Sciatica relief

PS also found a TENS machine helpful. Bought my own, quite cheaply, from Boots.

Pay to go privately to a recommended physio if you can afford it. Before now I’ve had torn muscles, broken bones, pulled ligaments etc.. and paid rather than wait and never regretted the customer.

The one time I was had a quick referral to an NHS physio I was disappointed.

I agree with Elegran, that's what I did. Stretching is important, especially for us older . My granddaughter has ordered for me capsules and cream from Acuraflex. It helped me a lot with sciatica and joints pain.

Until you can get an appointment with a physio, the absolutely simplest exercise is one of the post-natal ones - lie on your back with legs straight and make one of them as short as possible, the other as long as possible, then change them over. Don't force it, just stretch one and shrink the other. This is gently stretching each side of the spinal column. If you do this before getting out of bed the joints get a chance to loosen up a bit before being asked to take your whole weight.

Sudden movements are not good, always move slowly and gently. Better long and slow than snatch and grab.

Sorry, meant to add that the best exercise I've found to help with this kind of problem, is yoga. The exercises the physic's give are often yoga stretches. I started classes again a few months ago, and find it does help keep things moving.

Anti inflammatories, better than pain killers in my experience. Although if it's disturbing your sleep, a pain killer at bed time may help.

Find a good physiotherapist, use the link Elegran provided. My rheumatology department lent me a Tens machine. Great plan, you paid a £10 deposit, used it for a couple of weeks, if it helped, you paid an extra amount and kept it. As others have said, Boots sell them, and they aren't ridiculously expensive.

The other thing, is keep moving jenn. Your lifestyle sounds great as you'll have to, keep moving, horses don't feed, groom or sort themselves. Good luck, incidentally, my physio says the earlier you start treatment, the better. I trust his advice, he's helped me a number of times with neck, back, hip and more recently, foot problems. He said 6 sessions would sort it, or he'd write to my GP with recommendations about future treatment. He charges £30 for a session, mine usually lasted an hour, or more.

My experience is that a scan is vital, and physio will of course work but it depends on the cause of the pain. My DS had spinal surgery 2 months ago after excruciating sciatic pain, and going to physio as recommended. A piece of a disc had broken off, and was pressing on the nerve. No amount of physio or drugs were going to solve it. He is only slowly getting the feeling back in his leg, because it took so long to be properly diagnosed. I don't want to be accused of advertising, but there is a very cost-effective healthcare (not insurance) company that only costs about £2 a week. Is it okay to say that, GNHQ?

I work for a spinal surgeon. Physio definitely is the right way forward. An Xray is no good as it doesn't show up the nerve or nerves that are being trapped which is the cause of sciatic pain. Only an MRI can do that.

It rained so cancelled riding and read my book........now in agony. It looks as though I must keep on the move all the time!!!!

I had problems with the Piriformis muscle and it was agony. My physio came me easy exercises ie I did not have to be a contortionist or have equipment to do them and those and careful Pilates with a properly trained teacher sorted me out.

I go to see a physio every 6 weeks and do applied Pilates every week because I'm scared of seizing up. I try and swim at least twice a week too. It's not cheap but it means I can get about and hopefully will continue to do so for longer

I have just remembered that I was prescribed small doses of amitryptilene as a nerve painkiller.

I have had chronic sciatica for about 4yrs. I was eventually given a scan which indicated that it wasn't a protrubing disc. No followup was offered so I turned to Dr Google. I discovered Piriformis syndrome in which one of your buttock muscles is 'tight' and presses on the sciatic nerve. YouTube has some excercises for this which helped me somewhat. I rarely get pain from my buttock to my foot now, but the whole area over the right side of the top of my foot is still permanently numb and often painful. I still do the excercise if it gets bad. I do wish there was a permanent solution as my left hip is now going so I will have to cope with problems on both sides!

Thank you ladies.
I have arranged to see a sport therapist but am now wondering if I should have an x ray to find the cause. Today I have walked the dogs and swam 20 lengths and am just about to go and ride out, just niggles of pain but this morning it took ages to just put my pants on.
It does seem that any sort of resting starts it off I only need to sit for 5minutes and it is agony getting up, yet riding isn't so bad!!!
This getting older is a pain in the bum literally.

jenn I would echo the suggestion given by phoenix. I have a TENS machine (about £60 from Boot) and it's brilliant. Non-invasive and doesn't interfere with other treatments, but does provide excellent pain relief.

Thanks ladies,the g.p. has referred me for physio but I think it will be a long wait which is why I was asking what to do.I am able to pay but don't want to make it worse by going to the wrong person. Tomorrow I am seeing a sport physio but wonder after reading your replies if an x ray is needed to find the cause.

My husband had sciatica last winter and as you say, the pain is excruciating.
He had various tests, xrays etc and they found nothing. He tried to be more active and it wore off eventually.
A friend told us she had it for ages and in the end her doctor prescribed a psychiatric drug, can't remember the name. Blocked the pain centre in the brain, I think.

Mine was a bulging disc too, but it was not as far gone as yours. Anti-inflammatory painkillers allowed the inflammation to subside, and the exercises made the joints more flexible and strengthened the muscles supporting the spine so that it was held straighter and not pinching the nerve as it came out between the vertebrae.

If you can fix it now, an operation may not be necessary later. Just masking it with painkillers does not sort out the reason for the nerve hurting.

As Elegran says you need to find out the reason for the sciatica. If not it could make it worse. I saw a chiropractor first - big mistake.

Mine turned out to be a bulging disc. Physio didn't help me as it was too bad and I had to have an operation to shave the offending bit of disc. That was twenty five years ago and I've had no real problem since (touching wood now!) and was able to go back to riding - although supposedly no jumping.

You'll need to push your GP for a referral - and prescription painkillers.

I would see a good physiotherapist first. Acupuncture deals with the pain, not the reason for it. Chiropractors and osteopaths may help, but opinion is divided on whether all of them are effective at what they do. The Chartered Society of Physiotherapy (CSP), www.csp.org.uk/ , is the professional, educational and trade union body for the UK's 51,000 chartered physiotherapists, physiotherapy students and support workers.

The one I saw looked at Xrays, examined me very carefully and had me doing all kinds of movements to see just how much I could do before hitting pain, looking at me from in front, behind and from the side. Then she sat me down and told me exactly what was causing the pain and what we could do to ease it off.

She gave me a list of exercises to do, most of which were stretching the joints of my spine so as to take the pressure off the sciatic nerve, which was being pinched by two rather weary vertebrae. They were not strenuous, just gentle stretching repeated litle and often. The more I did the exercises, the better my back felt (and the electric wire from buttock to ankle stopped twanging at the least movement.)

All the GP did was give me even stronger painkillers, not tackling the root of the problem at all. Physios deal with joints, muscles and nerves all the time.

Get the right exercises for your case, then take a dose of painkillers half-an-hour before doing the exercises. As your flexibility improves, cut down on the painkillers. It is better to take quite strong ones for a limited time so that you can bear to do the exercises, rather than just take them to dull the pain.

Have you thought about a Tens machine?

jenn is the sciatica acute or chronic?

What painkillers did your GP give you? Maybe a mixture of Panadol and non steroidals may help.

I know that it kills you but you have to keep active. I would choose the physio route first.