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Monday, 09 October 2023



Customer question:

Can compresses help with sciatica? Anonymous customer's question



Pharmacist's answer:

Cold compresses can be a valuable and immediate home remedy for acute pain. As with any home remedy, paying attention to how your body reacts is essential.

If you notice increased pain, redness, or other side effects, stop using it immediately and consult your doctor about other treatment methods. 

Advantages of cold compresses for sciatica:

    • Reducing inflammation: The effect of cold can often reduce swelling and calm inflammation in the affected area, a common contributing factor to sciatica pain, especially if a herniated disc or muscle inflammation causes it.
    • Restriction of blood flow: cold narrows blood vessels, reduces blood flow to the inflamed area, and thus subsequently calms the inflammation.
    • Numbness of the painful area: compresses can provide temporary numbness in the applied area and relief from sharp or severe pain.



How to use cold compresses for the treatment of sciatica?

Gel-based cooling packs can be purchased from an online pharmacy, or you can make your own with a bag of frozen vegetables or ice cubes wrapped in a cloth or towel. Never apply ice directly to the skin, as doing so can cause frostbite. Place the cold compress on the affected area - your lower back, buttocks, or wherever you feel the most pain.

Keep the cold pack in place for about 15-20 minutes. Cold pack therapy can be repeated every 1-2 hours. Cooling therapy can be particularly effective in the first 48-72 hours after a sciatica flare-up. After the initial acute phase (usually lasting a few days), many people find relief by switching to heat therapy, which can relax and "lose" the tissues and stimulate blood flow to the problem area. It should not be overemphasized that you should avoid heat therapy if the inflammation is still active, as it can worsen it.

Some individuals benefit from alternating cold and then warm treatment. For example, use cold compresses in the morning, especially if stiffness is a problem, and then switch to heat therapy during the day to effectively relieve muscle tension or spasms.



Where is the sciatic nerve located?

The sciatic nerves branch from the lower back through the hips and buttocks and down each leg. The sciatic nerve is the longest and widest nerve in the human body. The primary role of the sciatic nerve is to innervate muscles in the thigh and leg and to provide sensory information from this area back to the brain. It is important to note that sciatica pain can often follow the path of this nerve, originating in the lower back or buttocks and traveling down the back of the thigh and can spread to the lower leg and foot.



How do we make a poultice at home?

Use a package of frozen vegetables or partially fill a plastic bag with small or crushed ice cubes. Wrap the bag in a dry cloth, hold the compress on the painful area, and add ice to keep it cool. Never apply ice directly to the skin, as heat therapy can cause frostbite or skin burns. You can also buy gel-based Cold Hot compresses at the pharmacy.



Interesting reading: Sciatica pain in the buttock

Interesting reading: Natural help for sciatica



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