I mainly use heat, Aleve, and Tramadol to combat the pain. I am 49. It has gotten much worse and more frequent in the past year; it occurs mainly when walking or standing more than 10 or 15 minutes. My Neurologist and Int. Med. Physician are both reluctant to prescribe narcotics. I've tried a pain management clinic: a lot of tests, but no solution. Any other suggestions?
I recommend physical therapy to learn exercises that will relieve the pressure on the pinched nerve. The other alternative if the condition is severe enough is injections of various types which would be done by the pain specialist. Otherwise, there are other medications to try besides narcotics. As to whether they would help your specific situation, can't say. Might ask the doctor about Lyrica, a medication prescribed for neuropathy.
Hi Denise,I can't tell you how many times that has happened to me.I am trying to bite the bullet rite now but injured my back the other day and if you feel comfortable trying something instead of what you are taking ... I used a 5 mg. Valium 3 times a day and I ultram at am and bed time.this does work for me but you will for sure still feel discomfort.I got this recipe from a very good friend who is an er doc and really tries to keep drugs down to a minimum.also if you can stretch your glutes and quads,front and back of legs..carefully.check with dr. First and if you need more help feel free to ask me,I know you are hurting! Ouch,big hugs,c
U might want to ask your pain specialist about a procedure called RFA or Radio Frequency Ablation. I recently had it performed on me for the exact type of pain. I had been on narcotics, for which caused me to get addicted to them. Yes, they relieved the pain but I started using them for reasons other than the pain, and I started needing more and more to achieve the same effect... such are the nature of these drugs. I find that ice works much better for this pain than heat. The thing that finally helped was the RFA. I was no longer able to use narcotics because of my addiction problem. I am now on suboxone to treat my addiction problem. Not everyone on narcotics get psychologically addicted like I did but the physical addiction is inevitable... again, such are the nature of these drugs.
So, my friend, you might want to look into this RFA procedure for your pain if it gets much worse. Good luck. I truly hope you can find some type of relief because I DO understand and empathize with you on the pain that you are experiencing. All my best to you... pup
I think I can chime in here..I have had sciatic pain in the past and it went undiagnosed for a LONG time..I was even getting injections in my hip bc I thought that's what was wrong but it turns out it wa PIRFORMIS syndrome.
If you can see a PT or a Massage therapist and tell them about your pain I think it will help in them treating it. At least read about PIRFORMIS syndrome and see if it applies to you. Try not to take narcotics if possible as it only masks the pain IMHO.
I hope this info helps
PS here's a stretch that might help:
Lie on the ground face-up
Lift your right leg (assuming you want to stretch your right piriformis) and externally rotate it away from midline
Place the outside of your right ankle on top of your left knee
Slowly bring your left knee (and, along with it, your right ankle) towards your chest
If and when your left knee gets close enough to your chest, clasp your hands around your left hamstring muscle, just below your left knee
Use your hands and your left hip flexors to pull your left knee and right ankle towards your chest even more until you feel a firm stretch your right buttocks
Hold for 30 seconds and repeat for the opposite piriformis as desired, no more than piriformis stretches per side per day
Keep your lower back flat on the ground; do not allow your butt to lift up at all or you're cheating.
You have recieved some really awsome advise here. I would just add maybe getting a second opinion, if you feel you're not getting anywhere. Sometimes it doesn't hurt to get one. I know it has helped me allot by getting a second opinion in the past. Good luck to you and God Bless! Ruth
I found a deep tissue massage therapist (not through a massage school). He's more into natural alternatives and can feel if your organs are puffed up, not working correctly, etc... He also does acuppresure. Sometimes finding someone who's been around for ages and know what their doing, can really help to make sure all your muscles are in the right place and can help aleviate the pain. Good luck.
Hi Runnermom, that was a FANTASTIC exercise you recommended!!! thank you soooo much... I don't have insurance so am trying to treat myself and you really helped. I also really don't want to take any meds only as a LAST resort. At the end of your post I think you were going to add how many? of each stretch was recommended? and where did you hear about it? really curious and grateful in NY, mindy
I forgot to tell you that you might look into a Neurostimulator. It's like the TENS unit but it's basically inside of you. It blocks the pain signal from getting to your brain. It covers 100% for some but for me it was more like 80. There's a small battery that goes on your butt, then 2 leads up your spine then you control with a remote control the intensity that you need covered. It's a very quick out patient surgery. Good Luck and let us know how you are doing.
I suffer from sciatica as well. The pain is in the same location as youeatrs. Yeah, I can't stand that long it aggravates the tender spots. Using heat where the pain is located - have you tried BioFreeze? It is similar to benegay. It does help. I take Tramadol, Lyrica, and Toradal.
Good luck take care of yourself.
Inversion tables can help in physical therapy, if you can take hanging all the way upside down even better, but you dont have to if you dont want. There is a tether that holds you at 70 degrees. I take Lyrica 50mg 2x's a day, and tramadol when I see fit. For me going without Lyrica is very painful. Tramadol does the rest... everything is addictive so if those are your concerns remeber physical therapy is there... But try the table, when everything else fails for me this is my back-up.
- Tramadol Information for Consumers
- Tramadol Information for Healthcare Professionals (includes dosage details)
- Side Effects of Tramadol (detailed)
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