For the severe or ongoing pain in thighs, the condition must be treated so that the condition does not deteriorate over time and cause further complications.

There are several non-surgical interventions that can be explored including medications and regular exercise, which both assist in pain relief. For some, the pain is so severe and does not improve with the help of alternative medicines and/or exercise, these patients need to explore a more structured approach to treatment, and in some instances they may need to explore surgical procedures.

Non-surgical Treatment

The goals of treatment is to provide pain relief and address the neurological symptoms caused by the compressed nerve. There is a wide range treatment options, the below indicate one or more treatments options recommended to address this pain and condition:

Cooling / Heating

For acute thigh pain, hot and/or cold packs are a great way to relieve pain in the legs, especially in the initial stage. Usually cold and/or hot packs are held for about 20 minutes and this process is repeated every two hours. Most people first use ice, but some find heat as a better form of pain relief. If applying a cold pack, its best to apply ice in a cloth or a towel to avoid burning the skin with the ice.

Cream

Pain relief creams are a natural and effective solution for problems with joints, muscles, arthritis and sciatica. Creams are usually applied directly to the skin on the stiff, painful, inflammatory and swollen spots of ligaments, tendons, nerves, bones, muscles and joints. The ingredients in such creams include; aloe vera, vitamin E, turmeric, eucalyptus and other ingredients that help to quickly eliminate pain in specific places. The cream acts as an analgesic and anti-inflammatory and reduces pain, reduces swelling and speeds up rehabilitation and treatment.

Capsules

Capsules containing natural curcuma extract, vitamins C, D, B6 and B1, magnesium and calcium have been proven to be an effective and unique therapy that helps in the rapid pain relief in the joints, sciatica and arthritis. The capsules are completely natural way of attempting to treat these symptoms. Please do bear in mind that these need to be taken at least over a period of three (3) months before results can be seen.

Pain medications

Prescription medication is often the most effective way to reduce and/or alleviate sciatica. Non-steroid/anti-inflammatory medication (such as ibuprofen or naproxen) or certain types of steroids can reduce inflammation, which is usually the cause of the pain. Pain medication can be prescribed for short periods of time (several days and up to 2 weeks).

Turmeric

Oil from turmeric and its extracts are known to have strong anti-inflammatory activity and act as analgesic. These ingredients can often be found in creams and capsules that can be purchased without a prescription.

Epidural Steroid Injections

If pain is severe, epidural steroid injection may reduce inflammation. Unlike oral medicines, the injection goes directly to the painful area around the rheumatoid nerve to resolve inflammation that can causes pain. Although the effects are temporary (providing pain relief to some for a period of one week and others up to one year), but does not have an equally affect for all patients. Epidural steroid injection can be effective in alleviating acute pain in the thighs. It is important to be able to provide enough relief to allow the patients to move forward with a programme of conditioning and training.

Alternative Sciatica Treatment

In addition to standard medical treatment, it has been shown that several alternative treatments effectively provide pain relief to many patients. Some of the most common forms of alternative treatment include; chiropractic interventions, acupuncture, cognitive behavioural therapy, massage therapy, increased in vitamin intake, all which have shown to have a positive effect on joint health.

Chiropractic Intervention

Adjustments of the spine and manual manipulation of the same are need to be conducted by an accredited and specially trained health professionals, such as chiropractic and osteopathic doctors, both which focus on better spinal alignment, hoping to address the many fundamental conditions that can cause pain in the spinal nerves. Manual manipulation by trained professionals can create better healing and these manipulation techniques should not be painful.

Acupuncture

This practice focuses on the philosophy of achieving or maintaining good health through the open flow of positive energy through specific points in the body. Hairy needles (usually not felt) are inserted just underneath the skin and near the pain area. Acupuncture has been approved by the American Food and Drug Administration (FDA) as one of the leading back pain treatment options. The National Institute of Health has recognized acupuncture as effective in relieving back pain including sciatica.

Cognitive Behaviour Therapy

This behavioural focuses on taking control of your body and via the power of will, self-control and self-management overcoming pain. This therapy can be useful in managing the pain that occurs in sciatica, however it should be noted that it is not for all patience.

Massage Therapy

Certain forms of massage have shown to have therapeutic benefits for sufferers of back pain, including increased blood circulation, muscle relaxation, and endorphin liberation (natural body pain medications).

D3 vitamins

Contributes to maintaining the health and strength of the bones, teeth and cartilage. People suffering from sputum are not able to maintain normal levels of phosphorus and calcium in the body and its deficiency can be compensated by taking several drops of vitamin D3. You may also take the vitamin orally in capsule form.

