The majority of disc problems will resolve regardless of treatment. Bed rest is occasionally best for initial management of severe sciatica, but most people can keep active with some restrictions according to the level of pain. Good pain control and allowing the person to move is often a good approach.
Some common treatments include:
Heat treatment
Regular massage
An exercise program designed to improve strength and flexibility
Non-steroidal anti-inflammatory drugs (NSAIDs) or steroids
Pain-relieving medication
An injection of anti-inflammatory steroids into the region of the disc
Uncommonly, in severe cases of ruptured disc, an operation may be needed to trim the protruding bulge (laminectomy)
Also uncommonly, in severe cases of degenerative disc disease, an operation may be needed to remove the disc and fuse together the two vertebrae on either side.
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