, which can play a nutritional role on nerves and relieve some nerve symptoms, such as numbness.

4. Glucocorticoids: This is an immunosuppressive hormone, which is more than one, and is only used when the patient is in unbearable pain, otherwise it is not recommended to use this class of drugs.

2. Surgery**.

Aggressive surgery** is recommended for patients who do not respond to formal conservative treatment**, severely affect their quality of life, or who already have cauda equina syndrome**. It is generally performed for the primary disease, including lumbar disc herniation, lumbar spinal stenosis, etc. The indications of surgery should be strictly standardized, the pros and cons should be weighed, and the risk of long-term and short-term complications of surgery should be reduced while ensuring the best effect.

3. Traditional Chinese Medicine**.

1. The main method of sciatica is massage and osteopathy (including traction**), followed by acupuncture, external plasters, internal Chinese medicine, fumigation, medicinal baths, etc., as well as various folk home remedies and test prescriptions. Topical plasters, fumigation, medicated baths and other external applications** have a good effect on relieving muscle spasms, eliminating nerve edema and inflammation, and improving blood circulation.

2. Oral administration of traditional Chinese medicine can regulate the body's immune function and endocrine system, and correct the deviation of physiological activities. Acupuncture has the antispasmodic and analgesic effect of yarrow, which can relieve spasmodic pain caused by nerve edema.

3. The advantages of traditional Chinese medicine are that it is less, convenient and easy to do, less expensive, and easy for people to accept.

There are many causes of sciatica, both inside the spinal canal and outside the spinal canal, which can be divided into radicular pain and dry pain, so it can only be carried out if it is distinguished. There are two aspects, one is symptomatic and the other is causal. Symptomatic ** is to give analgesic drugs, and the cause of ** should be distinguished.

If sciatica is radicular pain, which is caused by common lumbar disc herniation, it should be given early conservative **, bed rest, wearing waist circumference, oral anti-inflammatory analgesic drugs, can assist traction, massage, acupuncture, and even do some heat therapy and other measures, when conservative ** is ineffective, consider minimally invasive surgery**, if sciatica is a factor outside the spinal canal, it is dry pain, and it is necessary to target the ** of dry pain, such as pelvic tumors or sacroiliac joint lesions, It is necessary to target the lesion to achieve the effect of complete relief of sciatica.

Sciatica according to its **** method is as follows:

1. If it is sciatica caused by lumbar disc herniation, it is necessary to perform ** for the herniated intervertebral disc, such as intervertebral disc radiofrequency and intervertebral foraminoscopy surgery, which can relieve sciatica;

2. Sciatic nerve pain is caused by piriformis muscle, piriformis lesions can be done**, such as piriformis injection**, piriformis physiotherapy, and even piriformis massage**, which can relieve sciatica;

3. For example, if the herpes virus causes sciatica, it is necessary to target the herpes virus, such as the use of antiviral drugs and drugs to nourish the nerves. Sciatic nerve injections** or sciatic nerve pulses**, or sciatic nerve shockwaves** can also be done, all of which can relieve sciatica.

1. Drugs**: 1. Non-steroidal anti-inflammatory drugs, such as ibuprofen sustained-release tablets and diclofenac sodium. 2. Nerve analgesics, such as pregabalin and gabapentin.

3. Nutritional nerve drugs, such as methylcobalamin and vitamin dehydration drugs, if the patient's lumbar disc herniation compresses the sciatic nerve and causes severe pain, mannitol can be used for dehydration**. 5. Hormonal drugs, local anti-inflammatory**, good effect, can eliminate nerve root edema;

2. Acupuncture: Acupuncture has a good effect on sciatica, especially in the chronic phase, which can relieve local muscle spasm, reduce the symptoms of sciatic nerve entrapment, eliminate the inflammatory response of sciatic nerve, and relieve sciatica.

Suggestion: Hello! There is currently no special method of sciatica.

It is mainly used for physiotherapy or acupuncture and massage in traditional Chinese medicine**. The sore part belongs to the Ah Shi acupoint, and cupping can relieve the pain. However, it is more recommended that you go to the neurology department for standardized integration of traditional Chinese and Western medicine**, especially acupuncture** The doctor asks: