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Sciatica

PhasenPhasen Hell WorldRegistered User regular
Is there anything to be done about sciatica? I was diagnosed with it like a year ago and they told me to do some yoga.
Do people who have sciatica usually get muscle relaxers or something to help manage the pain?
I got some weird looks going to urgent care complaining about back issues, almost like they thought I was a pill abuser.

psn: PhasenWeeple

Posts

  • PantshandshakePantshandshake Registered User regular
    I had terrible sciatic pain for a number of years. I saw a chiropractor once a week for about... oh, maybe 9 months, probably 7 years ago, and I haven't had any trouble since. So, I can first hand recommend that.

  • UsagiUsagi Nah Registered User regular
    I am chiropractic averse and have been dealing with my pain via physical therapy and stretching--three weeks into this flare up and I'm feeling significantly better

    Did your doctor suggest PT or a course of muscle relaxants/steroids?

  • PhasenPhasen Hell WorldRegistered User regular
    it was just urgent care. She suggested some yoga moves to help with the pain but it doesnt do much.

    psn: PhasenWeeple
  • PantshandshakePantshandshake Registered User regular
    Well, now, IANAD. But, generally, sciatica is because *something* is pushing on your sciatic nerve. For me, it was my horrible horrible spine. Anything you do, whether it be yoga, a chiropractor, or having your buddy throw you onto a trashcan is going to be a process you'll have to do for some time before you notice a difference.

  • PacificstarPacificstar Registered User regular
    Phasen wrote: »
    it was just urgent care. She suggested some yoga moves to help with the pain but it doesnt do much.

    If you have insurance you need to talk to them and get them to send you to some type of physical therapy. I also do not recommend chiropractors because their quality is horribly variable. I have a friend who was a dancer and can no longer dance due to a bad chiropractor. I also know a girl that failed the chiropractor licensing exam SEVEN TIMES. They still allow her to take the exam...

    I also have bad sciatica, and was prescribed muscle relaxers so that I could sleep for a while. However, they are not a permanent solution. You need to try to work out your lower body and core. Strengthening those muscles will go a long way towards managing your sciatica. Yoga can be good for this, but you need to do more than rely on the urgent care nurse's advice. You need to go see a professional.

  • CabezoneCabezone Registered User regular
    I have a buddy with Sciatica, you need a physical therapist, not a chiropractor.

  • PhasenPhasen Hell WorldRegistered User regular
    Should I contact an orthopedic or do I just contact a physical therapist?

    psn: PhasenWeeple
  • UsagiUsagi Nah Registered User regular
    Actually you probably want to go and see a GP and get a non urgent care diagnosis, which generally involves a bunch of function tests and possibly an MRI

    Based on that, your doc will give you a path of treatment

  • XaquinXaquin Right behind you!Registered User regular
    Do you sit in an office or classroom all day?

    I had terrible pain all down my sciatic

    I adjust the height of my chair every few days and it's felt better ever since

    purely anecdotal, but hey, it worked for me!

    best of luck!

  • PhasenPhasen Hell WorldRegistered User regular
    Usagi wrote: »
    Actually you probably want to go and see a GP and get a non urgent care diagnosis, which generally involves a bunch of function tests and possibly an MRI

    Based on that, your doc will give you a path of treatment

    Ok I'll do that tomorrow. Thanks for the information everyone.

    psn: PhasenWeeple
  • Dr. FrenchensteinDr. Frenchenstein Registered User regular
    edited August 2014
    your doc will most likely prescribe PT, and hopefully that will help. There is a fair amount of "adjustment" that they will do which is probably similar to chiropractic. if muscle relaxers help with the pain, i bet PT will be all the treatment you will need. i got some relief from an epidural of (i think) a steroid/painkiller cocktail, but it didn't fix the issue. I ended up getting an MRI and needing surgery because my spine decided it didn't need my left leg anymore (Stenosis) and was cutting off the nerve. if you are in the US, i think most docs with have to take you through treatment step by step, so if the first few things don't work, it's not because you are a freak or the doctor is incompetent, it could just be that you have some hoops to jump through before surgery is even an option in the eyes of your insurance. I've known people that had sciatic pain, and once they went through PT, they had some excercises to do, and no more pain though, so surgery isn't necessarily a definite.

    If your pain was anything like mine, no painkillers will give you any relief. My pain went from feeling like a muscle pull, with a dull ache when i stood up/sat down, to pants shitting, tooth shattering agony when i moved in a certain way.

    PS i didn't actually shit my pants, but probably only because the pain made everything in my body seize up.

