"Lumbago" is an outdated term to describe generalized low-back pain. It is often confused with sciatica; however, the two conditions differ. Someone can have lumbago (low-back pain) with or without sciatica. Low-back pain has various causes, and treatment depends on the cause and symptoms associated with each case.
In this article, learn more about lumbago (low-back pain), including its acute and severe symptoms.
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What Does the Medical Term "Lumbago" Mean?
Nowadays, healthcare providers use the term "low-back pain" instead of "lumbago." "Low-back pain" is a general term that encompasses three different sources of pain, which are:
The North American Spine Society defines "low-back pain" as "pain of musculoskeletal origin extending from the lowest rib to the gluteal fold [below the buttocks], that may at times extend as somatic referred pain into the thigh (above the knee)."
How Low-Back Pain (Lumbago) Feels
Low-back pain can be activity-related, intermittent, or constant. For some people, it only bothers them occasionally, such as during specific movements. For others, it can be excruciating, chronic, and disabling. How your low-back pain feels is unique to you and can differ depending on the cause.
Some ways that people with low-back pain describe their symptoms are:
Aching pain deep in the back
Shooting pain attacks
Pain induced by slight pressure
Burning and tingling
Without Sciatica
For some people, low-back pain may be confined to a specific area of the back. This is called axial back pain. The pain may be felt in a band along the low back and does not radiate down the legs or elsewhere.
With Sciatica
Sometimes low-back pain is accompanied by sciatica, pain that radiates from the low back or hip down the leg. It is the most common symptom of lumbar radiculopathy (compression of spinal nerve roots).
Symptoms of sciatica include:
Shooting pain from the low back down the leg
Feeling like a bad leg cramp
Leg weakness
Sensory changes radiating down the leg, including numbness, burning, or tingling
Identifying Lumbago Triggers and Causes
There are various causes of the symptoms associated with generalized low-back pain. Possible causes of low-back pain include:
Remember, a specific cause of low-back pain can't always be identified. This doesn't make your pain and experience any less valid. These cases are called non-specific low-back pain.
Low-Back Pain (Lumbago) Treatment: Where to Begin
Obtaining an accurate diagnosis for low-back pain can be challenging since there are many potential causes. Your healthcare provider will ask about your symptoms and take a health history before performing a physical examination.
They may order diagnostic tests such as imaging and blood tests or refer you to a specialist, such as an orthopaedist (musculoskeletal doctor) or neurologist (brain, nerve, and spinal cord doctor).
Some options for immediate relief and self-management include:
Your healthcare provider may also refer you to a physical therapist or write you a prescription for muscle relaxants.
Chiropractic techniques and spinal manipulations are no more beneficial than the above treatments for low-back pain and generally do not improve outcomes. Healthcare providers typically recommend against bed rest. Instead, they'll encourage you to maintain your typical activity level and incorporate gentle exercise as tolerated.
Does Mild Lumbago Go Away?
In about 90% of low-back pain cases, the pain is temporary and will get better without surgery. However, about 50% of people will experience another low-back pain episode within a year.
Treatment for Severe, Chronic Low-Back Pain (Lumbago)
Low-back pain is considered chronic when symptoms last for 12 consecutive weeks or longer.
Healthcare providers typically recommend conservative treatments for low-back pain first. When these treatments are unsuccessful, they may move on to more invasive methods.
Treatments for severe, chronic low-back pain may include:
Numbing injections
Neuromodulatory agents
Prescription pain relievers
If all other treatments fail, your healthcare provider may recommend surgery for your low-back pain. Keep in mind that not everybody will be eligible for back pain surgery.
Despite the array of treatment options, low-back pain remains the leading cause of disability worldwide. When low-back pain is a part of your life, it's important to learn coping mechanisms that can make your life easier, including:
Ergonomic (designed for efficiency and comfort) and positioning adjustments
Adaptive equipment
Changing your routine
Altering how you perform activities
Adjusting how your home is set up
Ask a healthcare provider for a referral to an occupational therapist (OT) or a physical therapist (PT). An OT can advise you on adjustments to your daily life so you can have the highest level of independence and comfort. A PT can help you make postural corrections, learn safe lifting techniques, and teach you exercises to support and strengthen your lower back.
Consider seeking psychological support from a mental health professional or joining a support group. Low-back pain can be debilitating physically and mentally, and it's important to care for your mental and emotional health.
Disability Resources
Low-back pain can be a disability for some people. Ask your healthcare professional for referrals to local services, such as adaptive equipment charities or support groups.
