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Treatment
When the cause of sciatic is due to a prolapsed or lumbar disc herniation 90% of disc prolapses will resolve with no specific intervention. Treatment of the underlying cause of the compression is needed in cases of epidural abscess, epidural tumors, and cauda equina syndrome.
Many cases of sciatica are treated with different modalities. Evidence of effectiveness for these measures are however limited.[8] Some of these measures include:
Anti-inflammatory medications (e.g. NSAIDs or oral steroids though NSAIDs are no more effective than a placebo for acute sciatica. [9]
Acetaminophen: limited evidence
Narcotics: often used if severe pain
Physical therapy / Stretching exercises: no evidence of improving pain or function
Epidural steroid injects: no long term improvements in outcomes but some short term benefits
Non-surgical spinal decompression
Massage Therapy: little support
Chiropractic: no benefit has been found over concerative treatment
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