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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Sciatic Pain

In my past I had sciatic pain and tried everything, chiropractic and pain management(cortisone shots). Nothing helped so I went to my physician which was 3 hours away that I went to for years before we moved and told him what was happening. I happened to get Rocephin shots because I had strep really bad and nurse didn t give me the shots correctly, I guess. So... I happened to remember that my ol doctor gave me nortryptiline and a muscle relaxant for a month and my pain totally disappeared. Today, I actually called him and asked him if he remembered and he said he would never have done that. Have you ever heard of this combination to relieve sciatic pain?
Thu, 5 Mar 2015
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Orthopaedic Surgeon, Joint Replacement 's  Response
Hello,
Thanks for your query.
From description it seems you might be suffering from siatica. Sciatica refers to pain that radiates along the path of the sciatic nerve — which branches from your lower back through your hips and buttocks and down each leg. Typically, sciatica affects only one side of your body.
Although the pain associated with sciatica can be severe, most cases resolve with just conservative treatments in a few weeks.
MRI is needed to establish the cause of sciatica, so that appropriate treatment can be prescribed. Sciatica do respond well to bed rest and analgesics (pain killer) and is right mode of treatment.
The definitive treatment depends upon the cause of sciatica. I would suggest you to consult an orthopediac surgeon who may order MRI to determine cause of sciatica (level and degree in case of disc herniation) and may suggest other mode of treatment. After initial few days of bed rest, you needs physiotherapy (exercises).

I do hope that you have found something helpful and I will be glad to answer any further query.
Take care
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Suggest Treatment For Sciatic Pain

Hello, Thanks for your query. From description it seems you might be suffering from siatica. Sciatica refers to pain that radiates along the path of the sciatic nerve — which branches from your lower back through your hips and buttocks and down each leg. Typically, sciatica affects only one side of your body. Although the pain associated with sciatica can be severe, most cases resolve with just conservative treatments in a few weeks. MRI is needed to establish the cause of sciatica, so that appropriate treatment can be prescribed. Sciatica do respond well to bed rest and analgesics (pain killer) and is right mode of treatment. The definitive treatment depends upon the cause of sciatica. I would suggest you to consult an orthopediac surgeon who may order MRI to determine cause of sciatica (level and degree in case of disc herniation) and may suggest other mode of treatment. After initial few days of bed rest, you needs physiotherapy (exercises). I do hope that you have found something helpful and I will be glad to answer any further query. Take care