"Lumbago" is an outdated term for low-back pain. Healthcare providers no longer use the word. Low back pain affects many people, and the causes can be specific or nonspecific. Treatment for low back pain can range from non-invasive self-care strategies, such as stretching or breathing techniques, to surgery.
If you have "lumbago," talk to a healthcare provider for a tailored treatment plan. If you have chronic low-back pain that affects your ability to work, you may qualify for disability benefits.
Are you tired of living with the constant pain and discomfort of sciatica? If so, you’re not alone. Sciatica affects millions of people worldwide and can make even simple daily activities a challenge. But fear not! There is a solution that may provide the relief you’ve been seeking – a TENS unit. In this blog post, we’ll explore how to properly use a TENS unit for sciatica pain relief. Whether you’re new to TENS units or are looking for tips on optimizing their effectiveness, we’ve got you covered. So sit back, relax, and let’s dive into the world of electrical stimulation therapy together!
What is a TENS unit?
A TENS unit, short for Transcutaneous Electrical Nerve Stimulation, is a portable device that uses low-voltage electrical currents to relieve pain. It consists of a small battery-operated generator and electrode pads that are placed on the skin near the area of discomfort.
The concept behind a TENS unit is simple yet fascinating. When the electrodes are applied to your skin, they deliver mild electrical impulses that stimulate the nerves in the affected area. These impulses help to disrupt or block pain signals from reaching your brain, providing temporary relief from sciatica pain. Visit immediatereliefforsciaticapain.
One of the great things about TENS units is their versatility. They come with various adjustable settings so you can customize your treatment based on your specific needs and comfort level. You can adjust factors such as intensity, frequency, and duration of electrical pulses to find what works best for you. It’s important to note that while TENS units can provide significant pain relief for many individuals with sciatica, they don’t address the underlying cause of the condition itself. Therefore, it’s always advisable to consult with a healthcare professional before using a TENS unit as part of your treatment plan. So now that we have an understanding of what a TENS unit is let’s explore how exactly it works its magic!
How does a TENS unit work?
A TENS unit, also known as a transcutaneous electrical nerve stimulation unit, is a small electronic device that can help provide relief from sciatica pain. It works by delivering low-voltage electrical currents to the affected area through electrodes placed on the skin.
When you turn on the TENS unit and adjust the settings, it sends these gentle electrical pulses to your nerves. The idea behind this therapy is that these electrical signals help to disrupt or block pain signals from reaching your brain. Instead of feeling pain, you may experience a tingling or buzzing sensation. The specific frequencies and intensities of the electrical pulses can be adjusted according to your comfort level and needs. Some TENS units offer different modes and programs for targeted relief. You have control over how long you use it and where you place the electrodes. It’s important to note that while a TENS unit can provide temporary pain relief, it does not address the underlying cause of sciatica. Therefore, it should be used in conjunction with other treatments recommended by healthcare professionals.
Always consult with your doctor before using a TENS unit or any other form of treatment for sciatica pain relief. They will be able to guide you on proper usage based on your individual circumstances.
Using a TENS unit for sciatica pain relief can provide several benefits. One of the main advantages is its non-invasive nature, as it doesn’t require any medication or surgery. Additionally, a TENS unit is portable and easy to use at home or on the go. Another pro of using a TENS unit is that it provides immediate pain relief. By sending electrical impulses to the affected area, it helps to block pain signals from reaching your brain. This can provide temporary relief from sciatica discomfort. Moreover, TENS units offer customizable settings, allowing you to adjust the intensity and frequency of the electrical stimulation according to your comfort level. This versatility ensures that you can tailor the treatment specifically for your needs.
On the other hand, there are some cons associated with using a TENS unit for sciatica pain relief. While it may offer temporary relief, it does not address the underlying cause of your sciatic nerve compression or inflammation.
Additionally, not everyone responds equally well to TENS therapy. Some people may find little to no benefit from using this device for their sciatica pain management. Improper use of a TENS unit can lead to skin irritation or burns if electrodes are placed incorrectly or left on for too long. While there are pros and cons associated with using a TENS unit for sciatica pain relief, many individuals find them helpful in managing their symptoms effectively when used correctly and combined with other treatments recommended by healthcare professionals.
How to use a TENS unit for sciatica pain relief
Using a TENS unit for sciatica pain relief can be an effective and drug-free option. But how do you properly use this device? Here are some tips to help you get the most out of your TENS unit.
