Yes, sciatica is something many people with lupus deal with, and it can be really painful. Lupus-related inflammation can affect the peripheral nerves, causing shooting, burning, or tingling pain similar to sciatica. So the two can definitely be connected.
As for exercise — it's a mixed bag, but it can help when approached Show Full Answer
Yes, sciatica is something many people with lupus deal with, and it can be really painful. Lupus-related inflammation can affect the peripheral nerves, causing shooting, burning, or tingling pain similar to sciatica. So the two can definitely be connected.
As for exercise — it's a mixed bag, but it can help when approached carefully. Here's what tends to work:
- Physical therapy — A physical therapist can design a spine-friendly program that avoids putting pressure on the nerves
- Aquatic therapy — A MyLupusTeam member noted this was especially helpful for sciatica pain
- Gentle movement — Another MyLupusTeam member shared they have to be very mindful of how they bend, walk, and lift things, and resting with a pillow between the knees during flare-ups helps
The key is pacing. Exercise during an active flare is generally not recommended — it's better to rest and return to movement once things settle down. If sciatica persists, other options worth discussing with a rheumatologist or pain specialist include:
- Medications like anti-inflammatories or nerve pain relievers
- Steroid injections into inflamed joints
- TENS units (small devices that deliver electrical stimulation to nerves) — one MyLupusTeam member called theirs their "best friend" for bilateral sciatica
Always check with your doctor before starting any new exercise routine, especially with lupus in the mix.
September 29