    Dr. Frenchenstein on
  • PhasenPhasen Hell WorldRegistered User regular
    Ya the doc gave me some anti inflammatory meds and steroids. Scheduled some PT in 4 weeks but at 40 bucks a pop I dont think Ill be able to go more than twice, but the doctor says they will create a regimen for me to follow so thats good.

    psn: PhasenWeeple
  • ThundyrkatzThundyrkatz Registered User regular
    The PT will show you better ways to do your everyday movements so that you do not put pressure on your back and aggravate the injury. Lifting with your knees etc.

    They will also measure your range of motion and help you to get a baseline for starting a strengthening routine. You will want to increase the strength of your core so that you are not putting so much of the work load on your back.

    The PT was fair but a little silly when i went through it in February. But most trainers at the gym will not touch you after you have had a back injury unless you have gone through it first.

    Also, you will want to work on stretching and increase your flexibility. The more inactive you are the less flexible you are the more your tendons and muscles actually pull your back out of alignment and add stress.

    The idea is that you will have to make a change to your lifestyle to help prevent flareups. That is unless you enjoyed the tooth shattering pain and are looking forward to having some more later on?

  • Dr. FrenchensteinDr. Frenchenstein Registered User regular
    The idea is that you will have to make a change to your lifestyle to help prevent flareups. That is unless you enjoyed the tooth shattering pain and are looking forward to having some more later on?

    Was that directed at me? my issue was bone/disc related, so no amount of PT could have prevented a flareup.

  • XaquinXaquin Right behind you!Registered User regular
    Phasen wrote: »
    Ya the doc gave me some anti inflammatory meds and steroids. Scheduled some PT in 4 weeks but at 40 bucks a pop I dont think Ill be able to go more than twice, but the doctor says they will create a regimen for me to follow so thats good.

    you are going to hear the words 'strengthen your core' more times than you can shake a stick at.

    but it will help

  • Dr. FrenchensteinDr. Frenchenstein Registered User regular
    Xaquin wrote: »
    you are going to hear the words 'strengthen your core' more times than you can shake a stick at.

    but it will help

    So true, i thought i had a pretty strong core... i most certainly did not, according to their standards.

  • ThundyrkatzThundyrkatz Registered User regular
    Haha, it was your anecdote Dr. Frenchenstein! but not directed at you.

    I slipped a disk shoveling snow in February and was in the pain that was so well described by you. the PT did not relieve the pain or help the injury, only time helped that for me, thankfully I did not have to go through surgery.

    However the PT is to get your body in better shape and learn better habits to prevent another incident. Also when i went to continue the regimen at the gym with a trainer for a while, they would not touch me till i had completed a course of PT and gotten the green light. They don't want another injury on their hands.

  • PhasenPhasen Hell WorldRegistered User regular
    Ive always been exercise dumb. luckily I dont consume too many calories so my sedentary lifestyle hasnt been too hard on me... until now. Not sure what to expect but Ill appreciate the guidance ill receive from the PT.

    psn: PhasenWeeple
  • Dr. FrenchensteinDr. Frenchenstein Registered User regular
    you'll get a lot of excercises that seem stupid, and don't seem very challenging. you will be surprised at your inability to do them.

  • November FifthNovember Fifth Registered User regular
    A friend of mine was operated on recently for this. He went to see a specialist, and the guy said, "Hey, I've got some free time tomorrow. I'll get the lasers warmed up."

    Unfortunately, the surgery has a small (but not negligible) chance of leaving scar tissue behind which will cause the same pain as the initial problem.

    He was in amazing shape though, and it was obvious that additional PT was not going to help him.

  • XaquinXaquin Right behind you!Registered User regular
    edited August 2014
    you'll get a lot of excercises that seem stupid, and don't seem very challenging. you will be surprised at your inability to do them.

    when I went in they told me to raise my leg off the table 6" and hold it for 30 (seconds)

    I'm all "pffffffff okay"

    18 seconds later my leg is shaking for some reason ....

    the hell?!

    Xaquin on
  • Dr. FrenchensteinDr. Frenchenstein Registered User regular
    Xaquin wrote: »
    when I went in they told me to raise my leg off the table 6" and hold it for 30 (seconds)

    I'm all "pffffffff okay"

    18 seconds later my leg is shaking for some reason ....

    the hell?!

    haha, yep! that was my experience too!!

  • UsagiUsagi Nah Registered User regular
    you'll get a lot of excercises that seem stupid, and don't seem very challenging. you will be surprised at your inability to do them.

    Motherfucking clamshell

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