First, make sure to read the instructions carefully before using the device. Each model may have specific guidelines, so it’s important to familiarize yourself with them. You’ll also want to ensure that the battery is fully charged or replace it if needed. Next, clean and prep your skin before applying the electrodes. This will help ensure good conductivity and prevent any irritation. It’s also important to place the electrodes correctly on your lower back or wherever you’re experiencing sciatic pain. Once everything is set up, start with a low intensity setting and gradually increase it until you reach a comfortable level of stimulation. Avoid turning up the intensity too high as this could cause discomfort or muscle contractions. During treatment, try different modes and settings on your TENS unit to find what works best for you. Some units offer various patterns of electrical impulses which can provide additional relief for sciatica pain.
Remember that using a TENS unit should not be painful; instead, it should provide a soothing sensation or gentle tingling feeling in the affected area.
Always listen to your body and adjust accordingly. If at any point during treatment you experience increased pain or discomfort, stop using the device immediately and consult with a healthcare professional. By following these tips, you’ll be able to properly use a TENS unit for sciatica pain relief effectively and safely!
Tips for using a TENS unit
1. Start with the right settings: When using a TENS unit for sciatica pain relief, it’s crucial to set the device at an appropriate intensity level. Begin with a low setting and gradually increase it until you feel a tingling sensation without any discomfort.
2. Proper electrode placement: Correct electrode placement is essential for effective pain relief. Consult the user manual or seek guidance from your healthcare provider to ensure optimal electrode positioning. Generally, electrodes should be placed around the area of pain or along the path of the affected nerve. 3. Regular use: Consistency is key when using a TENS unit. Use it regularly as recommended by your healthcare provider to experience maximum benefits and manage sciatica pain effectively. 4. Experiment with different settings: Every individual’s response to TENS therapy may vary, so don’t be afraid to explore different settings on your device. Adjusting parameters such as pulse width, frequency, and duration can help find what works best for you. 5. Combine with other treatments: While TENS units provide significant relief for many people suffering from sciatica pain, they can also be used in conjunction with other therapies like physical therapy exercises or medications prescribed by your doctor.
6. Stay hydrated: Drinking plenty of water before and after using a TENS unit helps improve conductivity and ensures better results during treatment sessions.
7. Follow safety precautions: Always adhere to safety guidelines provided by the manufacturer while using your TENS unit to avoid any potential risks or adverse effects. Remember that everyone’s experience with a TENS unit may differ; therefore, consult with your healthcare provider before starting any new treatment regimen for sciatica pain relief
Alternatives to using a TENS unit
While TENS units can be an effective tool for sciatica pain relief, they might not be the best option for everyone. Fortunately, there are alternative methods that you can try if a TENS unit doesn’t work for you or if you prefer a different approach.
1. Physical therapy: Working with a physical therapist can help address the underlying causes of your sciatica and provide targeted exercises and stretches to alleviate pain and improve mobility.
2. Heat therapy: Applying heat to the affected area can help relax muscles, increase blood flow, and reduce inflammation. You can use heating pads, warm towels, or take warm baths to find relief. 3. Cold therapy: Conversely, cold therapy may also provide temporary relief by numbing the area and reducing swelling. Ice packs or cold compresses applied to the lower back for 15-20 minutes at a time can be beneficial. 4. Acupuncture: This traditional Chinese medicine practice involves inserting thin needles into specific points on the body to stimulate healing and relieve pain. Many people find acupuncture helpful for managing their sciatica symptoms. 5. Yoga or stretching exercises: Engaging in gentle yoga poses or targeted stretching routines designed specifically for sciatica can help improve flexibility, strengthen supportive muscles, and reduce discomfort.
Remember that what works for one person may not work for another when it comes to treating sciatica pain. It’s important to consult with your healthcare provider before trying any new treatment method or alternative approach.
Conclusion
Using a TENS unit can be a valuable tool in managing sciatica pain. This portable device works by delivering electrical currents to the affected area, helping to alleviate discomfort and promote healing. While there are pros and cons to consider, many individuals find relief from their symptoms through regular use of a TENS unit. To properly use a TENS unit for sciatica pain relief, start by consulting with your healthcare provider or physical therapist. They can provide guidance on the appropriate settings and placement of electrodes for maximum effectiveness. Remember to start with low intensity levels and gradually increase as needed.
