anyone have sciatica? How long did it last? What did you do for cure?

I've had sciatica, but it has always been a more acute thing for me that comes on suddenly and is gone relatively quickly mostly using heat compression and over the counter pain medications. My wife had more of a chronic issue and physical therapy was the only thing that got her out of it. I've had other nerve compression issues in my upper back that were chronic and lingered for weeks and months and physical therapy was also my ticket out...and I haven't had any issues in probably 2-3 years now, but I still keep up with my physio homework, so maybe that's why.

Yes, I have had it for 15 years now, started with pregnancy and never went away. Been managing it with lowering my inflammation, which after many years of suffering turned out to be exasperated by sugar intake. In 2020, I lost over 40 Lbs and in the process reduced my sugar intake significantly and have been pain free since. I still can't hike, my sciatica pain comes right back. I still have no idea why hiking is different from running or weight lifting which I do regularly with no pain.

I highly recommend seeing a PT. There are several stretches my PT had recommended that I still continue to do after my workouts. I hope you feel better soon. I know how painful it is to do even the basic things.

sarah7591 wrote: »

@xellercin....thank you for your insight. When you say physiotherapist....do you mean physical therapy? That will most likely be my next move. I have never heard of prolotherapy. Could you expand of that? I am able to swim fortunately but even walking starts to bother me after a little bit. Thank you for input.

Yes, physiotherapy is the Canadian term for PT, it's the same thing, but insurance works very different here, so PT does as well sometimes.

Prolotherapy has very little research behind it, it's in the same realm as all of the "regenerative" injections like PRP, stem cells, etc. None of them have great research behind them and they are useless for a lot of patients, but they work really well for others. So it's kind of a trial and error thing.

Prolotherapy tends to be the cheapest because it's just sugar water. The concept is that you inject sugar water into the injured area, this causes more inflammation in the area, which sounds counter intuitive, but it triggers more active healing in the area. At least that's the theory.

A lot of treatments in medicine are poorly understood and poorly supported by research, so that's not unusual. I'm lucky that it works really really well for me and isn't too expensive where I live. $200-350 CAD depending on the treatment area, spine is more expensive. Compared to $1200 USD in some US areas.

Treatment depends on the cause. If it is due muscle spasm, treatment is NSAIDs, possible muscle relaxers, and stretches. If the cause is a bulging disc, impact exercise like running is not recommended and PT is helpful in addition to the above.

I have dealt with it off and on for 15 years. It worsened in the last 5 years. I discovered 2 years ago that I have two bulging discs. I avoid any spinal flexion or exercises like squats, sit ups, and running. Spinal extension stretches help me a lot. Walking too much also makes my pain worse so my activity is limited now. I used to get 10,000+ steps most days. Now I get around 5,000-7,000.

For people with spinal stenosis, spinal flexion helps. So it depends on what the cause is….

Definitely talk to your doctor.

Sciatica is a symptom of an issue. I would recommend looking at the Bob and Brad "The Most Famous Physical Therapists on the Internet" They are 2 physical therapists with close to 60 years experience between them. They have hours of educational material on sciatica. Good luck.

https://www.bobandbrad.com/

christyhut12 wrote: »

I actually had issues with this for YEARS! 2 MRIs said bulging disc, PT didn't work, steroid injection didn't work. Finally went to an ART Chiro and she noticed that my SI joints (sacroiliac joints) were out of alignment and putting serious pressure on the nerves. Turned out to have little to nothing to do with the discs. None of the other docs ever even looked at my pelvis alignment.
Ended up doing prolotherapy since my SI joints wouldn't hold and it was the best thing I've ever done. After many many years of being in pain and having to brace myself for a sneeze (fell over in Target once due to a sneezing fit SOOOO embarrassed) I haven't had serious pain from my sciatic nerves in over 2 years. I still see my ART chiro (active release therapy, so they don't crack joints, they work with the soft tissue to release the joints) periodically, but she and the prolotherapy saved my life.

I too have great response to prolotherapy, it kept me walking a year longer than I should have been able to. Here chiros can't do it though, only MDs.

@sarah7591 I'm so sad for you. I know that at times when it's flared up on me over the past couple years, even the thought of not being able to run felt like it would devastate me.

I'm happy you're going to PT, I was almost going to do that. I happen to also have a good friend who had a slipped disc in her back that was causing her a lot of sciatica as well -- and she was on a similar regimen to you it sounds (gaba and PT). She's much better now, but I know she was frustrated at having to be pretty sedentary for a long time.

Talk to your PT more I'd say and ask if the strengthening/stretching/mobility stuff would be good to start all together. I also almost made an appointment with an OD (osteopathic doctor), who also specialized in musculoskeletal ultrasound --- I got a recommendation from a friend who's struggled with some tendonitis and he is still my plan if I ever get bad pain that I can't kick on my own again. So maybe look into that type of doctor -- usually their appts are long and detailed and his included an ultrasound -- and there was a PT office right there too in case I'd need that. It would have been out of pocket I think but at least the first appt was less than $250ish....so to me it was worth it to at least start to figure out what was going on.

I wish the best for you and hope you can get back out to pound the pavement soon!