Which therapy is there?
The treatment methods are not only diverse, but are sometimes rated differently. It is undisputed that those affected need patience. The healing process usually takes several weeks to months, despite supporting measures.
- There are a number of medications available that relieve pain (analgesics), inhibit neuritis (anti-inflammatory drugs, corticosteroids) and relax the muscles (muscle relaxants); In addition, local injections to the nerve root for anesthesia and anti-inflammatory are used.
- Accompanying applications: It is often recommended to keep the legs (stepbed) bent at the hips and knees upright. However, it is now known that the relaxation should be replaced as soon as possible by slight movement to relax. Whether heating or cooling applications are good, is individually different.
- Physiotherapy, chiropractic: These are usually used after the acute symptoms subsided. The goal of physiotherapy in particular is not only to alleviate the symptoms, but above all to learn strategies to prevent long-term further attacks (muscle building, back training).
- Operation: Especially with this therapy option, the ghosts divorce. The tendency today is for surgery to be performed either in acute nerve crushing or when the symptoms do not get better or worse after several weeks of conservative treatment. In addition to general surgical risks, surgery also always carries the risk of scarring, which can worsen the symptoms.
What must the sufferer pay attention to?
The individual procedure must be coordinated with the doctor treated. It is important to take the prescribed medications on a regular basis and to control the pain instead of waiting until you can not stand it anymore (this only worsens the symptoms unnecessarily).
Normal activities are healing, day-long protection is rather counterproductive. Small setbacks are normal and should not discourage you. However, if the symptoms increase continuously or if there is no improvement at all, a new doctor's visit is advisable.
What are the course and prognosis?
Most of the ischial syndromes heal after a few weeks without residual symptoms, only in a few affected people relapse or surgery is necessary. It is helpful to adapt the lifestyle and to pay attention to back-friendly behavior. Many health insurance companies offer appropriate training programs; Even the attending physician or therapist can often provide contact addresses.