When using a TENS unit, it’s important to follow some key tips. Make sure your skin is clean and dry before applying the electrodes, and avoid placing them directly over open wounds or broken skin. Be cautious not to apply the electrodes near your eyes or throat.
While a TENS unit can offer effective relief for sciatica pain, it may not be suitable for everyone. If you have certain medical conditions such as epilepsy or an implanted electronic device like a pacemaker, consult with your doctor before using this device. If you’re looking for alternatives to using a TENS unit, consider other non-invasive treatments such as heat therapy, stretching exercises specifically designed for sciatica relief, physical therapy sessions focusing on strengthening core muscles that support the spine, or even acupuncture.
In conclusion (without explicitly stating “in conclusion”), when used correctly under professional guidance, a properly used TENS unit can be an excellent addition to your arsenal against sciatica pain. However results may vary from person to person so it’s essential that you work closely with your healthcare provider throughout the process of finding what works best for you. Don’t let persistent sciatic pain hold you back – explore all available options and take control of your well-being!
Back pain is a common condition that affects people of all ages and can be caused by various factors. And sadly, people who constantly suffer from back aches lose out on a lot of fun things they would otherwise want to do or enjoy.
Speaking to WION, Dr Parag Sancheti, renowned orthopaedic surgeon and chairman of the Sancheti Hospital, shed light on the most common types of back pain and suggested preventive measures that can be helpful. Read on!
Muscle Strain
Muscle strain is one of the most prevalent causes of back pain. It occurs when the muscles in the back are stretched or torn. To prevent muscle strain, it is important to maintain good posture, especially while lifting heavy objects. Regular exercise and stretching can also help strengthen the back muscles, making them less prone to strain.
Herniated Disc
A herniated disc happens when the soft, gel-like centre of a spinal disc protrudes through a tear in the outer layer. This can result in pressure on nearby nerves and cause back pain. To prevent herniated discs, it is crucial to maintain a healthy weight, practice proper lifting techniques, and engage in regular exercise to strengthen the core muscles.
Sciatica
Sciatica refers to pain that radiates along the path of the sciatic nerve, which runs from the lower back down through the buttocks and legs. It is often caused by a herniated disc or bone spur. To prevent sciatica, it is important to practice good posture, use proper body mechanics while lifting heavy objects, and engage in regular low-impact exercises like walking or swimming to maintain spinal health.
Arthritis
Arthritis, particularly osteoarthritis, can affect the joints in the back and lead to chronic pain. To prevent arthritis-related back pain, it is crucial to maintain a healthy weight to reduce stress on the joints. Regular exercise, such as low-impact activities and gentle stretching, can also help keep the joints mobile and decrease pain.
Scoliosis
Scoliosis is a condition characterised by an abnormal sideways curvature of the spine. While it is often congenital, it can develop later in life. Preventive measures for scoliosis-related back pain include maintaining good posture, engaging in regular exercise to strengthen the back muscles, and using ergonomic support to alleviate strain on the spine.
General preventive measures for back pain
● Maintaining a healthy weight: Excess weight puts additional stress on the spine and can contribute to back pain.
● Regular exercise: Engaging in activities that strengthen the core muscles, improve flexibility, and promote overall fitness can help prevent back pain.
● Practicing good posture: Maintaining proper posture while sitting, standing, and lifting can reduce the strain on the back.
● Using ergonomic support: Utilising ergonomic chairs, supportive mattresses, and proper footwear can help maintain the natural alignment of the spine.
● Avoid prolonged sitting: Taking breaks to stretch and move around can help prevent stiffness and muscle imbalances.
Dr Parag Sancheti says, "Back pain can be caused by various factors, but adopting preventive measures such as maintaining a healthy weight, practising good posture, engaging in regular exercise, and using ergonomic support can significantly reduce the risk of developing back pain. However, if you experience persistent or severe back pain, it is always advisable to consult with a healthcare professional for a proper diagnosis and personalised treatment plan."
Disclaimer: Please note that the information provided on this website is for informational purposes only and is not intended as a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare providers with any questions you may have regarding a medical condition. The content provided on this website should not be used to diagnose or treat any health problem or disease. If you have or suspect that you have a medical problem, please contact your healthcare provider immediately. Never disregard professional medical advice or delay in seeking it because of something you have read on a website.
Modern to alternative medicines, all you need to know about treating sciatica
A searing pain down the back of the leg is usually a sign of sciatica. Life with sciatica is troublesome: simple acts like sitting or picking something off the floor can be excruciating. Here’s an explainer that includes accounts from people who suffered from sciatica, and treatment options: Modern Medicine, Traditional Chinese Medicine, Indian traditional medicine Ayurveda, and Homeopathy.
