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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Sciatica

hi my mother is suffering from sciatica(57 yrs old).during day time when she does small kitchen works,she feels fine but during night specially 12 to 2am the pain gets unbearable.she is taking pregabalin and painkillers but no relief.what should we do
Mon, 30 Mar 2015
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Physical Therapist or Physiotherapist,  's  Response
I always suggest my patients treat the cause of pain not the pain. Here the tablets which she is taking is actually for symptomatic relief for pain but the underlying problem is as it is.
She will have back spine disc problem with one or multiple level. For conformation MRI can be done. How ever based on result she has to see a ortho and physio here ortho will suggest for medication with suggestion on injection in spine for minor to moderate problem and along with physiotherapy she will have some more pain relief by relaxing the soft tissue treatment. For major case orthopedic will suggest direct surgery too.
In both the cases she is suppose to do back strengthening exercise to improve strength and stamina of spine. Also she can use a hot pack or cold pack regularly to have some more relief.
Hope this was useful . take care.
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Suggest Treatment For Sciatica

I always suggest my patients treat the cause of pain not the pain. Here the tablets which she is taking is actually for symptomatic relief for pain but the underlying problem is as it is. She will have back spine disc problem with one or multiple level. For conformation MRI can be done. How ever based on result she has to see a ortho and physio here ortho will suggest for medication with suggestion on injection in spine for minor to moderate problem and along with physiotherapy she will have some more pain relief by relaxing the soft tissue treatment. For major case orthopedic will suggest direct surgery too. In both the cases she is suppose to do back strengthening exercise to improve strength and stamina of spine. Also she can use a hot pack or cold pack regularly to have some more relief. Hope this was useful . take care.