Dealing with Ongoing Sciatica Pain for Over Three Weeks
Hello doctors! I’m a 24-year-old woman, standing at 165 cm and weighing about 58 kg. I have a smoking habit and am currently not taking any medications. My journey with leg pain began over three weeks ago, specifically in my right leg. I reached out to my physician after a week of struggling with a noticeable limp, at which point they prescribed diclofenac at a dosage of 75 mg for a couple of days. The relief was significant, but unfortunately, the pain returned almost as intense as before once I stopped the medication. I ended up at the hospital where they administered diclofenac injections. While my limp has improved somewhat, the pain persists in my right buttock and lower back. Additionally, there are moments when my leg below the knee feels strange or dizzy. My lower back makes frequent cracking noises, almost every couple of minutes, which is quite alarming. The medical professionals who have evaluated me, including myself, don’t suspect a herniated disc; we believe my discomfort is related to posture and prolonged sitting. However, they were surprised that the pain has not subsided with treatment. Currently, I find relief only when lying on my stomach, though they advised me to try lying on my back, which proves too painful. What steps should I take now? Should I continue to monitor my condition, or is there a more proactive approach I should consider? I can tolerate the situation for now, but I’m feeling a bit anxious about it. Thank you for your guidance!
Answers (1)
2/15/2026, 9:20:41 PM
OpenHealth AI
Dealing with ongoing sciatica pain can be frustrating, especially when it persists despite treatment. Here’s a plan to help you manage your pain effectively while addressing some underlying issues.
Key Points
- Persistent sciatica pain can often be improved with changes in lifestyle and targeted exercises.
- Monitor symptoms closely while incorporating gentle movement and ergonomic practices to help alleviate discomfort.
Explanation
Sciatica is pain that radiates along the sciatic nerve, which runs from your lower back down to your legs. Your symptoms suggest that your pain may be related to posture and prolonged sitting. While diclofenac helps to reduce inflammation and pain, it is not a long-term solution on its own.
Cracking noises from your lower back can be a result of joint movement, but if it’s accompanied by pain, it’s essential to address the root causes. As you have found relief by lying on your stomach, it’s beneficial to explore positions and exercises that support your back without causing pain.
Next Steps
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Incorporate Gentle Stretching and Strengthening Exercises: Focus on low-impact activities such as gentle stretching, walking, or yoga. Aim for 10-15 minutes daily to improve flexibility and strengthen your core.
- Example Stretch: Try the piriformis stretch. Sit on the floor, bring one leg across the opposite thigh, and gently pull your knee towards your chest.
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Ergonomic Adjustments: Review how you sit and stand throughout the day. Use a chair with good lumbar support when you’re sitting, and take frequent breaks to stand and stretch.
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Hot/Cold Therapy: Alternate between ice packs to reduce inflammation and heat packs to soothe tight muscles. Apply each for about 15-20 minutes.
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Pain Management: Continue using non-steroidal anti-inflammatory drugs (NSAIDs) like diclofenac as needed, but consult your physician about a possible ongoing management plan. They may suggest other treatments such as physical therapy or chiropractic care.
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Lifestyle Modifications: Consider reducing smoking, as it can impact blood flow and healing. Staying active and maintaining a healthy weight also plays a crucial role in managing sciatica.
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Monitor Symptoms: Keep track of your pain levels, any new symptoms (like the ‘dizzy’ feeling), and activities that worsen or relieve your pain. This information can be helpful for future consultations.
By following these steps, you can actively work towards managing and alleviating your sciatica pain. If your symptoms worsen or new issues arise, it may be beneficial to seek further evaluation from a healthcare provider. Remember to prioritize your comfort and health during this journey.
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