‘My battles with spinal problems’
A shaft of pain shot through my left leg. It was like a burning sensation down the back of the thigh. Scary, indeed. That was around 15 years ago, my first bout with sciatica.
A trip to an orthopaedic expert followed. The doctor attributed it to prolonged sitting at the desk and poor posture. An Xray followed by a course of anti-inflammatory medicines were only a prelude to physiotherapy sessions. They helped, and the pain went away as I continued to do the exercises prescribed by the physiotherapist.
A few years later, the pain was back. I knew the reason: my unhealthy desk routine and worse, I ignored the exercise. The regimen was repeated and there was relief. And it hasn’t been back. Yoga helped especially surya namaskaram, or the sun salutation.
Now I am back with the same doctor. My lumbar region is fine, but the cervical area is sore and painful. Long hours hunched over the computer followed by some more poring over the cellphone made matters worse.
I ignored it and went swimming and played badminton. A pinched nerve was the result. It was excruciating to lie on my back and two fingers became numb. Disc degeneration is the cause, the doctor said, adding that the space between some vertebrae has been reduced drastically.
Sciatica is no longer a worry, but I’m battling cervicalgia.
— Shyam A Krishna, Senior Associate Editor
‘The excruciating pain radiated down my leg and consumed every aspect of my life’
It all began with a twinge in my lower back, an innocent whisper of discomfort that soon transformed into a spasm — that would come and go. Simple tasks like bending down or sitting for more than a few minutes became challenges. The pain was unrelenting at times as if my body was waging a war against itself.
Yet there were days when I was completely fine. The doctors said I suffered from a compressed disc. It was the pressure from my herniated disc that irritated the sciatic nerve, causing pain.
The excruciating pain radiated down my leg and consumed every aspect of my life. Sometimes I would wake up in the morning with a stiff back. Sciatica had become an unwelcome companion, casting a shadow over my life.
The intensity of the pain ranged from mild to severe, and it worsened with certain activities like sitting, standing, or walking.
However, little did I know that within the depths of despair, I would find the resilience to triumph over this debilitating condition. I refused to let it define me.
An appropriate treatment plan and proper guidance on exercises helped. Physical therapy and exercises to strengthen the core became my sanctuary — a place where pain and hope intertwined.
With each workout session, I pushed myself beyond my perceived limitations. Finally, after what seemed like an eternity, I emerged on the other side. The pain that had once defined me had been reduced to a mere memory.
— Sadiq Shaban, Opinion Editor
What is sciatica?
Sciatica refers to the pain that originates in the lower back, goes into the buttock and travels down the leg. It can also manifest as weakness, numbness, or tingling in the leg. It is caused by irritation or injury to the sciatic nerve or pressure on it.
Image Credit: Vijith Pulikkal/Gulf News
How modern medicine diagnoses and treats sciatica
"A Dubai-based taxi driver approached me for sciatica treatment. To diagnose the condition, we asked him to walk on the toe or heel and asked him to rise from a squatting position, which was extremely difficult for the patient," said Dr Amit Kumar Krishna, Specialist Orthopaedics Surgeon, Aster Hospital, Dubai. Lifting the affected leg while lying down will worsen the sciatica pain, said the Dubai-based orthopedic surgeon.
Sciatica treatment
Anti-inflammatories, corticosteroids, lumbosacral belt, strict bed rest, and physiotherapy are the regular treatment methods, but in some cases, steroid injection around the impinged nerve is required, said Dr Amit Kumar. "If the initial treatments fail and symptoms persist or get aggravated even after six weeks, the patient may need surgery."
How effective is the sacroiliac belt in treating sciatica?
The sacroiliac belt is very helpful in the initial three weeks of conservative treatment as it helps in the mobility of the patient and during the patient's daily activities, it also restricts movement like forward bending and an abnormal twist of the spine, which may aggravate the symptoms, said Dr Amit Kumar.
How Chinese medicine treats sciatica
According to Chinese medicine, sciatica is typically seen as an imbalance or blockage of Qi (vital energy) and blood flow in the meridians of the body, said Dr Liu Xin, Traditional Chinese Medicine Practitioner, Wellth, Dubai.
To treat sciatica, Chinese medicine aims to restore the balance of Qi and blood, promote circulation, and alleviate pain, said Dr Liu Xin.
