Diabetes, Sciatica Pain, Over Weight

Question

my weight is 79 kg , i have 6.99 HB1C , but now i have severe siatica pain .in both legs.

Dr. Ch Shahid Ayyoub · Answer

needs orthopaedic assessment and xrays of back and MRI scan

Assoc. Prof. Dr. Wali Muhammad Khan · Answer

please get online or in person consultation with any orthopedic or Spine surgeon.

Dr. Tahir Mehmood Khattak · Answer

needs proper assessment and investigation

Dr. Syed Safdar Raza · Answer

Thank you
Need more detailed history, proper physical examination by Orthopedic Surgeon, and depending upon his or her assessment may need further investigations to establish the diagnosis and than management.
Meanwhile you can take
Ibuprofen 400 mg 1+1 after meals
Omeprazole 20mg 1 tablet at night if you feel heartburn or pain in Stomach
Regards

Ms. Maryam Tahir · Answer

I can help you and guide to to recover

Dr. Abdul Mannan Khan · Answer

You may book a Consulation physically ! Or online if not possible physically to look for details and then treatment

Dr. Sikandar Iqbal · Answer

please visit the clinic for assessment and treatment

Syeda Kiran Zehra Bukhari Naqvi · Answer

Your severe sciatica pain is likely related to your diabetes and weight. Managing diabetes can help alleviate sciatica pain. We need to focus on controlling your blood sugar levels and reducing your weight to ease the pressure on your sciatic nerves. Let's start with adjusting your diabetes management plan and incorporating exercises to help with weight loss and sciatica pain relief. Have you considered physical therapy for your sciatica pain?

Dr. Tasneem Kausar · Answer

HbA1c shows u r diabetic and ur pain may be due to diabetes. start Tab Glucophage 250 mg in morning alongwith breakfast and show me after one week thanks

Ms. Anusha Sajjad · Answer

Of course your condition is manageable through diet, physio therapy and lifestyle changes and  i can make a customize plan for you.

Syeda Kiran Zehra Bukhari Naqvi · Answer

Managing diabetes and sciatica pain while addressing overweight involves a comprehensive approach that includes dietary modifications, physical activity, and potentially medical interventions. Here's a structured dietary plan and general advice tailored to your situation:

### Dietary Plan

1. Carbohydrate Management:

- Focus on Complex Carbohydrates: Include whole grains such as brown rice, quinoa, and whole wheat bread. These have a lower glycemic index and help maintain stable blood sugar levels.

- Limit Simple Carbohydrates: Reduce intake of sugary foods and drinks, such as sodas, candies, and pastries.

2. Balanced Meals:

- Portion Control: Use smaller plates to help control portion sizes. Aim for balanced meals that include a mix of carbohydrates, proteins, and fats.

- Regular Meal Timing: Try to eat at regular intervals to help maintain blood sugar levels. This could be three main meals with healthy snacks in between if needed.

3. Protein Intake:

- Lean Proteins: Incorporate lean meats like chicken, turkey, and fish. Plant-based proteins such as beans, lentils, and tofu are also excellent choices.

- Moderate Red Meat: Limit consumption of red and processed meats.

4. Healthy Fats:

- Include Healthy Fats: Use olive oil, nuts, seeds, and avocados. These can help reduce inflammation, which may benefit sciatica pain.

- Avoid Trans Fats: Minimize intake of fried foods and processed snacks.

5. Fiber-Rich Foods:

- Increase Fiber: Consume plenty of vegetables, fruits, legumes, and whole grains. Fiber helps with satiety and can aid in weight management.

6. Hydration:

- Stay Hydrated: Drink plenty of water throughout the day. Limit sugary drinks.

7. Salt and Sodium:

- Reduce Sodium Intake: Limit processed foods and use herbs and spices for flavoring instead of salt.

### Lifestyle and Physical Activity

1. Exercise:

- Low-Impact Activities: Engage in activities that do not exacerbate sciatica pain, such as walking, swimming, or cycling. Aim for at least 150 minutes of moderate-intensity exercise per week.

- Strengthening Exercises: Consider exercises that strengthen the core and lower back, as these can support the spine and potentially reduce sciatica symptoms. Consult with a physiotherapist for personalized advice.

2. Weight Management:

- Set Realistic Goals: Aim for gradual weight loss of 0.5 to 1 kg per week. This can help improve blood sugar control and reduce pressure on the sciatic nerve.

### Medical and Professional Support

- Consult a Dietitian: A registered dietitian can provide personalized dietary advice and meal plans tailored to your specific needs and preferences.

- Pain Management: Discuss with your healthcare provider about appropriate pain management strategies for sciatica, which may include medications, physical therapy, or other interventions.

### Monitoring and Follow-Up

- Regular Monitoring: Keep track of your blood sugar levels and HbA1c as advised by your healthcare provider.

- Follow-Up Appointments: Regular check-ups with your healthcare team are essential to monitor your progress and make necessary adjustments to your treatment plan.

This plan should be adapted to your personal health needs and preferences. It's important to work closely with healthcare professionals to ensure that all aspects of your health are being addressed effectively.

Dr. Poonam Qazi · Answer

ur diabetes should be controlled to control ur pain if feasible book appointment

Prof. Dr. Jawed Akhtar · Answer

Severe sciatica pain in both legs can be due to nerve compression in the lower spine. With proper evaluation and targeted pain management, it can be effectively treated. Please book a detailed consultation so we can plan your treatment and help you recover permanently

Dr. Capt. Rtd. Muhammad Haseeb · Answer

You should have yourself checked out

Rizwan Ali Khan · Answer

https://www.marham.pk/doctors/lahore/psychologist/dr-rizwan-ali-khan
visit me at link above
I'm at your doorstep just press a button video consultation I will give you a list of solutions pick the best one Apply and Enjoy Good Health Forever InshaAllah

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