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Pain Management

Easing Sciatica Pain

05/30/2007

Question:

What`s the best way to ease the pain from this condition?

Answer:

The answer depends on the duration of the condition and the causative factor. Potential treatments include epidural steroid injections, medications that work on nerve-mediated pain (some of the anti-seizure and some anti-depression medications may be useful), physical therapy when combined with the above, surgical interventions if indicated and finally neuromodulation interventions (such as spinal cord stimulation) if there had been a previous failed back surgery.

The appropriate intervention depends on the clinical situation. An evaluation with one or more Pain Medicine specialist(s) would be useful in deciding the appropriate treatment.

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Response by:

Salim M Hayek, MD, PhD Salim M Hayek, MD, PhD
Associate Professor of Anesthesiology & Perioperative Medicine
School of Medicine
Case Western Reserve University