question-icon

Suggest treatment for severe sciatica pain in the legs

default
Posted on Sat, 14 Jan 2017
Question: I am having severe sciatica pain in my legs and back i have had three weeks of physical therapy and am taking 600mg gabapentin 3times daily.
No reports available.
doctor
Answered by Dr. Rakhi Tayal (51 minutes later)
Brief Answer:
Methylcobalamin supplements will help.

Detailed Answer:
Hello,
Thanks for trusting us with your health concern.
The nerve related pain like that of sciatica needs methylcobalamin supplements in addition to gabapentin. You need to get an MRI scan of the spine done to find out the extent of nerve root compression that you have.
Medicines are the first line treatment along with physiotherapy. If the patient responds well with medicines then physiotherapy helps in preventing further progression of the problem. Surgery is kept as a last resort to improve the quality of life of the patient.
The main treatment of such problem is bed rest along with pain killers and muscle relaxants. Muscle relaxants can help with your symptoms if used in appropriate dosage in combination with a potent analgesic. You can get these prescribed from your orthopedician.
Local analgesic gels and hot fomentation may provide a short term relief. You can use analgesic gels like Volini gel. Exercise is not advisable in the times of acute pain.
Using an LS contour belt of appropriate size might be helpful in providing support to back muscles.
Physiotherapy also plays a major role in treating such conditions. Epidural steroid injections have been used if oral pain killers are not very effective. Discuss with your orthopedician and an appropriate treatment can be planned depending on the response to medical drugs.
Please feel free to discuss further. I will be glad to answer the follow up queries that you have.
Wishing you good health.
Regards.
Dr. Rakhi Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Rakhi Tayal

OBGYN

Practicing since :2001

Answered : 13808 Questions

premium_optimized

The User accepted the expert's answer

Share on
Suggest treatment for severe sciatica pain in the legs

Brief Answer: Methylcobalamin supplements will help. Detailed Answer: Hello, Thanks for trusting us with your health concern. The nerve related pain like that of sciatica needs methylcobalamin supplements in addition to gabapentin. You need to get an MRI scan of the spine done to find out the extent of nerve root compression that you have. Medicines are the first line treatment along with physiotherapy. If the patient responds well with medicines then physiotherapy helps in preventing further progression of the problem. Surgery is kept as a last resort to improve the quality of life of the patient. The main treatment of such problem is bed rest along with pain killers and muscle relaxants. Muscle relaxants can help with your symptoms if used in appropriate dosage in combination with a potent analgesic. You can get these prescribed from your orthopedician. Local analgesic gels and hot fomentation may provide a short term relief. You can use analgesic gels like Volini gel. Exercise is not advisable in the times of acute pain. Using an LS contour belt of appropriate size might be helpful in providing support to back muscles. Physiotherapy also plays a major role in treating such conditions. Epidural steroid injections have been used if oral pain killers are not very effective. Discuss with your orthopedician and an appropriate treatment can be planned depending on the response to medical drugs. Please feel free to discuss further. I will be glad to answer the follow up queries that you have. Wishing you good health. Regards. Dr. Rakhi Tayal. For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal