I'll explain why I'm stubbornly reluctant to go to the doctor again at present, just so you'll know I'm not simply being silly.
What do you go for?
1 I know what the problem is. Arthritis. The sciatica is a by-effect of it.
2 To slow down the onset of arthritis, lose weight, take exercise. I've taken and am taking this advice.
3 Take painkillers as required. Don't try to be too brave about this, they have an anti-inflammatory effect so will help relieve the symptoms as well as alleviate the pain. This I am doing. I don't care to take them all the time, but I am at present (just swigged one down with a gulp of wine).
Go to the physiotherapist for specific advice and exercises. I have been for the last few weeks and have another appointment next week.
Use a walking pole for rough terrain or walking any distance. Thanks to Badgerdaddy, I do.
4 It can't be cured, but the affected joint can, in due course, be replaced. It's better not to have that done yet if possible as it will wear out in a decade or two and the second operation will be more complicated. The operations are continuing to improve and it could well be that in a few years time a considerable advance will have been made in techniques, giving a better result and long-term prognosis.
He can say nothing more, so there's no point in going. What I can go for is to say it's more than I feel able to bear and I'd like to be referred to a consultant. But I'm not ready to say that, because it wouldn't be true. I know that the consultant would not operate yet, and I don't want an operation at this time. Like a filled, capped or veneered tooth, a replacement isn't as strong or good as the original used to be. It's not something to enter into lightly.
If I keep getting recurrent attacks of sciatica, and especially if they come on so painfully as it did the other evening, I'll go to the doctor. But there's no point right now (actually, there won't be anyway unless it's to ask to talk to a specialist). He can't help and he'd think I was making a fuss. I'm willing to make a fuss if I'm right, but I know I would be asking for something he's not able to do and I couldn't look him in the eye and deny I know that. Right now, I'm better asking the physiotherapist for advice, because he'll be better placed to give it to me.