Treatment of sciatica Conservative medication neuralgia of the sciatic nerve is not different from that of other diseases of the spine. This treatment consists in the use of special anesthetics.

One of the main symptoms of neuralgia of the sciatic nerve is pain. In this case, the pain interfering with the usual daily activities.

We will tell you about several ways with which you can cope on your own with pain in sciatica.

How to relieve the pain of sciatica in

  1. home care not to bend the spine, not to sit on a low stool soft, do not lift heavy things because it may enhance the pain in his legs.
  2. Pain relief in sciatica In the event that you do not have any allergies to medicines, and do not accept funds that thin the blood( for example, may be warfarin), you can try to take medications such as Tylenol, aspirin, ibuprofen, indomethacin and other non-steroidal anti-inflammatory medication drugsFor the treatment of sciatica.
  3. You can also try to apply locally cold, for example, an ice pack or a plastic bottle with frozen water. Massaging movements in the field of pain by a small piece of ice can also help.
  4. In addition, it is recommended to alternate the local application of heat( warmer) and cold.
  5. Lying on a hard surface with a pillow under your knees can also reduce pain. This technique will reduce the tension of the sciatic nerve. To get rid of sciatica, medication is also very effective.

Pharmacotherapy sciatica

How to ease pain in sciatica at home When carried medication sciatica, among main groups can be distinguished analgesic medications nonsteroidal anti medicamentous drugs( NSAIDs).The action of these drugs with drug treatment is based on the blocking of the formation in the body of chemicals responsible for pain - prostaglandins. These drugs must be used in many diseases that are associated with pain and inflammation. To date, there is a huge number of drugs in this group. Such drugs can be not only a short-term action, but also a prolonged action. Drugs of prolonged action will be sufficient only once in 24 hours.

List NSAIDs

Sciatica medication to the list of the main NSAIDs include:

  • Ketoprofen;
  • Cerebex;
  • Orthophene;
  • Piroxicam;
  • Ketorolac;
  • Sulindack;
  • Indomethacin;
  • Ibuprofen;
  • Naproxen.

However, NSAID preparations have some side effects.

Side effects include:

  • Irritant effect on the gastric mucosa. To show it can be pain, vomiting, nausea. And in more severe situations, a peptic ulcer can also occur, and the worst case is bleeding.
  • Blood coagulability may decrease. Such drugs are not recommended for sick people taking medications that dilute blood, because they can increase the risk of bleeding.
  • There may also be complications in the kidney side area. Contraindications

Nonsteroidal anti medicamentous preparations are contraindicated in cases such as:

  • Anemia
  • Duodenal ulcer or gastric
  • High blood pressure
  • propensity to bleeding
  • various liver diseases, heart and kidney.

The next group of drugs used to treat neuralgia of the sciatic nerve are steroidal anti-inflammatory medications. These drugs are some kind of derivative of a human hormone called cortisol.

Such steroid preparations should be used usually for a short period of time( one to two weeks), because long-term use of these drugs can be accompanied by serious side effects. The main effect of a steroidal anti-inflammatory drug is based on the removal of inflammation, thereby reducing pain, and also eliminates swelling of the tissues.

Side effects of steroid drugs are:

  • Gastric ulcer
  • Weight gain
  • Edema in the face area
  • Osteoporosis
  • Immunosuppression
  • Increase in blood clotting

Therapeutic treatments for sciatica

Therapeutic methods of sciatica treatment Physiotherapy is the application of non-medicinal methods of conservative treatment. But this treatment does not allow you to get rid of any disease that has caused sciatica itself, but can more easily alleviate the patient's condition, reducing pain.

Physiotherapy methods:

  • Magnetotherapy
  • UHF therapy
  • Diadynamic currents
  • Paraffin applications
  • Phonophoresis with medicines
  • Electrophoresis with medicines.

And these all methods are based only on the fact that they create heat at the site of inflammation, which will remove the edema, and also improve blood circulation, and as a result, this pain will significantly decrease.

Epidural injections of steroid medications

This method of administering medications is that the doctor himself enters a steroidal anti-inflammatory drug directly into the epidural space. And this allows the drug to act immediately in a place where the nerve root is inflamed. And the injection itself is performed by a lumbar puncture.

Despite the fact that the effect of epidural injections of steroid medications is temporary and these drugs are not suitable for every patient, because they can effectively remove severe pain syndromes in sciatic nerve neuralgia.

Such injections of steroid medications have been used since 1952 in the treatment of sciatica and pain in the lumbar spine. The goal of epidural injections is to eliminate pain. Most often this type of treatment is used in combination with other methods of rehabilitation.

Also note that epidural injections are used for diseases of the thoracic and cervical spine.

Advantages of epidural administration of steroidal anti-inflammatory medications before oral administration is that this method can reduce the dose of the drug because it acts directly on the site of inflammation itself, and also reduces the risk of side effects.