Low back pain causing sciatica needs to be treated according to the cause. Common causes of sciatica due to low back pain include lumbar disc herniation, pyriformis syndrome and lumbar spinal stenosis. Commonly used treatments include general treatment, physical therapy, medication and surgery.
1. Lumbar disc herniation: bed rest and lumbar protection are needed. Pelvic traction can be done to relieve the symptoms. Acupuncture and massage can promote local blood circulation and improve the symptoms. Commonly used drugs such as non-steroidal anti-inflammatory drugs such as diclofenac sodium; muscle relaxants such as tizanidine; glucocorticoids such as dexamethasone. In severe cases, surgical treatment such as nucleus pulposus removal is needed.
2. Piriformis syndrome: manipulative therapy is commonly used, such as massage and kneading. Physical therapy such as heat therapy, cold therapy and electrotherapy are also effective in relieving symptoms. Commonly used drugs in addition to the above anti-inflammatory drugs, but also the use of local anesthetics such as lidocaine and glucocorticosteroids such as trimethoprim for closed treatment. Surgical exploration can be performed if the treatment is not effective.
3. Lumbar spinal stenosis: non-surgical treatment is basically the same as lumbar disc herniation, but pelvic traction is not required, in addition to the use of nutritive drugs such as methylcobalamin. The symptoms seriously affect the life and workers need surgical treatment such as intervertebral fusion.
Sciatica caused by low back pain may have other causes, it is recommended to go to the hospital in a timely manner, to clarify the cause of the disease, and then actively standardize the treatment. The above drugs should be used under the guidance of a doctor, avoid self-medication.