How is sciatica treated? How is sciatica treated?

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Analysis: Sciatic nerve pain is mainly caused by piriformis syndrome. First of all, you should actively avoid sitting.

When doing this, you should put a cushion underneath it. For painful areas, you can't massage. You can apply a topical warm compress or a topical voltaic patch or flurbiprofen barbu.

Analysis: The method of sciatica is divided into conservative and surgical. If the pain is very mild and does not interfere with daily life and work, conservative** can be used.

Conservative** includes acupuncture, traction, physiotherapy, plasters and oral administration of some anti-inflammatory and pain-relieving Chinese patent medicines. If the symptoms are severe and affect daily life, surgery can be chosen**Condition analysis: sciatic neuralgia must be identified as the cause of the pain** before the fastest ** method can be made.

If the sciatica is caused by piriformis syndrome, the piriformis muscle can be occluded**, which can relieve the pain and reduce the edema of the muscles and reduce the compression of the nerves. If sciatica is caused by a herniated lumbar disc, minimally invasive surgery or traditional open surgery can be used to remove the herniated disc and relieve the symptoms. If it is conservative**, it can be used by oral non-steroidal anti-inflammatory drugs** or manipulation of bones**.

For sciatica, oral pain medications, ibuprofen capsules or diclofenac sodium extended-release tablets can be used to relieve pain during the onset of pain. Generally, sciatica is caused by the herniation of the lumbar disc on the nerve, so we should pay attention to sitting upright, reduce the force on the waist, and if you still need to do physical activities, use a belt to help the waist be stressed. If you don't have pain, you can exercise moderately, eat vitamin B1, vitamin B12, and supplement calcium tablets at the same time.

In addition, if the lumbar spine or sciatic nerve is painful, you can apply plasters, take the corresponding anti-inflammatory drugs and painkillers according to the doctor's instructions, remember not to take medicine by yourself, really serious cases need to cooperate with physical **, these must be carried out in the hospital, can not find private massage massage and acupuncture at will, once the wrong part, hurt the nerve or lead to more serious dislocation is difficult to repair, regret is useless.

Sciatic nerve massage relieves it, and then take some nerve-nourishing drugs and rest more, there is no good way**.

The way sciatica is done is related to. If it is due to sciatic neuritis, it is necessary to use anti-inflammatory and pain-relieving drugs aggressively under the guidance of a doctor**. If it is caused by lumbar intervertebral disc herniation, it is necessary to perform lumbar traction, infrared rays, etc.** in time, and if necessary, timely surgery** to relieve nerve compression.

Generally, there are two types, surgery** and drug** and physical**.

However, if you have to do it as a last resort, the recovery period will be slow and your mobility will be affected. The most conservative is still physical, massage and other means.

Go to the hospital, that's the best answer. Secondly, since you need to sit for a long time during working hours, don't sit in your spare time, exercise more or go to physiotherapy, and secondly, even if you need to sit for a long time at work, you should often get up and move, and you can't say that you can't drink water or go to the toilet, right?

The quality of sciatica is to massage the muscles in the drum to ** this disease.

This can be diagnosed in neurosurgery**, and the experience of a lifetime is very rich, and it can be controlled by oral medication.

Sciatica, how**? You should go to the doctor first, prescribe some medicine for sciatic nerve for massage, and then take some medicine for neuralgia.

You can go to the pain department of traditional Chinese medicine, maybe acupuncture and moxibustion have an effect.

One of the sciatica is good with physiotherapy, and the other is with drugs**.

There are many kinds of sciatica, such as trauma, rheumatism, and lumbar disc herniation. After going to the hospital for a clear examination, follow the doctor's instructions to treat the symptoms**.

The best way to get sciatica is to identify the cause of sciatica, the most common cause of sciatica is lumbar disc herniation, which is a relatively common orthopedic disorder. For mild sciatica and mild lumbar disc herniation, it is usually recommended that patients take conservative**, such as massage, physiotherapy, traction, microwave, bed rest, etc., and if necessary, oral non-steroidal anti-inflammatory drugs can improve symptoms. For more serious lumbar disc herniation, if the patient is relatively young and does not have too many herniated segments, minimally invasive methods such as intervertebral foraminoscopy can be used, and radiofrequency ablation and ozone are also suitable choices.

In severe cases of sciatica and lumbar disc herniation with spinal stenosis, surgery** is recommended to remove the herniated disc to completely improve the symptoms. Other causes of sciatica, such as piriformis myositis, can be treated with microwave therapy, acupuncture, warm compresses, etc., to improve the patient's posture to help relieve the symptoms.

