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Sciatica Pain Treatment

Treatment for Lumbar Radiculopathy

is a generalized term relating to neuropathic pain, weakness, numbness, or a tingling sensation originating in the leg, back or hip; and which has a tendency to travel down, radiating through one or both legs, with the most common pain symptom described as "shooting pain". The level of discomfort can vary and most often occurs on one side, with some individuals reporting that the pain occurs down both legs- or on both sides, often times the sciatica can switch from side to side. Symptoms associated with sciatica can become worse after long periods of standing, sitting, walking long distances.

The Sciatic Nerve begins in the lower spine and extends down the back of each leg. It supports muscle function of the back of the knee and lower leg and provides sensation to the back of the thigh, parts of the lower leg and soles of the feet.

Dallas-area Sciatica Help

Once the underlying cause creating sciatic nerve discomfort is identified and treated, conservative steps are first taken to reduce inflammation of the structures surrounding the sciatic nerve. Treatment may include prescription medication and stretching. During treatment, it is recommended to avoid heavy lifting and engage in light physical activity as tolerated. Only physician recommended stretching should be utilized to strengthen the core muscles and increase flexibility of the spine. Alternating heat and ice to the affected area is also an effective method to relieve discomfort.

Prescription Pain Medication

Certain Non-narcotic
Pain medications may also be helpful in the treatment of sciatica and include:

● NSAIDs (non-steroidal anti-inflammatory drugs): inhibit the enzymes (COX-1 and COX-2) responsible for the synthesis of prostaglandins, or chemicals that create inflammation.

● COX-1: continuously made in the body and protects the stomach lining from harsh acids and digestive chemicals.

● COX-2: produced only when joints are injured or inflamed.

Traditional NSAIDs block the actions of both COX-1
and COX-2 and include ibuprofen, naproxen, aspirin and nabumetone.

Side effects of traditional NSAIDs include stomach discomfort, heartburn, nausea, vomiting, diarrhea, and stomach ulcers.

However, COX-2 Inhibitors are a special category of NSAIDs and are generally prescribed for chronic inflammation. They target only the COX-2 enzyme and do not create the same type of stomach upset or bleeding potential that traditional NSAIDs do.

[The most commonly prescribed COX-2 inhibitors are Celecoxib (Celebrex) and valdecoxib (Bextra)].

Side effects include abdominal pain, nausea and indigestion. Antacids can limit the body’s ability to metabolize COX-2 inhibitors.

*It is generally advised to take NSAIDs with food or milk to prevent the occurrence of stomach upset. Avoid drinking alcohol while taking any form of NSAID.

Chiropractic Manipulation:
a non-invasive, drug free treatment used to reestablish normal spinal movement, decrease pain and allow for better overall function and performance.

Acupuncture: a natural method of healing in which sterilized stainless steel needles very thin in diameter, are inserted at specific local or distant points on the body. This procedure is not painful with each treatment lasting about 20-30 minutes. Depending on the severity of sciatic pain, treatment may continue once or twice a week for 4-8 weeks.