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Preparing for your appointment

By Mayo Clinic staff

Make an appointment with your primary care provider if you have symptoms common to sciatica that are severe or that don't improve within a month of self-care measures.

Here's some information to help you prepare for your appointment and what to expect from your doctor.

What you can do

  • Write down any symptoms you've been having, and for how long.
  • Make a list of your key medical information, including any other conditions for which you're being treated and the names of any medications, vitamins or supplements you're taking.
  • Note any recent accidents or injuries that may have damaged your back.
  • Take a family member or friend along, if possible. Someone who accompanies you may remember something that you missed or forgot.
  • Write down questions to ask your doctor. Creating your list of questions in advance can help you make the most of your time with your doctor.

For radiating low back pain, some basic questions to ask your doctor include:

  • What is the most likely cause of my back pain?
  • Are there any other possible causes?
  • Do I need any diagnostic tests?
  • What treatment approach do you recommend?
  • If you're recommending medications, what are the possible side effects?
  • For how long will I need to take medication?
  • Am I a candidate for surgery? Why or why not?
  • Are there any restrictions that I need to follow?
  • What self-care measures should I be taking?
  • Is there anything else I can do to help prevent a recurrence of these symptoms?

In addition to the questions that you've prepared to ask your doctor, don't hesitate to ask other questions that arise during your appointment.

What to expect from your doctor
Your doctor is likely to ask you a number of questions. Being ready to answer them may reserve time to go over any points you want to spend more time on. Your doctor may ask:

  • What are your symptoms?
  • When did you first notice these symptoms?
  • How often do your symptoms occur?
  • Have you had any unexplained fevers or weight loss?
  • Have you had any new problems with bowel or bladder control?
  • Do your symptoms include any numbness or weakness in your legs?
  • Does anything make your pain better or worse?
  • How much is your pain limiting your ability to function?
  • Does your work or recreational activities involve any heavy physical work?
  • Do you exercise regularly? If yes, with what types of activities?
  • Do you smoke?
  • What treatments or self-care measures have you tried so far? Has anything helped?
  • Are you currently being treated or have you recently been treated for any other medical conditions?
  • What medications are you currently taking, including prescription and over-the-counter drugs as well as vitamins and supplements?

What you can do in the meantime
While you're waiting for your appointment, you may find some relief by using over-the-counter pain relievers, such as aspirin, ibuprofen (Advil, Motrin, others) or acetaminophen (Tylenol, others). You may also benefit from applying alternating cold and heat to the area that's causing you pain.

References
  1. Lin M. Musculoskeletal back pain. In: Marx JA, et al., eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 6th ed. St. Louis, Mo.: Mosby; 2006. http://www.mdconsult.com/book/player/book.do?method=display&type=bookPage&decorator=header&eid=4-u1.0-B978-0-323-05472-0..00051-7--s0045&displayedEid=4-u1.0-B978-0-323-05472-0..00051-7--s0060&uniq=184337872&isbn=978-0-323-05472-0&sid=955285604. Accessed March 1, 2010.
  2. Rosenbaum RB, et al. Degenerative disease of the spine. In: Bradley WG. Neurology in Clinical Practice. 5th ed. Burlington, MA: Butterworth-Heinemann; 2008. http://www.mdconsult.com/book/player/book.do?method=display&type=bookPage&decorator=header&eid=4-u1.0-B978-0-7506-7525-3..50115-1--cesec38&displayedEid=4-u1.0-B978-0-7506-7525-3..50115-1--cesec55&uniq=184337872&isbn=978-0-7506-7525-3&sid=955285604. Accessed March 1, 2010.
  3. Gregory DS, et al. Acute lumbar disk pain: Navigating evaluation and treatment choices. American Family Physician. 2008;78:835.
  4. Aminoff MJ. Mechanical and other lesions of the spine, nerve roots, and spinal cord. In: Goldman L, et al., eds. Goldman: Cecil Medicine. 23rd ed. Philadelphia, Pa.: Saunders Elsevier; 2007. http://www.mdconsult.com/das/book/body/184337872-18/0/1492/1420.html#4-u1.0-B978-1-4160-2805-5..50428-6--cesec37_17875. Accessed March 1, 2010.
  5. Devereaux M. Low back pain. Medical Clinics of North America. 2009;93:477.
  6. Low back pain fact sheet. National Institute of Neurological Disorders and Stroke. http://www.ninds.nih.gov/disorders/backpain/detail_backpain.htm#119483102. Accessed March 1, 2010.
  7. Wheeler SG, et al. Approach to the diagnosis and evaluation of low back pain in adults. http://www.uptodate.com/home/index.html. Accessed March 1, 2010.
  8. Knight CL, et al. Treatment of acute low back pain. http://www.uptodate.com/home/index.html. Accessed March 1, 2010.
  9. Ernst E. Complementary treatments in rheumatic diseases. Rheumatic Disease Clinics of North America. 2008;34:455.
  10. Chronic pain: Hope through research. National Institute of Neurological Disorders and Stroke. http://www.ninds.nih.gov/disorders/chronic_pain/detail_chronic_pain.htm. Accessed March 1, 2010.
  11. Laskowski ER (expert opinion). Mayo Clinic, Rochester, Minn. March 4, 2010.
DS00516 April 22, 2010

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