Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
200 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Suggest treatment for management of sciatica

Answered by
Dr. K. Naga Ravi Prasad

Orthopaedic Surgeon, Joint Replacement

Practicing since :1996

Answered : 2148 Questions

Posted on Mon, 10 Feb 2014 in Bones, Muscles and Joints
Question: I'm a pretty active mom of 4 and a RN. I started having this sudden onset upper buttock and hip pain about 5 days ago no apparent injury before the pain started. While working the night shift 4 days ago the pain started referring down along the lateral aspect and anterior Not posterior if my thigh. During my shift I used ice packs and Motrin with little relief. I went to a walk in clinic that am they said it was sciatica. Ok we'll the gave me robaxin mobic and Vicodin. Oh and a decadron shot. This has also given me little relief. I'm still having bad pain no sleep etc. I've been resting some but also trying to be active at home laundry sweeping cooking etc. I'm also having spasms in my leg. My Questions are is there anything else I can do and should I go see my primary doc since I'm not getting relief. Busy mom don't have time for this. Ugh
Answered by Dr. K. Naga Ravi Prasad 1 hour later
Brief Answer: Initial management is by conservative methods. Detailed Answer: Hi, thanks for writing to XXXXXXX The initial management of sciatica (which is most commonly due to a prolapsed or protruded lumbar intervertebral disc causing compression over the adjacent nerve root) is always by conservative (non surgical) methods. MRI scan of the Lumbar spine is needed to establish the correct diagnosis and the severity of the condition. The initial management of your problem will be as follows - - Usually 1-2 days of bed rest will calm your leg pain & back pain. Do not stay off your feet for longer, though. - Take rest breaks throughout the day, but avoid sitting for long periods of time. - Make all your movements slow and controlled. Change your daily activities so that you avoid movements that can cause further pain, especially bending forward and lifting. - Maintain optimum body weight,if you are obese - Avoid lifting heavy weights as it imparts more strain on your back - Use a lumbosacral back support to stabilize your spinal muscles - Intermittent pelvic traction might be helpful to cause a regression of the protruded disc - After the initial pain has subsided, remedial exercises to strengthen the spine are very important to restore normal spinal movements and muscle strength. The main aim of exercise is to encourage mobility, reduce muscle spasm, prevent further deterioration in the muscles and speed recovery. - Use analgesics like advil or aleve and muscle relaxants to relieve pain and muscle spasm, as needed. Vitamin B12 supplements & Pregabalin may be helpful in controlling the neuropathic pain. With all the above mentioned measures being followed strictly, you should get significant pain relief. If your fail to improve with the above measures, an Epidural steroid injection may provide good symptom relief for a few months. There is good evidence that epidural injections can be successful in 60-70% of patients who have not been helped by 6 weeks or more of conservative management. Hope I have addressed your query. Happy to help further Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,  
Drug/Medication ,   ,  
Medical Topics ,   ,  

Recent questions on  Robaxin

doctor1 MD

I would like to speak with Dr. Wachsman. can the combination of methocarbamol 500mg and hydrocodone- acetaminophen 5-325 produce alcohol like...

doctor1 MD

what should I do.
Why would I regurgitate everything I try to eat? I have acid reflux I take prevacid once a day. I had a back problem so I went to...

doctor1 MD

My Dr. Has increased m dosage of clonazepam from 2mgs daily to 8 mgs daily! I have been on this drug since a TBI in 2001- My NY Drs were weaning me...

doctor1 MD

I have a are condition called glenohumeral chondrolysis--not simply arthritic fraying but complete dissolution with toxic burn to the subacromial...

doctor1 MD

I have been experiencing random "twitching" with my extremeties. My fingers, my hands, my leg, my arm, even in my buttock area. I'm not sure what's...

doctor1 MD

Hello, I took a bad fall on my back 48 hours ago. Didn't get to er for 10 hours. Emergency room diagnosed muscle spasms and prescribed 500 mg...