Treatment of sciatica: Medication, topical, regimen and rehabilitation

In the first place, conservative therapy is chosen: pharmacotherapy, regimen measures and physiotherapy or rehabilitation are used.

In case of its failure and according to the provoking cause, a surgical solution is resorted to.

Pharmacotherapy involves the use of:

• analgesics (pain killers)
• myorelaxants (muscle relaxants)
• non-steroidal antirheumatic drugs (help manage the chronic pain)
• local anaesthetics - gels, ointments
• corticosteroids (anti-inflammatory medicine)
• anticonvulsant (against cramps)
• antidepressants
• and drugs promoting nerve regeneration
  • vitamins
  • pulsed magnetotherapy

Other elements of conservative treatment are, for example, massage, acupuncture, acupressure or hydrotherapy, electrotherapy, magnetotherapy, ultrasound, phototherapy. At the first stage, cold compresses can help, later, on the contrary, warm ones (warming up with a hairdryer, warming patches, covering with a blanket).

The regimen also includes bed rest and avoidance of physical exertion. Proper positioning and a good mattress are important.

Physiotherapy also includes various exercises (for example, McKenzie technique and other exercises), traction therapy. Taping with elastic cotton tape, so-called "taping", can also help.

It is best to consult a specialist for home treatment and appropriate physical activity, as the underlying cause determines the appropriate exercises. Of course, it also depends on the physical and fitness disposition of each person.

Consultation will be provided by a neurologist, physiotherapist or trainer oriented in the given issue. Spa treatment is also suitable.

Conservative treatment has a largely high success rate. In case it fails, surgical operative treatment is chosen.

Indications for surgical treatment are, for example, cauda equina syndrome and other severe root syndromes. The aim is to relieve the oppression of the nerve roots.

Prevention is better than cure

Prevention, prevention and more prevention. It is always better to prevent a problem than to solve it, especially when it comes to health.

The spine needs plenty of adequate exercise (swimming, cycling, weight-bearing exercise, yoga, rehabilitation exercises). In case of health complications, walking and correct posture are sufficient.

Equally important is the correct sleeping position and a good mattress.

In the case of sedentary jobs and office work, it is necessary to think about a suitable working environment, chair, desk and sitting position.

Regular breaks are essential when working sitting or in one position.

During windy or cold days, it is necessary to think about appropriate clothing and avoiding cold-induced stiffness of the musculoskeletal system. If you are overweight or obese, weight reduction and, of course, other elements of a healthy lifestyle are advisable.