jjenkinskelso asked:
I usually have it after I am in bed and it wakes me up. Also have it when I sit for a long period of time when I get up. It is very painful and hard for me to go back to sleep when it wakes me up. Any ideas?
What is the best treatment for sciatic nerve pain?
Those with lower back pain have historically been prescribed bed rest in order to offer relief for aching bones and joints. Research in recent years has suggested that bed rest alone will not offer relief for those suffering from nerve pain such as sciatica. Staying active may be more beneficial for those who suffer from back pain. Not to say that you should be running marathons! Activity means being up and mobile for periods of time that are not enough to cause further pain and aggravation to your back. Some physicians may prescribe specific exercises, or some may simply suggest walking.
Rest and antiflammatories; also nice warm baths. The pain will eventually go away.
Treatment
In most cases, conservative treatments are effective for sciatica. A short period of rest, coupled with the application of cold packs and heat packs to the affected area, reduces inflammation of the nerve. Non-steroidal anti-inflammatory medicines can also be taken to decrease inflammation. Injection of corticosteriods may also be recommended to decrease swelling of the nerve. Physical therapy and short walks are also recommended.
If after three or more months, sciatica continues and become progressively worse, surgical techniques can be used to relieve the pressure on the sciatic nerve. Surgery is often very effective in relieving pain, although results can vary depending upon the cause of the sciatica. Overall, about 90% of patients undergoing surgery for sciatica pain receive some relief.
Diagnosis
A physician will perform a physical exam on a patient complaining of sciatica in order to try to identify the part of the nerve that is irritated. This exam may include squatting, walking, standing on toes, and leg raising tests. Most commonly, lifting the leg to a 45° angle while holding it straight helps localize the pain. Other tests that may be performed include x ray to look for stress fractures in bones and magnetic resonance imaging (MRI) or computerized tomography (CT) to look at softer tissues and ligaments. A nerve conduction velocity test and electromyography may also aid in diagnosis.
I take Neurontin prescribed by my doctor. Works great.