Hello doctor, I'm 48 years old, recently I'm...

sciatic pain

• The goals of nonsurgical sciatica treatments are to relieve pain and any neurological symptoms caused by a compressed nerve root. 
• heat and/or ice packs  help alleviate the leg pain especially in the initial phase. Usually is applied for 20 minutes, and repeated every two hours.
• take  Nonsteroidal anti-inflammatory drugs (such as ibuprofen or naproxen),
• or oral steroids can reduce the inflammation cause of pain. 
• Muscle relaxants or narcotic medications also be taken for  few days and up to 2 weeks .
• If the pain is severe, an epidural steroid injection can reduce inflammation. 
• massage therapy
• Physical therapy
• keep your healthy weight 
• surgery for sciatica in the following situations: you need lumbar MRI exam radiologic befor .

1. Severe leg pain that has persisted for 4-6 weeks or more
2. Pain that is not relieved after sciatica treatments, such as oral steroids, non-steroidal anti-inflammatory medication, manual manipulation, injections, and/or physical therapy
3. Limitations ability to participate in everyday activities

• pain in one side of the buttock or leg 
• Pain increased when sitting
• Leg pain described as burning, tingling, or searing
• Weakness, numbness, or difficulty moving the leg, foot, and toes
• difficult to stand up or walk
• Pain that radiates down the leg and possibly into the foot and toes

1. the pain  may extend to the big toe and ankle (called foot drop). 
2. you  may feel pain or numbness on top of the foot, particularly between the big toe and second toe.

• progressive neurological symptoms ( leg weakness) 
• and pain in both legs (called bilateral sciatica)
• or that cause bladder or bowel incontinence or dysfunction
• or altered sensation in the genital area or "saddle area" it is  cauda equina syndrome. 
• Infection or spinal tumors .

• Lumbar herniated disc
• Degenerative disc disease
• Isthmic spondylolisthesis
• Sacroiliac joint dysfunction

• overweight 
• smoking
• If you have fracture in a lumbar vertebra
• infection in the low back can affect the nerve root and cause sciatica.
• Pregnancy.