As a standard, analgesics and anti-inflammatory drugs from the NSAID group with stronger effects are used, e.g.:

- diclofenac (e.g. Olfen, Dicloduo)

- ketoprofen (Ketonal)

- coxibs (selective anti-inflammatory drugs, e.g. Roticox, Aclexa)

and/or additionally centrally acting analgesics - usually a combination of paracetamol and tramadol (Poltram Combo, Doreta).

Drugs that reduce muscle tension (and thus improve the patient's quality of life - increased tension is associated with increased pain) are also often prescribed, e.g. Mydocalm, Sirdalud.

The third drug that complements the treatment are preparations containing high doses of vitamin B1, e.g. Neurovit, which alleviate neuralgia.

It is worth using the practices described in the article - taking the right position, using compresses, choosing the right mattress, etc. It can reduce the frequency of pain attacks and speed up the treatment process:

https://www.gdziepolek.pl/kategorie/rwa-kulszowa-bol-kregoslupa

In case of any doubts, I encourage you to use the teleconsultation with an orthopedist - the service is available on our website in the e-visit tab:

https://www.gdziepolek.pl/telekonsultacja/z-ortopeda

Yes, glucocorticoids such as dexamethasone or methylprednisolone (Metypred) can be used to treat sciatica, especially in cases where there is severe inflammation or swelling of the nerves.

The legitimacy and need for glucocorticoids in the treatment of sciatica is assessed by the doctor. The choice of a specific drug should be tailored to the individual needs of the patient, taking into account the patient's health condition, medical history and potential side effects. It is important that the decision on treatment is made by a doctor who will assess which medicine will be most appropriate in your case. Do not use this type of preparation without consulting your doctor.

And for example, what glycosteroid names dexamathasone or metypred?

Yes, glucocorticoids can be used for sciatica, especially if the symptoms are the result of inflammation or pressure on the sciatic nerve. They are anti-inflammatory and can help relieve pain and reduce swelling. They are usually used for short-term therapy, and their use should be supervised by a doctor to avoid potential side effects. It is also worth considering additional treatment methods, such as physiotherapy or painkillers, in order to achieve optimal therapeutic effects.