Sciatica (acute) - Description and treatment

Are you affected by pain in the lumbar region your spine? This pain can be the first indicator of sciatica. One sudden move or chilling to the area is enough to induce severe lower back pain and lumbar spine pain – sciatica or inflammation of sciatic nerve.

Warning:Do not use this or any other article on the internet to diagnose yourself. Only physicians can correctly diagnose patients. Do not postpone seeing your physician to resolve your health issues in time.

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Ischias - popis diagnózy a liečba
Picture : Sciatica (acute)

Characteristics of Sciatica and its Causes

Sciatica (acute lumbosciatic syndrome) is characterised by sudden severe pain in the lumbar spine shooting down the leg. It is a very painful and unpleasant disease, also known as lumbago.

It is a result of sciatic plexus compression in the lumbar and cervical spine with severe pain shooting down the lower limb and restricted mobility.

The most common cause is a  herniated disc, or the so-called dislocated disc (a disc moved out of its normal position).

After episodes of sciatica with lumbar herniation, there is an increased risk of paralysis in one of the lower limbs. This can arise immediately or within a few hours.

Causes of sciatica include:

  • a sudden move,
  • chilling of the area,
  • inflammation of nerves (neuritis sciatica),
  • physical strain in inappropriate positions – e.g., lifting weight.

Sciatica Treatment – Rid yourself of the Pain

When determining correct treatment of acute sciatica, it is important to know whether the nucleus pulposus (the core of a disc) is herniated. If it is, neurosurgical intervention is necessary.

If the nucleus pulposus is not herniated, the treatment is usually conservative.

Non-steroid anti-rheumatics may be administered. In order to decrease muscle tension in the area, muscle relaxants may be administered. Bedrest is often recommended.

  • Lumbago – sudden pain and cramping in the area of spine.
  • Lumbosciatic syndrome – a herniated disc in the area of lumbar spine.
  • Mesocain – a local anesthetic and antiarrythmitic.
  • Muscle relaxants – medicaments inducing relaxation of striped muscles.
  • Non-steroid anti-rheumatics – non-steroid medicament with analgesic, antipyretic and anti-inflammatory effect.

In order to achieve more significant pain reduction and muscle relaxation, physical therapy is used utilising electric treatment, ultrasound, laser, diathermy, magnetic therapy and others. Physical therapy leads to renewed circulation, reduced swelling, and thus diminishing pressure on the nerve root and decreasing pain.

In case of mild pain which does not impede mobility, it is recommended to perform simple stretching exercises – this is best done in cooperation with an experienced physiotherapist.

The basis for prevention is plenty of physical exercise, good posture and a properly-chosen mattress.

Within the rehabilitation treatment, low-frequency pulsed magnetic therapy has its place as it to targets the symptoms that bother patients the most. It utilises the analgesic, muscle-relaxing, anti-swelling and healing effects with the support of an anti-inflammatory effect. Magnetic therapy relaxes spasms, mitigates pain, reduces swelling, promotes metabolic conditions in tissues, stimulates healing and brings general relief

Home applications are a huge convenience which allows the patient to continue intensive rehabilitation at home, out of hospital facilities.

The possibility to start treatment early in a new issue and the opportunity to perform long-term daily maintenance applications is also a big benefit.