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Suggest Treatment For Severe Pain In The Sciatica Joint
i fell off of a step stool & landed on my back ,I have a lot of pain they say is in sciatica joint . they have done cortisone shots , they have burnt the nerves, they have tried pain pills & patches they have done therapy , they have done chiropractor, they r out of options . They did mri, They did nerve test, hip & back xrays , cant find anything . pressure against it makes it hurt , laying on it hurts, sitting in chair morthan 25 min is almost impossible , sitting hurts also leg starts hurting down to knee , foot gets very cold like no circulation in it im using up fmla time at work I work in factory . Im afraid of losing my job !!!!!!!!! what can I do ? I have even tried herbal remities . new doctors want new mri because other one is to old for them , some doctors wont see me unless its something surgical
Thu, 1 Dec 2022
Hello,
Your pain seems to be due to the following:
1) Lumbar spondylitis
2) Sciatic nerve compression
3) Lumbar disc prolapse
Treatment includes:
1) Pain relieving medication like NSAIDS Ibuprofen or Naproxen daily twice at least for 2 weeks
2) To prevent gastric irritation, tab. Pantop 40 mg is to be taken once before food
3) Opioids can also be taken like Hydrocodone, Oxycodone and Tramadol for pain relief
4) Epidural injection of steroid and local anesthetic can be taken
5) Facet joint injection of steroids is also very helpful. It is done under ultrasound or c arm guidance.
6) Physical therapy includes traction and therapeutic ultrasound and other back muscle strengthening exercises.
You can discuss the above treatment options with your ortho doctor.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Pallavi M., Anesthesiologist
Your pain seems to be due to the following:
1) Lumbar spondylitis
2) Sciatic nerve compression
3) Lumbar disc prolapse
Treatment includes:
1) Pain relieving medication like NSAIDS Ibuprofen or Naproxen daily twice at least for 2 weeks
2) To prevent gastric irritation, tab. Pantop 40 mg is to be taken once before food
3) Opioids can also be taken like Hydrocodone, Oxycodone and Tramadol for pain relief
4) Epidural injection of steroid and local anesthetic can be taken
5) Facet joint injection of steroids is also very helpful. It is done under ultrasound or c arm guidance.
6) Physical therapy includes traction and therapeutic ultrasound and other back muscle strengthening exercises.
You can discuss the above treatment options with your ortho doctor.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Pallavi M., Anesthesiologist
I find this answer helpful
Hello,
Sciatica is caused due to compression of sciatic nerve. You have been suffering the sciatic nerve compression and all the symptoms are typical of it. The following are treatment options:
1) Local anesthetics, corticosteroids, or other substances may be directly injected into painful soft tissues, facet joints, nerve roots, or epidural spaces. They may also be given intrathecally
2) Intra-articular corticosteroid injections in lumbar spine facet joints
3) Radiofrequency medial branch neurotomy
4) Sacroiliac joint injections
5) Opioid analgesics can also be taken
Please do discuss the above mentioned options with your physician and initiate treatment.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Pallavi M., Anesthesiologist
Sciatica is caused due to compression of sciatic nerve. You have been suffering the sciatic nerve compression and all the symptoms are typical of it. The following are treatment options:
1) Local anesthetics, corticosteroids, or other substances may be directly injected into painful soft tissues, facet joints, nerve roots, or epidural spaces. They may also be given intrathecally
2) Intra-articular corticosteroid injections in lumbar spine facet joints
3) Radiofrequency medial branch neurotomy
4) Sacroiliac joint injections
5) Opioid analgesics can also be taken
Please do discuss the above mentioned options with your physician and initiate treatment.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Pallavi M., Anesthesiologist
I find this answer helpful
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