Chinese medicine, which includes various traditional practices such as acupuncture, herbal medicine, cupping Tuina massage, and traditional exercise like taiji, approaches sciatica from a holistic perspective.
The first choice of treatment is acupuncture
Acupuncture points are believed to be located along meridians and can help regulate the flow of Qi and blood; by stimulating these points, acupuncture aims to relieve pain, reduce inflammation, and restore the balance of energy in the body, explained Dr Liu Xin.
“The frequency of acupuncture sessions can vary depending on your specific health condition and the recommendations of your acupuncturist. In general, it is common for individuals to start with more frequent sessions and then gradually decrease the frequency as their condition improves. Typically, weekly 2 or 3 sessions are recommended initially, and then the frequency may be reduced to weekly or biweekly or monthly visits as the desired results are achieved,” Dr Liu Xin said.
This is how Ayurveda treats sciatica
Sciatica, one of the most excruciating and irritating nerve pain, is a common health problem encountered by Ayurveda practitioners, said Dr V L Shyam, Medical Director, Shyam’s Ayurveda Centre, UAE.
Ayurveda comes with the experience of treating Sciatica for over 2,500 years. The condition was identified and recorded in 700 BC by Sushrutha (father of Surgery as per Ayurveda texts) and he named it Gridhrasi. The word Gridhrasi itself suggests that the gait of the patient is similar to a Gridhra (vulture) — whose body is bent towards one side while walking, and abnormal throwing action is seen in the affected leg. Another meaning of Gridhrasi is the deep piercing and pulling pain as if a ‘vulture eating flesh with its beak’, explained Dr Shyam, quoting ancient Ayurveda texts.
Ayurveda elaborates on two types of sciatica: Vata-dominated and Vata-Kapha dominated. The classical signs and symptoms of Gridhrasi mentioned by Ayurveda are pain, intermittent pricking sensation, stiffness and rigidity; twitching or pulsating pain, numbness and sensory loss felt in areas: low back, waist, buttocks, thigh, knee, calf and foot, the alternative medicine doctor said.
In the Vata-Kapha type of sciatica, loss of taste, reduced strength in the affected leg and heaviness of legs are seen. The treatment is slightly different in each type, he explained.
What are the recommendations of Ayurveda to tackle sciatica?
Ayurveda book Ashtanga Hrudaya (written in 700AD) mentions that the lifting of the leg is restricted in Gridhrasi. Restricted “straight leg raising (SLR)” is considered as the clinical confirmation of sciatica, he added.
Ayurveda recommends reducing dry foods, lentils and dals, cold food, spicy-bitter-astringent foods, untimely eating, dieting and fasting, overexertion, keeping awake at night, suppression of urges, uncomfortable posture while sleeping, and reducing emotions like stress, grief, fear and anger, Dr Shyam said.
Ayurveda recommends natural medicines to reduce sciatic nerve inflammation and nerve tonics and also advocates a few heat therapies and oil treatments for the relief of sciatic pains. Administration of medicines through the anal tract (Vasthy) and thermo-cautery (superficial burns with heated metallic equipment) are other extensive treatment methods mentioned by Ayurveda for sciatica, Dr Shyam said.
Sciatica prevention: Tips from a Dubai-based orthopaedic specialist
Image Credit: Vijith Pulikkal/Gulf News
When to seek urgent medical care for sciatica
Image Credit: Vijith Pulikkal/Gulf News
How to manage and live with sciatica
Image Credit: Vijith Pulikkal/Gulf News
How Homeopathy treats sciatica
Homeopathy is a system of medicine that treats patients on symptom similarity. To treat the patient: symptom presentations, disease history, family history and when and how often the pain worsens are all taken into consideration, said Dr Rosamma Sabu, Balsam Homeopathic Centre, Sharjah. After all of these are considered, a specific remedy will be selected for the patient, she said.
Homeopathy gives importance to patients' tastes
"I remember a patient with left leg pain that increased while lying down at night and was better by walking. The pain was so severe that he couldn’t sleep at night and must walk up and down frequently. He was also diabetic, and whenever he woke up at night, he used to drink cold milk. He could not explain the reason, but it was one of his favourite drinks," said the Sharjah-based Homeopath.
Homeopathy is a system of medicine that treats patients on symptom similarity.
- Dr Rosamma Sabu
Homeopathy gives importance to the tastes of the patient, and taking all aspects into consideration a treatment plan was selected and given for 15 days, Dr Rosamma said.
