I have been recently diagnosed with sciatica. I have some difficulty in walking. I am having Tramadol and Paracetamol for pain relief but they are not helping much. Could you tell me the underlying cause? Will I require a walking aid?
Hi,Welcome to icliniq.com.
As you must be aware by now, sciatica is a term used when a person experiences radiating leg pain due to some pressure on the nerves.
Assessment will include intensity of back pain, intensity of leg pain, the distance you walk without any requirement of analgesic and detailed neurological examination including assessment of motor power, sensory evaluation and evaluation of deep tendon reflexes.
This will then be followed by dynamic x-ray and MRI scan of lumbar spine if required. Depending upon the correlation of clinical examination and investigation results, management can then be formulated.
If you have localized back pain with some radiculopathy symptoms with no other neurological symptoms like numbness, weakness, paresthesias, etc., then you can start with following recommendations for initial period of two to three weeks.
We will observe your response to this conservative management protocol for next two to three weeks. If you are not feeling better, then we might have to get some investigations like dynamic x-rays of lower back and few blood tests for evaluation.
Enclose your previous investigation and doctor's prescription. I can see them and advise you accordingly.
Disc prolapse.Investigations to be done:
X-ray LS (lumbosacral) spine - AP (anteroposterior) and lateral (flexion and extension) views.Treatment plan:
Avoid lifting heavyweight and acute forward bending in mornings.Regarding follow up:
Revert back with the investigation reports to an orthopaedician and traumatologist online.---> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist
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