What should I do about sciatica?

Written by Na Hong Wei
Orthopedics
Updated on September 27, 2024
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For sciatica, absolute bed rest is initially required, ideally lasting three weeks. If three weeks is not possible, at least one week is necessary.

Secondly, continual traction is used, which can widen the intervertebral space, reduce the internal disk pressure, and potentially expand the spinal canal, thereby alleviating stimulation and compression of the nerve roots.

Thirdly, you can take some non-steroidal anti-inflammatory drugs, or some traditional Chinese medicines, many of which contain pain-relieving ingredients.

Fourthly, consider undergoing physical therapy, including physiotherapy, acupressure, and massage.

Fifthly, intradiscal injections, intradiscal blockade, or catheter blockade can be considered.

Sixthly, chemical dissolution of the nucleus pulposus can be considered.

Thus, these are the basic treatment methods for sciatica.

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Written by Na Hong Wei
Orthopedics
54sec home-news-image

What Chinese medicine is taken for sciatica?

Sciatica is categorized under "Bi Syndrome" in traditional Chinese medicine. There are several Chinese herbal formulas to consider for treatment. The first is Xuan Bi Tong Bi Tang, which has an overall effectiveness rate of about 96%. The second herbal formula is Wu Tou Xi Xin Tong Bi Tang, which also has good therapeutic effects and is statistically shown to be superior to non-steroidal measures. The third medication is Du Huo Ji Sheng Tang, which also has a high effectiveness rate and significant results, but lacks large-scale clinical data. Additionally, in terms of diet, it is advisable to consume dishes such as Sichuan Duan stewed pig tail and other traditional Chinese medicinal foods that include old mulberry branches like Sang Ji Sheng.

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Written by Na Hong Wei
Orthopedics
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What to check for sciatica

Sciatica is divided into primary sciatica and secondary sciatica. Secondary sciatica is very common and is mainly due to diseases of the spinal canal, including herniated lumbar discs, lumbar spinal stenosis, or spinal tumors compressing the spinal cord and nerve roots. Another condition is piriformis syndrome, where the sciatic nerve exits; if there is narrowing here, it can also cause sciatica. Therefore, clinically, one starts with secondary sciatica, conducting either a lumbar spine CT scan or an MRI, which can basically clarify the location causing the compression. Another type is called primary sciatica, which is caused by inflammation of the sciatic nerve, and is an internal medicine disease, not an orthopedic disease. This requires an electromyography (EMG). After completing the EMG, the diagnosis can generally be made based on the injured muscle or the muscle with abnormal electromotor conduction. Thus, the routine examinations for sciatica are X-rays, CT, MRI, and the non-routine examination is the EMG.

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Written by Guan Jing Tao
Orthopedics
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Where to perform moxibustion for sciatica

Typical sciatica, in addition to soreness and numbness in the buttocks, is accompanied by sensory abnormalities in the back of the thigh, the back of the calf, the lateral muscles, and the foot. Thus, the location for moxibustion treatment spans from the buttocks to the thigh and calf, targeting corresponding traditional Chinese medicine acupoints progressively. This can alleviate, to some extent, the sensory abnormalities in the buttocks and lower limbs caused by sciatica. It is recommended to concurrently take oral medications that nourish the nerves to collectively reduce symptoms and shorten the duration of the illness. If there is no significant relief after two to four weeks of treatment, it is advised to revisit the hospital for further examination and treatment. Hospitalization for systematic treatment may be necessary.

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Written by Li Jin
Orthopedics
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What foods should be avoided with sciatica?

Patients with sciatic nerve pain should be cautious with their diet in daily life. Avoid consuming spicy and stimulating foods such as chili peppers and black pepper. Avoid high-fat, high-calorie foods such as fatty meats, barbecued and fried foods. Also, reduce the intake of foods high in sugar like various pastries and sweets, as these foods are detrimental to health. Patients with sciatic nerve pain should eat more foods rich in high-quality protein and vitamins such as milk, eggs, beans, chicken, fish, fresh vegetables, and fruits. These foods are beneficial to health.

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Written by Ai Bing Quan
General Surgery
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How to treat sciatica?

Patients with sciatic nerve pain must rest in bed, especially those whose pain is caused by nerve compression. They must pay close attention to keeping warm and resting regularly, and use heat application on the waist and buttocks. For medicinal treatment, the drugs are mainly divided into Western medicine and traditional Chinese medicine. Western medicine primarily uses non-steroidal anti-inflammatory drugs and neurotrophic drugs. Traditional Chinese medicine mainly uses drugs that invigorate the blood to promote the repair of nerve edema and surrounding tissue swelling. Treatment can also include acupuncture and physical therapy, particularly ultrashort wave therapy and direct current iontophoresis during the acute phase, combined with acupuncture, which can effectively promote the alleviation of sciatic nerve pain.