Sciatica
Dr.
Chou: Hello! I have been experiencing numbness in my hands and feet for many years.
After medical examinations, it was found that my spine is essentially straight, with my cervical and lumbar vertebrae lacking the normal curvature.
Additionally, there is a slight protrusion of the lumbar intervertebral disc, and the doctor advised against bending forward.
I have been accustomed to sleeping on a hard, high pillow and a hard wooden bed since childhood.
Recently, to alleviate my symptoms, I purchased a mattress that fully supports my body (with no gaps in the lumbar area).
After the first night of sleep, I noticed an improvement in the numbness in my hands and feet, but my lower back feels a bit sore.
I'm unsure if this is a good or bad sign.
Can I continue using this mattress? What symptoms should prompt me to stop using it? Do you have any other recommendations? Thank you!
Xiao Zhu, 40~49 year old female. Ask Date: 2011/09/29
Dr. Zhou Jianwen reply Rehabilitation
Hello, sir: Thank you for your inquiry.
I would like to respond to your question and provide the following advice: Generally, the human spine has a natural curvature, resembling a slight S-shape.
A mattress should not be too soft, as it may fail to support the spine and increase spinal pressure.
If you are experiencing improvement in numbness, that is a positive sign.
For soreness, local heat application may help alleviate the symptoms.
If discomfort persists, please feel free to visit the outpatient clinic for further examination and treatment.
Wishing you peace and happiness.
Reply Date: 2011/09/29
More Info
Managing sciatica and related symptoms can be challenging, especially when it comes to sleep comfort. Sciatica, which is characterized by pain that radiates along the path of the sciatic nerve, can be exacerbated by poor sleeping positions and inadequate support during sleep. Your situation, with a history of numbness in your hands and feet and a straightened spine, suggests that you may be experiencing nerve compression or irritation, possibly due to your spinal alignment and disc issues.
Firstly, it’s great to hear that you’ve made adjustments to your sleeping environment by purchasing a supportive mattress. A mattress that conforms to your body and maintains proper spinal alignment can significantly alleviate discomfort. However, it’s important to note that while some initial discomfort in your lower back may be a sign of your body adjusting to a new sleeping position, persistent pain could indicate that the mattress is not suitable for your specific needs.
Here are some tips for managing your symptoms and improving your sleep comfort:
1. Evaluate Your Mattress and Pillow: Since you mentioned that you have a hard mattress and high pillow, consider the firmness and height of your pillow as well. A pillow that is too high can strain your neck, while one that is too low may not provide adequate support. Ideally, your pillow should keep your neck aligned with your spine. For your mattress, it should be firm enough to support your spine but also soft enough to relieve pressure points.
2. Sleep Position: The position in which you sleep can greatly affect your sciatica. If you sleep on your back, placing a pillow under your knees can help maintain the natural curve of your lower back. If you prefer sleeping on your side, placing a pillow between your knees can help keep your hips aligned and reduce strain on your lower back.
3. Gentle Stretching and Strengthening Exercises: Incorporating gentle stretching and strengthening exercises into your daily routine can help improve flexibility and strengthen the muscles that support your spine. Focus on exercises that target the core, hips, and lower back. However, consult with a physical therapist or healthcare provider before starting any new exercise regimen.
4. Heat and Cold Therapy: Applying heat to your lower back can help relax tight muscles and improve blood flow, while cold therapy can reduce inflammation and numb sharp pain. You can alternate between heat and cold treatments to find what works best for you.
5. Mind Your Posture: Throughout the day, be mindful of your posture, especially when sitting or standing for long periods. Use ergonomic furniture and take regular breaks to move around and stretch.
6. Consult a Specialist: If you continue to experience discomfort, it may be beneficial to consult a physical therapist or a chiropractor who specializes in spinal health. They can provide personalized recommendations and treatments to address your specific condition.
7. Monitor Symptoms: Keep track of any changes in your symptoms. If you notice increased pain, numbness, or weakness in your legs or feet, it’s important to seek medical advice promptly. These could be signs of worsening nerve compression that may require further evaluation.
In summary, while the initial discomfort in your lower back may be a normal part of adjusting to a new mattress, it’s crucial to listen to your body. If the pain persists or worsens, consider consulting with a healthcare professional to ensure that your sleeping arrangements are conducive to your overall spinal health. By making informed adjustments to your sleep environment and incorporating supportive practices, you can improve your symptoms and enhance your sleep quality.
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