Inquiry about medications prescribed by the Rehabilitation Department?
Hello Doctor: In the past two months, I have experienced numbness in my left foot and left hip due to prolonged sitting.
Today, I visited the rehabilitation department, and the doctor, considering my previous medical history (cervical spine without curvature, neck stiffness), believes this is an early sign of sciatica and recommended rehabilitation.
However, among the three weeks' worth of prescribed medications, there is "Diazepam tablet 2 mg" (an anxiolytic) and Bokey 100 mg.
I researched online and found that diazepam is primarily used for depression, while Bokey 100 mg is used to prevent thromboembolic symptoms; I do not have insomnia or similar issues.
Could you please explain how these two medications might help with my symptoms? The other medications include: Teriage 140 mg, Peptidin tablet, Lichein capsules, and Creamaline 125 mg.
Thank you.
Xiao Zhong, 40~49 year old female. Ask Date: 2012/07/04
Dr. Chen Wayda reply Rehabilitation
If there are any other medical histories, please communicate with the original prescribing physician.
Reply Date: 2012/07/04
More Info
When it comes to managing sciatica symptoms, particularly in the context of rehabilitation, it's essential to understand the rationale behind the medications prescribed by your healthcare provider. In your case, the medications include Diazepam and Bokey, among others. Let's break down what these medications are and how they may help with your symptoms.
Diazepam is a benzodiazepine that is commonly used for its anxiolytic (anti-anxiety), muscle relaxant, and sedative properties. While it is often associated with the treatment of anxiety disorders, it can also be beneficial for muscle spasms and tension, which may accompany sciatica. In your situation, if you are experiencing muscle tightness or spasms in the lower back or legs due to nerve irritation, Diazepam may help alleviate some of that discomfort. However, it is important to note that Diazepam can cause sedation and may lead to dependence if used long-term. Therefore, it is typically prescribed for short-term relief.
Bokey, on the other hand, is a medication that is primarily used to prevent thromboembolic events, such as deep vein thrombosis (DVT) or pulmonary embolism. It is not commonly used for treating sciatica directly. However, if your healthcare provider has prescribed it, they may have specific reasons related to your overall health status or risk factors for clotting, especially if you have been less mobile due to pain. It is crucial to communicate with your doctor about why this medication was included in your treatment plan.
In addition to these medications, you mentioned other treatments such as Teriage, Peptidin, Lichein capsules, and Creamaline. Each of these medications may serve different purposes, and their effectiveness can vary based on individual health conditions and responses. For instance, Teriage is often used for pain relief, while Peptidin may be used for its analgesic properties. Lichein capsules and Creamaline may have additional benefits, potentially related to inflammation or nerve health.
Given your history of neck stiffness and the absence of curvature in your cervical spine, it is understandable that your healthcare provider is taking a comprehensive approach to your treatment. Sciatica can often be a multifaceted issue, involving not just nerve compression but also muscle tension and inflammation. Therefore, a combination of medication, physical therapy, and possibly lifestyle modifications (like ergonomic adjustments during prolonged sitting) may be necessary for effective management.
It's also important to consider non-pharmacological interventions in your rehabilitation plan. Physical therapy can help strengthen the muscles supporting your spine, improve flexibility, and reduce pain. Techniques such as stretching, manual therapy, and modalities like heat or cold therapy may also provide relief. Additionally, maintaining a healthy weight, practicing good posture, and engaging in regular low-impact exercise can contribute to long-term improvement.
In summary, while Diazepam may help with muscle relaxation and pain relief, Bokey's role may be more related to your overall health management. It's essential to have open communication with your healthcare provider regarding the purpose of each medication and to discuss any concerns you may have about side effects or interactions. Your rehabilitation plan should be tailored to your specific needs, and it may be beneficial to explore a combination of medications, physical therapy, and lifestyle changes to effectively manage your sciatica symptoms. Always consult with your healthcare provider before making any changes to your treatment plan.
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