Sciatica is pain that occurs where the sciatic nerve runs (lower back, buttocks and/or behind the thighs). The form of neuralgia can manifest as numbness, electrical discharge, burning, or knife-like pain. The pain may radiate down the back or side of the leg, usually to the foot or ankle.

Sciatica can be divided into two types: primary and secondary, primary is less common, secondary is more complex, but the most common is lumbar disc herniation. It is not a single disease, but a symptom that can occur in many diseases.

** Approach to Sciatica:

1.Chinese medicine**.

There are two causes of sciatica: one is caused by lumbar disc herniation compressing nerve roots; The other is inflammation of the piriformis muscle or obturator muscle in the buttocks, resulting in myofasciitis swelling and congestion, which compresses the sciatic nerve. When the sciatic nerve is compressed by a herniated lumbar disc, the plaster can be applied externally to the pain point in the lower back; For pain caused by inflammation of the muscles of the buttocks, the external plaster 'Jiyudo ischial Shungu Anyu Patch' is used to relieve the symptoms, and the plaster is applied to the muscles of the buttocks.

Try to combine hot compress and physiotherapy for 20 minutes before using the plaster for better results.

2.Bed rest.

When the pain is more severe, the patient must rest in bed to relieve the condition, and when the patient is in bed, it can reduce the tension and reactive edema of the nerves and diseased tissues, so I wear it to effectively solve the symptoms, and when the pain is relieved, we will carry out appropriate activities. The amount of activity can be increased gradually, and the amount of activity you can do each day can help with recovery.

3.Seated gymnastics: The patient sits on the edge of a bed or chair with their legs hanging down and their heels on the ground, their toes raised, and their hands flat on their legs.

Once seated, bend forward step by step and push your hands towards your feet. At first, you may only be able to reach the calves with your hands, but you can reach the back of your feet and the toes with consistent exercise.

Precautions: People suffering from sciatica should first pay attention to lifestyle changes and do more exercise; Avoid wearing shoes with heels as much as possible in life, a slight forward shift of the center of gravity will aggravate the pain symptoms, and negative heels can be selected if possible; In daily life, you should lie on a hard bed and take a flat lying position to maintain the stability of the spine and reduce the pressure on the intervertebral discs.

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.

1. Adjust your daily habits.

Sciatica is essentially a habitual disease, which itself is an occupational disease, and many people may have backache, so some bad habits should be improved.

2. Don't sleep on soft beds.

Patients with sciatica should never sleep in a soft bed during the onset of the disease, otherwise the condition will become more severe. Sleeping on a hard bed can effectively help patients improve their correct sitting posture and can also effectively improve the compression of nerves in the spine.

3. Don't wear high heels.

This may be an unacceptable requirement for some women who love beauty, but after suffering from sciatica, you should first avoid wearing high heels, and if you have to wear high heels, you should wear negative heels, which can also effectively correct your bad posture for a long time.

Fourth, do not lift heavy objects.

The appearance of sciatica can also cause the muscles in the lower back to be stretched, so you should not put pressure on the lower back at this time, and you should not lift heavy objects. Otherwise, this will often aggravate the condition and cause the incidence of neuritis, so if you must lift heavy objects, you should also master the correct posture to reduce the burden on your waist as much as possible.

5. Appropriateness Campaign.

Many people are bedridden for a long time because of pain once the disease occurs, thinking that as long as a lot of rest can effectively promote the recovery of the disease, in fact, this method is not correct, and it is likely to aggravate the condition, so it is necessary to carry out some exercises appropriately, so as to effectively promote the recovery of the disease, can effectively achieve the effect of blood circulation, but can not do large-scale exercise and strenuous exercise, generally in the relief of about two weeks can be effective recovery.

If you have sciatica, you should first evaluate the disease, and conduct an MRI examination to determine the degree of compression and the type of compression, and the specific treatment is as follows: 1. Surgery**: If the protrusion is large and the compression is severe, surgery can be performed, nucleus pulposus extraction and fusion internal fixation can be performed.

Hand sale 2, conservative**: or purely if the patient is prominent, the compression is not serious, mainly conservative**, including bed rest, lower limb traction, nutritional nerve drugs**, etc. When the symptoms are gradually relieved, the functional exercise of the lumbar back muscles should be carried out, and attention should be paid to avoiding bending over and lifting heavy objects in daily life, avoiding sitting for a long time, standing for a long time, waist sprain, car accident trauma, etc., so as to avoid aggravation of disc herniation and further damage to nerves.