Calcium and Magnesium

Both act positively in the prevention of osteoporosis and are important for strong functioning of the muscular and nervous system and assist in building strong teeth and bones. The human body cannot produce calcium independently, so it has to be taken as a dietary supplement in the form of a capsule or a foaming tablet.

Treatment for Repetitive Pain

For most people, the healing process usually (pain relief) lasts only a few days or weeks. Most of the pain treatments last for a period of 6 to 12 weeks. After this period, physical therapy and a regular exercise plan should be implemented to ensure to try and keep pain at bay and minimise permanent joint pain.

Ergonomic workplace assessment can also be useful in recommending safer health care of the body and joints. A patience lifestyle, employment and educating, can be contributing factors that impact on the overall health and wellbeing of the spinal cord.

Physical Therapy and Exercise

Physical therapy and physical exercises focusing on strengthening, stretching, and conditioning the body are the central component of almost any sciatica treatment plan. When patients engage in a regular and well developed exercises, they can recover from pain faster and are less likely to have future episodes of pain.

General Sciatica Exercises

Exercises typically focus on three key areas: strengthening, stretching and aerobic conditioning.

Strengthening exercises

Many exercises can help strengthen the spine and support muscles, ligaments and tendons. Most of these exercises focus not only on the lower back, but also on the abdominal (gastric) muscles and muscles of the gluteus (buttocks) and hips. Strong core muscles can provide relief from pain because they support the spine, keep it in the plane, and facilitate movements that extend or spin the spine with fewer chance of injury or injury.

Stretching exercises

Tensile stretching is almost always an important part of the exercise program and treatment of sciatica. Most people do not stretch the muscles that extend from the pelvic to the knee to the back of the thighs in their daily activities, so it is very important to start as soon as possible.

Aerobic exercises

Some form of low-performing cardiovascular exercise, such as walking or swimming, is usually a key part of recovery, because aerobic activity stimulates sweating, there is some suggestion that this might be one of the better forms of therapy that provides faster healing. Aerobics has unique benefits including the release of endorphins, which is a natural remedy for pain relief in the body, helping to reduce the pain of sciatica.

These types of exercises can be run separately or in combination.

Examples of types of exercises that may include strengthening and stretching include; yoga, tai chi and pilates. For anyone with chronic pain or a relatively high degree of sciatica-like pain, one of the options for gentle exercise is water therapy, a controlled, progressive exercise program in the hot tub.

Surgical Procedures

It is common to consider the operation of the spinal cord in the following situations:

Severe pain in the legs that lasts for four to six weeks (or more) and does not subside after non-surgical treatment such as; oral steroids,  anti-inflammatory medication, manual manipulation, injection and/or physical therapy.

The restriction of completing day-to-day activities due to pain.

Emergency surgery is usually only required if the patient experiences progressive weakness in the legs or sudden loss of bowel or bladder control, which may be caused by cauda equina syndrome.

Depending on the cause and duration of pain in the thorax, one of two general operations will be considered:

  1. Micro discectomy
  2. Lumbar Lectory

Micro discectomy

In cases where pain is caused by herniation of the lumbar disc, micro discectomy is the most common surgical approach. In this operation, only a part of the disk hernia that “pinches” the nerve is removed, the rest of the disk remains intact. Micro discectomy is generally considered after four to six weeks, if severe pain is not alleviated by non-surgical agents. If the patient’s pain and disability are severe, the operation can be discussed. Overall about 90% of patients will experience pain relief after this type of surgery.

Lumbar lumpectomy

In cases where pain is caused by lumbar spinal stenosis, lumbar lumpectomy is recommended. In this surgical procedure, a small portion of the bone and/or disc material that “pinches” the root of the nerve is completely removed. Laminectomy can be offered as an option if spinal stenosis causes the tolerance of the patient’s activity to fall to an unacceptable level.

One extensive study that followed patience post operation with the study indicating that pain relief was successful in 78% of operations. Minimally invasive, or ambulatory, both versions of this operation are available as an option.

The surgical treatment is the decision of the patient

In most cases the operation is elective, which means that it is the patient’s decision whether to have surgery or not. This applies for both the micro discectomy and for lumpectomy surgery. The patient’s decision to operate is based primarily on the amount of pain and dysfunction and the duration of the pain. Patient’s overall health is also an important in deciding for the elective surgery.