The patient returned on the 15th day complaining that the pain remained the same, but his sleep quality was much better. The same medicine was repeated for a month, and he came back after six months and said that the pain reappeared in winter. The medications were continued for another month and he never had the same problem again, the Homeopath said.
Here is all you need to know about sciatica
What’s the sciatic nerve?
The sciatic nerve is the largest single nerve in the human body. Formed of five nerve roots in the lumbar and sacral spine, the sciatic nerve starts in the lower back and runs down the back of each leg.
The body has two sciatic nerves, one on each side — the right and left legs. The nerve controls the muscles on the back of the knee and lower leg. It also provides sensation to the back of the thigh, the outer and back part of the lower leg, and the sole, according to a report on the US-based Cleveland Clinic’s website.
What are the types of sciatica?
There are two types of sciatica: true sciatica and sciatica-like conditions. True sciatica is the pressure or injury that directly affects your sciatic nerve. Sciatica-like conditions feel like sciatica, but it does not result from an injury or pressure to the sciatic nerve. Other reasons could be linked to the sciatic nerve or its five roots.
What are the symptoms of sciatica?
The symptoms of sciatica vary widely. Generally, it may feel like a dull ache or burning sensation in the back, running down the buttock to the back of the thigh and the calf. It can also feel like an electric shock. Some people experience mild tingling, weakness or numbness in the leg or hip.
The symptoms can be infrequent in some cases, while there are cases when they can be so severe and debilitating that a person cannot move. It mostly occurs on only one side of the body.
The pain starts slowly and may worsen after standing or sitting. If sciatica stems from a compressed disc, patients will feel pain while sneezing, coughing or laughing. In other cases, pain occurs while bending backwards or walking. It may happen when straining or holding your breath.
How is sciatica diagnosed?
Healthcare providers use a combination of methods to diagnose sciatica. Generally, the symptoms give a fair idea. A report in Penn Medicine of the University of Pennsylvania says, besides flexibility and strength checks, they will also conduct a physical examination to find out the following:
Visible changes in walking
Weakness when bending the knee
Difficulty bending the foot inwards or down
Difficulty walking on toes
Difficulty bending forward or backward
Abnormal or weak reflexes
Loss of sensation or numbness
Pain when lifting the leg straight up while lying on the back
What are the tests to diagnose sciatica?
Several tests can help in diagnosing sciatica and ruling out similar conditions. The most common tests include:
X-rays or computed tomography (CT) scans
Magnetic resonance imaging (MRI) scans tests of the spine
Nerve conduction velocity studies
Electromyography: It measures muscle response to a nerve’s stimulation
Myelogram: A diagnostic imaging test used to look for problems in the spinal canal
How common is sciatica?
Sciatica is a very common condition. About 40 per cent of people experience some form of sciatica, according to the Harvard Medical School. Although it rarely happens before age 20, it becomes more frequent as people age. Men between 30 and 50 are more likely to have sciatica.
About 85 per cent of the population will suffer from back pain at some point in their life, but only between two and 10 per cent will have true sciatica, Canadian chiropractor James Lemieux said on the University of Alberta website.
“People who suffer from acute or chronic back pain tend to be more susceptible to sciatica,” Jeffrey N. Katz, professor of medicine and orthopaedic surgery at Harvard Medical School, said. “Your risk also rises if you’re obese, if you smoke, or if you’re sedentary.”
What causes sciatica?
Sciatica occurs when there is pressure on the sciatic nerve. It could also result in an injury. The common causes are:
Slipped or herniated disc: When the soft tissue between the bones (vertebrae) in your spine seeps out Spinal stenosis: Narrowing of the part of your spine where nerves pass through Spondylolisthesis: When one of the vertebrae (bones in your spine) slips out of position Back or pelvic injury Piriformis syndrome: A pain disorder involving the narrow muscle in the buttocks Tumours, cysts or other growths Osteoarthritis Pregnancy
What are the major risk factors for sciatica?
