Sciatica Diagnosis � What Comes Next?

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Patrick Foote

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May 11, 2013, 10:00:04 PM5/11/13
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Patrick Foote

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Article Title: Sciatica Diagnosis � What Comes Next?
Author: Patrick Foote
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A sciatica diagnosis doesn�t equate to a lifetime of pain and misery. In fact, most patients who are diagnosed with sciatica will find relief from their pain and discomfort in the form of conservative, nonsurgical treatments. In some cases, however, a patient will require surgery to decompress the sciatic nerve, but only a very small minority of patients will fit into this category.

Nonsurgical Treatments for Sciatica

Most patients who receive a sciatica diagnosis will be advised to utilize one or more of the following conservative, nonsurgical treatments:

Medication � Over-the-counter, nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen interfere with the body�s inflammatory response in an effort to relieve pain. Some patients � especially those who suffer from certain cardiovascular or gastrointestinal conditions � may be unable to take NSAIDs and might be advised to take an over-the-counter analgesic like acetaminophen instead. If over-the-counter medications prove ineffective, a physician or spine specialist may prescribe a narcotic pain reliever and/or muscle relaxant.

Hot/cold therapy � Applying heat to the lower back can ease muscle tension (which may be contributing to neural compression) and direct nutrient-rich blood to the area. Ice, on the other hand, can relieve inflammation and numb away pain. Some patients will be advised to alternate between heat and ice while others may be directed to use one or the other exclusively.

Physical therapy (PT) � Working with a physical therapist to strengthen and stretch specific muscles in the lower back could prove beneficial to patients who have received a sciatica diagnosis. PT may involve other techniques as well, including transcutaneous electrical nerve stimulation (TENS), massage therapy, and traction, among other treatments.

Losing weight and other lifestyle changes � Carrying excess bodyweight can unnecessarily contribute to the compression of the sciatic nerve and, in some cases, it could actually be the root of some patients� spinal issues. Safely losing weight through diet and exercise can provide many patients with the relief they need. Other lifestyle changes � including quitting smoking, reducing alcohol consumption, and becoming more physically active � can also sometimes reduce or relieve the symptoms of sciatica.

Surgery for Sciatica

After following a regimen of conservative treatments for several weeks or months, some patients may still experience the painful and uncomfortable symptoms of sciatica. These patients might be advised to weigh the pros and cons of undergoing surgery. While surgery for sciatica once required a long hospital stay and an arduous recovery, it can now be performed on an outpatient basis and may only require a few weeks of rehabilitation. These minimally invasive sciatica treatments don�t involve the complete removal or fusion of any spinal components, nor do they require the dissection of any musculature. However, not all patients who have received a sciatica diagnosis are eligible for a minimally invasive procedure.

If you�ve been advised to undergo surgery for sciatica, ask your physician if you�re a candidate for a minimally invasive procedure instead. Before consenting to any operation, you may want to pursue a second or third opinion to make sure surgery really is your best treatment option.


About The Author: Patrick Foote is the Director of eBusiness at Laser Spine Institute, the leader in endoscopic spine surgery. Laser Spine Institute specializes in safe and effective outpatient treatment. http://www.laserspineinstitute.com/back_problems/sciatica_sciatic_nerve_pain/diagnosing_sciatica/

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