How to treat sciatica caused by lumbar disc herniation

**Depending on the severity, it can be divided into conservative** and surgical**.

Most herniated discs compressing the sciatic nerve can be conserved**. For example, bed rest, avoiding overwork and strenuous physical activity. Physiotherapy can be done through hot compresses, baking electricity, acupuncture, etc.**.

Drugs: oral anti-inflammatory and analgesic drugs such as nimesulide and diclofenac sodium. If numbness is significant, neurotrophic drugs can also be taken by mouth.

For patients with severe symptoms of pain and numbness, difficulty walking, or even inability to get out of bed. If there has been a conservative ** and the effect is not satisfactory, it needs to be surgically performed**. The operation requires the opening of the spinal canal to remove the herniated disc and internal fixation, and most of them can be healed after the operation.

Compression of the sciatic nerve by a herniated disc member may lead to sciatica, which is manifested as pain, numbness, tingling and other symptoms in the hips, legs, and even toes. Here are some common methods for sciatica:

1.Physics: Physics can help reduce pain and inflammation while building muscle strength and flexibility in patients. Physical** includes hot compresses, cold compresses, massages, physiotherapy, traction and other positive returns.

2.Medications: Medications can help reduce pain and inflammation, such as nonsteroidal anti-inflammatory drugs (NSAIDs), analgesics, muscle relaxants, etc.

3.Surgery**: For severe sciatica, surgery may be required**. Surgical methods** include discectomy, pedicle resection, etc.

4.Lifestyle changes: Patients can also alleviate sciatica by making lifestyle changes, such as maintaining proper posture, avoiding sitting or standing for long periods of time, exercising properly, etc.

It is important to note that sciatica should be chosen according to the specific situation of the patient and the doctor's recommendation. If the pain is severe or accompanied by other uncomfortable symptoms, you should seek medical attention promptly.

Wangjing Hospital, China Academy of Chinese Medical Sciences-Liu Yuzhang-Department of Spine-Chief Physician-What medicine to take for sciatica.

Generally speaking, it is often divided into two types: root or dry. Stemness is a primary problem with the sciatic nerve trunk itself, which can be caused by a cold or exertion. There is also a radicular sciatica, which is caused by other diseases, which is called secondary sciatica.

For example, our common lumbar disc herniation, inflammation of the lower back base will cause secondary sciatica. No matter what the reason is, you can help it externally (ischial bones shun Gu An Yu sticker) to smelt well, and dig out the treasure and have shou.

If there are obvious symptoms, especially if the patient has obvious pain, muscle strength decreases, or even reflex loss, the general patient needs surgery, basically can**.

However, in the early stage, conservative ** can be carried out, such as patients can first rest in bed, local physiotherapy, such as massage, massage, hot compress, to promote local blood circulation to improve symptoms, and oral painkillers, such as meloxicam and celebris for pain relief. Patients can also pull the horizontal bar traction, which can increase the intervertebral space and relieve symptoms, and patients with obvious symptoms need surgery**.

Seeing a doctor, it's really not possible to do surgery.