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How to Unpinch a Sciatic Nerve
Sciatica describes symptoms of leg pain that may include tingling, weakness and numbness in the lower back. One of the causes is piriformis syndrome, a condition resulting in a pinched sciatic nerve. For most people, sciatica gets better on its own within a few weeks or months, according to Spine-Universe 12. During that time, you can take steps to relieve the pain and discomfort you experience.
If you are experiencing serious medical symptoms, seek emergency treatment immediately.
Visit a chiropractor. Chiropractors are trained health professionals who can perform manual manipulation, a treatment that aligns the spinal column and may help relieve your pain, as Spine-Health explains 2. It also provides a better healing environment for the pinched nerve.
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Make an appointment with a physical therapist. The initial phases of physical therapy help relieve your pain. The therapist may begin with applying hot and cold packs to the area to help relieve the inflammation around the nerve while increasing blood flow to the site to expedite healing. She will then devise exercises to strengthen your back muscles and improve your flexibility, according to MayoClinic.com.
Speak to your doctor about epidural steroid injections. Depending on the severity of your injury, your doctor may recommend injections to relieve inflammation around the nerve, thus relieving pain. These injections are not a long-term solution, and do not work for everyone. If they work for you, the effects can last from one week to one year. The course of injections vary for everyone; your doctor determines this course for you.
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Take a trip to the massage therapist. Spine-Health explains that some forms of massage therapy have a number of benefits for back pain, including muscle relaxation, an increase in blood flow and a release of the body's natural pain killers--endorphins. Before making an appointment, be sure the therapist has experience in back pain and injuries. This may prevent a worsening of your injury.
Speak to your doctor about surgery. Surgery is typically a last resort, and is only something you should consider if you have a loss of bowel or bladder control, significant weakness or pain that doesn't improve with your other therapies. The goal of surgery is to leave as much of the normal anatomy in place as possible while removing the portion of the disk that is pinching the nerve.
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References
- Spine-Health: Sciatica Causes
- Spine-Health: Sciatica Treatment
- MayoClinic.com: Sciatica Treatments and Drugs
- Johns Hopkins Medicine. Sciatica.
- Albert HB, Manniche C. The efficacy of systematic active conservative treatment for patients with severe sciatica: A single-blind, randomized, clinical, controlled trial. Spine. 2012;37(7):531-42. doi:10.1097/BRS.0b013e31821ace7f
- Cleveland Clinic. Sciatica: Management and treatment. Updated March 25, 2020.
- American Academy of Orthopaedic Surgeons. Sciatica. Updated December 2013.
- Pinto RZ, Maher CG, Ferreira ML, et al. Drugs for relief of pain in patients with sciatica: systematic review and meta-analysis. BMJ. 2012;344:e497. Published 2012 Feb 13. doi:10.1136/bmj.e497
- Pinto RZ, Maher CG, Ferreira ML, et al. Epidural corticosteroid injections in the management of sciatica: a systematic review and meta-analysis. Ann Intern Med. 2012;157(12):865-77. doi:10.7326/0003-4819-157-12-201212180-00564
- American Academy of Orthopaedic Surgeons. Cauda equina syndrome. Updated March 2014.
- Liu CH, Kung YY, Lin CL, et al. Therapeutic efficacy and the impact of the "dose" effect of acupuncture to treat sciatica: A randomized controlled pilot study. J Pain Res. 2019;12:3511–3520. doi:10.2147/JPR.S210672
- Lewis RA, Williams NH, Sutton AJ, et al. Comparative clinical effectiveness of management strategies for sciatica: Systematic review and network meta-analyses. Spine J. 2015;15(6):1461-77. doi:10.1016/j.spinee.2013.08.049
- Jensen RK, Kongsted A, Kjaer P, Koes B. Diagnosis and treatment of sciatica. BMJ. 2019;367:l6273. doi:10.1136/bmj.l6273
Writer Bio
Based in Jamestown, Pa., Hannah Rice Myers has more than 10 years of experience as a freelance writer, specializing in the health industry. Many of her articles have appeared in newspapers, as well as "Curing Epilepsy: Hope Through Research." Rice Myers received her master's degree in nursing from Upstate Medical University in 2001.