Brief Answer:
Sciatica details below.

Detailed Answer:
Hello,
Thanks for posting your query.
You have sciatica pain on the left side. It occurs due to repetitive overload or stress to the disc & it increases the risk of disc herniation & spinal canal stenosis.
For this condition you have to do stretching & strengthening exercises in which you have to stretch tight muscle & strengthen weakened ones which will alleviate stress on facet joint and disc.
- Maintain optimum body weight,if you are obese
- Avoid lifting heavy weights as it imparts more strain on your back
- Change your daily activities so that you avoid movements that can cause further pain, especially bending forward and lifting as it will worsen the disc protrusion. if you want to bend forwards, do it with your hips and knees flexed.
- Use a lumbosacral back support to stabilize your spinal muscles
- Intermittent pelvic traction might be helpful to cause a regression of the protruded disc
- After the initial pain has subsided, remedial exercises to strengthen the spine are very important to restore normal spinal movements and muscle strength. The main aim of exercise is to encourage mobility, reduce muscle spasm, prevent further deterioration in the muscles and speed recovery.
- Use analgesics like advil or aleve and muscle relaxants to relieve pain and muscle spasm, as needed. Vitamin B12 supplements & Pregabalin may be helpful in controlling the neuropathic pain. Do consult your orthopedician and get all these medicines prescribed as per the need.

I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal

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Brief Answer:
Can use hot packs.

Detailed Answer:
Hello.
Thanks for writing again.
The medicines that you have been prescribed does not include any muscle relaxant. You need to start with a muscle relaxant in combination with a pain killer to have relief. Using hot packs will also help.
The time for recovery depends on the severity of the problem. This can be detected only after an MRI scan of the spine.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.

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Brief Answer:
Yes.

Detailed Answer:
Yes you can take these muscle relaxants. Be careful not to take any of these empty stomach as it can cause gastric acidity.
Regards.

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Brief Answer:
Start physiotherapy after the acute pain subsides.

Detailed Answer:
You can start with the physiotherapy after the acute pain subsides. Till then take rest and avoid any strenuous activities.
Best wishes.

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Brief Answer:
Con tinue both medicines and hot packs.

Detailed Answer:
The hot packs are effective in addition to the medicines that you are taking. You can continue with the medicines and hot packs both. Once the pain subsides start with regular physiotherapy to avoid recurrence.
Regards.

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Brief Answer:
Inj. Tramadol will help.

Detailed Answer:
You can take Inj. Tramadol for emergency purposes. It is to be taken intra muscularly after consulting your orthopedician.

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