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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Are The Treatments For Sciatica?

I am experiencing sciatica. It has been persistent for over 6 weeks and is getting worse. I can no longer sit for any period of time nor drive a car.
What is the prognosis for most people? Is it episodic or is this the new normal. What treatments are recommended?
Wed, 23 Sep 2015
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Neurologist,  's  Response
I read your question carefully and I am sorry about the persisting pain you are in. In 80% of the patients the sciatica pain does subside gradualy over the course of the weeks. It may be recurring though, that is a possibility if there are chronic changes on your spine which with aging are not likely to disappear.

If the pain has not subsided for 6 weeks though imaging evaluation is needed to see the degree and site of nerve compression. If disk compression by degenerative changes is confirmed then initial step remains physical therapy and pain killers, if those remain uneffective local injections of steroids and analgesics are tried. Last resort is surgery.

I hope to have been of help.
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What Are The Treatments For Sciatica?

I read your question carefully and I am sorry about the persisting pain you are in. In 80% of the patients the sciatica pain does subside gradualy over the course of the weeks. It may be recurring though, that is a possibility if there are chronic changes on your spine which with aging are not likely to disappear. If the pain has not subsided for 6 weeks though imaging evaluation is needed to see the degree and site of nerve compression. If disk compression by degenerative changes is confirmed then initial step remains physical therapy and pain killers, if those remain uneffective local injections of steroids and analgesics are tried. Last resort is surgery. I hope to have been of help.