Typical Sciatica Treatments

January 21, 2006

Nerve pain is caused by a combination of pressure and inflammation on the nerve root, and treatment is centered on relieving both of these factors. Typical sciatica treatments include:

Manual treatments for sciatica, including physical therapy and specific stretching and strengthening exercises, and manual manipulation (e.g. osteopathic or chiropractic manipulation) to help relieve the pressure on the nerve root, which is the cause of the pain.

Medical treatments for sciatica, including medications such as non-steroidal anti-inflammatory drugs (NSAIDs), oral steroids, or epidural steroid injections to help relieve the inflammation, which is usually a component of the pain.

Surgery for sciatica, such as microdiscectomy or lumbar laminectomy and discectomy, to remove the portion of the disc that is irritating the nerve root. This surgery is designed to help relieve both the pressure and inflammation and may be warranted if the sciatic nerve pain is severe and has not been relieved with appropriate manual or medical treatments.

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