
Suggest Treatment For Sciatica Pain

My reply is below.
Detailed Answer:
Hi,
Thank you for posting your query.
I have noted your symptoms and your current medications.
It is unfortunate that you are suffering and it has made worse because of doctors' lack of knowledge and attitude.
I agree that it is better for you to increase the dose of Requip (ropinirole) to 2 mg two times daily (morning and night).
In addition, you can also start pregabalin (lyrica) that would mainly help in sciatica pain, and also helps RLS symptoms.
After that you would be able to do back extension exercises for sciatica.
I hope it helps. Please get back if you have any follow up queries.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, Hyderabad, India


I had light sciatica for years, then I moved furniture by myself given I'm a widow and sciatica came on permanently; then last week fell forward entering front door, so pretty bad now. So, I ask:
(1) Is Lyrica a cure for sciatica, or just a permanent band-aid? and (2) Requip for RLS makes me yawn and sleep plus upsets stomach. Plus there's been "augmentation" of symptoms. Is there something easier on system, like Mirapex? I must take something daily or I go insane. Do you know if there's long-term damage with these medications. And what's your opinion on chiropractic treatments?
Thank you.
My reply is below.
Detailed Answer:
Thank you for getting back and providing more information.
Regarding your queries, my reply is below:
1. Lyrica along with physiotherapy helps about 70% people get better for long-term. We can not say "cure" as the MRI would still show problems, however, affected people stop suffering for long-term.
2. I agree mirapex (pramipexole) would be better than requip in terms of adverse effects. You can take it over long term on daily basis, without any significant side effects.
Chiropractic treatments are good and effective, if done by trained & experienced people.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)

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