Treatments for sciatica

Any disease is very harmful to human health. Therefore, the choice of method is critical when treating the disease. However, it should be noted that when treating the disease, the patient's lifestyle also needs to be improved. Some bad habits need to be improved, especially for people who like to stay up late. So what are the treatments for sciatica?

Sciatica is a very common disease. Such a disease is very harmful to human health. Moreover, if such a disease does not receive good treatment, it will also cause various problems in the patient's body. So what are the treatments for sciatica?

Treatments for sciatica:

1. Western Medicine

1. Treatment should be directed at the cause. During the acute phase of lumbar disc herniation, resting on a hard bed for 1-2 weeks can often stabilize the symptoms.

2. For symptomatic treatment, pain can be treated with paracetamol plus codeine 30 mg, 3-4 times/d, as well as other non-steroidal analgesics such as ibuprofen, naproxen, etc. Muscle spasms can be treated with diazepam 5-10 mg orally, 3 times a day; or cyclobenzaprine 10 mg orally, 3 times a day, which may be effective.

3. In severe cases, dexamethasone 10-15 mg/d can be used by intravenous drip for 7-10 days. Generally, prednisone 10 mg can be taken orally 3-4 times a day, and 10-14 times as a course of treatment. Paravertebral blockade can also be performed with 1%-2% procaine or 1 ml of prednisolone. It can be combined with acupuncture and physical therapy, and conservative treatments can often provide relief. When the therapeutic effect is not good, pelvic traction or prednisone epidural injection can be used. Surgical treatment can be considered for individual ineffective or chronic recurring cases.

1. Rest in bed:

Especially in the early stages of intervertebral disc herniation, some patients can rest on a hard bed for 3-4 weeks and their symptoms will improve on their own.

2. Drug treatment:

Analgesics, B vitamins, and a short course of oral corticosteroids can help recovery.

3. Physical therapy:

In the acute phase, ultrashort wave therapy, ultraviolet irradiation and other treatments can be used. In the chronic stage, shortwave therapy and direct current iodine ion introduction can be used.

2. Traditional Chinese Medicine

Chinese medicine treatment

1.

【Syndrome differentiation】Cold and dampness blocking the body.

【Treatment method】Dispel cold and dampness, relieve numbness and relieve pain.

【Formula name】Quanbi Zhentong Decoction.

[Composition] 10g of processed Chuanwu, 10g of processed Caowu, 6g of Asarum, 15g of Achyranthes, 12g of Atractylodes, 12g of Stephania, 10g of processed frankincense, 10g of processed myrrh, 15g of Chuanxiong, 12g of cinnamon twig, and 6g of liquorice.

[Usage] Decoction in water, 1 dose per day, twice a day.

【Source】Zhoutian Han Fang.

2.

[Syndrome differentiation] Stagnation of wind, cold and dampness, and obstruction of meridians.

【Treatment method】Dispel wind and dampness, dispel cold and relieve pain.

[Prescription name] Soap and ginger soup.

[Composition] 30 grams of Sophora flavescens, 9 grams of Angelica dahurica, 9 grams of Aconitum carmichaelii, 6 grams of Cinnamon bark, 15 grams of Curcuma longa, 15 grams of Atractylodes macrocephala, 30 grams of Coix seed, and 9 grams of Stephania tetrandra.

[Usage] Decoction in water, 1 dose per day, twice a day.

【Source】Lü Guangzhenfang.

3.

[Syndrome differentiation] Wind, cold and dampness block the meridians, causing poor circulation of qi and blood and loss of nourishment to the tendons and veins.

[Treatment method] Relax muscles and tendons, activate collaterals, promote blood circulation and relieve pain.

[Prescription name] Shujin Huoluo Drink.

[Composition] 15 grams of Angelica dahurica, 12 grams of Polygonum multiflorum, 10 grams of Rhizoma Coptidis, 12 grams of Eucommia ulmoides, 15 grams of Achyranthes bidentata, 12 grams of Dipsacus asper, 10 grams of Papaya, 30 grams of Millettia reticulata, 9 grams of Safflower, 12 grams of Angelica sinensis, 9 grams of Ligusticum chuanxiong, and 10 grams of Pheretima.

[Usage] Decoction in water, 1 dose per day, twice a day.

【Source】 Zeng Chongfang.

5. Others

4.

[Diagnosis] Wind, cold and dampness invade the skin, flow into the meridians, the dampness condenses into phlegm, the phlegm and blood stasis are intertwined, blocking the meridians, and the Ying and Wei cannot flow smoothly.

[Treatment method] Dispel wind and dampness, promote blood circulation and remove blood stasis, eliminate phlegm and dredge meridians.

【Formula name】Tongjing Zhitong Decoction.

[Composition] 10 grams of processed Arisaema, 10 grams of Angelica dahurica, 10 grams of Phellodendron chinense, 10 grams of Chuanxiong, 10 grams of Carthamus tinctorius, 10 grams of Notopterygium wilfordii, 25 grams of Clematidis, 15 grams of Atractylodes macrocephala, 15 grams of Peach Kernel, 15 grams of Stephania tetrandra, 15 grams of Corydalis yanhusuo, 15 grams of Angelica dahurica, 6 grams of Gentiana scabra, 12 grams of Shenqu, and 12 grams of cinnamon twig.

[Usage] Decoction in water, 1 dose per day, twice a day, 3 days as a course of treatment.

【Source】Li Zhi Fang Fang.

【Syndrome differentiation】Cold and dampness blocking the meridians.

[Treatment method] Promote yang and relieve numbness, expel dampness and cold.

【Prescription name】Qubi Decoction.

[Composition] 6-12 grams of asarum, 6-12 grams of processed Aconitum kusnezoffii, 6-12 grams of processed Aconitum carmichaelii, 15 grams of Ephedra, 20 grams of Achyranthes bidentata, 20 grams of papaya, and 10 grams of frankincense.

[Usage] Decoction in water, 1 dose per day, 2 times a day. Start with a small amount of Asarum and processed Chuanwuwu and increase the amount gradually.

【Source】Li Shuwen’s recipe.

Through the above introduction, we have a good understanding of the treatment methods of sciatica. Therefore, when treating it, you can choose the above methods. This will be of great help to improve the patient's disease and prevent the patient's disease from continuing to develop. At the same time, it is also very helpful to stabilize the patient's disease.