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Suggest treatment for severe pain in sciatica

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Posted on Thu, 24 Jul 2014
Question: Severe pain in sciatica. Went to physical therapist for 6 weeks and pain was gone. I am very active, play sports 2-3 times a week and spend a lot of time walking for my job. Felt great after seeing therapist but i just got back into running which i love to do and pain is slowly coming back. More of a tingling sensation near tailbone and in buttocks. Should I see a chiropractor for hip alignment or can I never run again?
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Answered by Dr. Vaibhav Gandhi (2 hours later)
Brief Answer:
MRI spine will help in diagnosis.

Detailed Answer:
Hello
I have studied your case.
There is possibility of acute disc prolapse.
MRI SPINE will help in diagnosis.

medication like methylcobalamine and neurotropic medication like pregabalin can be started consulting your doctor.
You can also continue physiotherapy like IFT And TENS .
You can run once again if there is no spinal cord compression.
You may visit chiropodist,if you feel good pain relief.
I hope I have answered your questions. If you have further questions please feel free to ask. I will be happy to answer your question. Take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Vaibhav Gandhi (41 minutes later)
what would cause the spinal cord compression? I play hockey regularly and walk often for work with no pain but when i run i start to get the tingles about 2 days later.
doctor
Answered by Dr. Vaibhav Gandhi (12 hours later)
Brief Answer:
Explained below

Detailed Answer:
Hello again,

If there is sudden jerk to spine due to sports or while driving ,can cause acute disc prolapse and radiating pain.

Pain after running indicates possibility of facet joint involvement also.

If possible go for MRI spine.

Physiotherapy may also help.

I hope I have answered your questions. If you have further questions please feel free to ask. I will be happy to answer your question. Take care.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Vaibhav Gandhi

Orthopaedic Surgeon

Practicing since :1998

Answered : 5164 Questions

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Suggest treatment for severe pain in sciatica

Brief Answer: MRI spine will help in diagnosis. Detailed Answer: Hello I have studied your case. There is possibility of acute disc prolapse. MRI SPINE will help in diagnosis. medication like methylcobalamine and neurotropic medication like pregabalin can be started consulting your doctor. You can also continue physiotherapy like IFT And TENS . You can run once again if there is no spinal cord compression. You may visit chiropodist,if you feel good pain relief. I hope I have answered your questions. If you have further questions please feel free to ask. I will be happy to answer your question. Take care.