Some of the many potential risk factors listed by the Cleveland Clinic include:
Injury: Injuries to the spine or lower back increase the risk of developing sciatica. Wear-and-tear: As people grow old, normal wear-and-tear on the spine can lead to pinched nerves, herniated discs and other conditions that can cause sciatica. Obesity: A big belly or paunch can weaken the muscles in the back, leading to back strains, pain and other issues. Insufficient core strength: The strength of the “core” (muscles of your back and abdomen) is vital as abdominal muscles anchor the back muscles. Jobs: Works that involve heavy lifting, a lot of bending, or working in awkward or unusual positions may increase the risk of back problems. Prolonged sitting without proper back support may also increase your risk. Posture: Good posture and proper form are important when lifting heavy objects, weight lifting, strength training or similar activities. Or else it can lead to back problems. Diabetes: Type 2 diabetes increases your risk of peripheral neuropathy. That damages your nerves, including any of the sciatica nerves causing or contributing to sciatica. Physical inactivity: Prolonged sitting and a lack of physical activity can increase the risk of sciatica. Tobacco: Nicotine use can affect circulation and raise the risk of chronic pain, including sciatica.
What are the complications of sciatica?
Most people recover from sciatica within four weeks of treatment. In some cases, it may extend to a year.
A possible complication of sciatica is chronic or long-term pain, which results from unrelieved nerve compression. The main complications, according to the Health Encyclopaedia of the University of Rochester Merical Centre in the US, are:
1. Increased pain 2. A slipped or herniated disc 3. Loss of feeling or weakness in your affected leg 4. Loss of bowel or bladder function: Surgery will be necessary. 5. Permanent nerve damage: It could lead to chronic muscle weakness, such as a “drop foot,” making walking difficult or even impossible.
How is sciatica treated?
No treatment is required in mild cases, and recovery occurs over time. Bed rest is NOT recommended. Start mild exercises after the pain dissipates. But continued pain will require treatment, depending on the severity of the condition.
Self-treatment
In cases of mild pain, self-treatment can be helpful. If the pain doesn’t go away, seek professional help. These are some self-help tips from the Harvard Medical School:
1. Reduce physical activity for the first few days before resuming them slowly. 2. Avoid lifting heavy objects, and do not twist the back. 3. Ice or heat packs: They can help reduce pain and swelling during the first few days of pain. Apply ice packs (wrapped in a towel) for 20 minutes at a time, several times a day. After the first several days, switch to a heating pad or warm compress. Apply heat for 20 minutes at a time. 4. Physical activity: This is best learnt from a physiotherapist or a sports medicine expert. It will strengthen core muscles. 5. Seek professional help: If the self-care doesn’t help after a few weeks, it’s time to consult a doctor.
Regular treatments
Prescription medications: Painkillers, muscle relaxants and other medications may help relieve sciatica symptoms. Physiotherapy: A physiotherapist will ask the patient to do exercises to reduce pressure on the sciatic nerve. Stretching exercises, walking, swimming and water aerobics will also help. Spinal injections: Injections like corticosteroids may provide short-term relief (typically up to three months). But this is no substitute for therapies that give long-term relief. Alternative therapies: A chiropractor to adjust the spine, yoga, acupuncture and massage therapy might also help.
Surgery
Surgery to relieve the compression of spinal nerves is an option when sciatica is very severe. It is usually a last resort when all other treatments fail.
Doctors recommend surgery only if the pain that prevents a person from carrying out their normal routine. Particularly if the patient has symptoms of nerve damage or a possibility of nerve injury. A Mayo Clinic report said people with severe leg weakness or bowel or bladder changes might need surgery.
Surgery options, according to Johns Hopkins Medicine, include:
Discectomy: It is to remove fragments or small sections of a herniated disk that are pressing on a nerve. Laminectomy: Behind each vertebra is a section called the lamina. A laminectomy removes a section of the lamina that’s pressing the spinal nerves.
Is sciatica preventable?
Some causes of sciatica can be prevented, but it can also happen for unknown reasons, according to a Cleveland Clinic report. Anything that reduces the risk of nerve damage can only be good. That includes avoiding sitting for long hours or doing anything that puts pressure on the buttocks.
Here are some tips from the Cleveland Clinic to reduce the risk of sciatica:
Good posture: Maintain a good posture while sitting, standing and sleeping. Use a good technique (bend the knees) while lifting heavy objects to reduce stress on the back. Avoid tobacco: Nicotine from smoking or vaping reduces the blood supply to your bones, weakening the spine and its components. Body weight: Maintain a healthy weight by eating nutritious food. Calcium and vitamin D are good for bone health. Physical activity: That should include stretching and strength training. Increasing core strength and flexibility is good for back pain. Aerobic exercises can also help maintain a healthy weight.
Managing sciatica is all about pursuing a healthy lifestyle. Physical activity and strengthening core muscles are key to a pain-free life. So, get moving.
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