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Dr. Nandeesh Shashidhar,

Consultant Orthopaedic Surgeon

Sciatica – Expert Diagnosis & Treatment

Sciatica refers to pain that radiates along the path of the sciatic nerve, which runs from the lower back, through the hips and buttocks, and down each leg. This condition is typically caused by compression or irritation of the nerve roots in the lumbar spine (lower back). Sciatica can be debilitating and affect daily activities, making it important to seek expert care for diagnosis and effective treatment.

Causes & Symptoms of Sciatica

Sciatica is often caused by a herniated disc, spinal stenosis, or bone spurs that press on the sciatic nerve. It can also result from muscle spasms or piriformis syndrome. Common symptoms include:

  • Radiating Pain – Sharp, shooting pain that starts in the lower back or buttock and radiates down one leg.
  • Numbness & Tingling – A sensation of pins and needles, often felt in the leg or foot.
  • Muscle Weakness – Weakness in the affected leg, making it difficult to walk or perform physical activities.
  • Increased Pain with Movement – Pain may worsen with prolonged sitting, standing, or certain movements like twisting or bending.
  • Pain Relief with Certain Positions – Some people find relief when lying down or raising the legs.

Advanced Treatment Options

Non-Surgical Treatments

For mild to moderate sciatica, non-invasive treatments are often effective in providing relief:

  • Pain Management – Medications such as NSAIDs, muscle relaxants, and corticosteroids to reduce inflammation and alleviate pain.
  • Physical Therapy – A tailored program of exercises designed to strengthen the muscles supporting the spine, improve posture, and increase flexibility.
  • Heat & Cold Therapy – Applying heat or ice to the affected area to reduce inflammation and alleviate muscle tension.
  • Epidural Steroid Injections – Targeted injections to reduce inflammation and provide relief from nerve compression.
  • Lifestyle Modifications – Ergonomic adjustments, posture correction, and activity modifications to minimize strain on the lower back.
Minimally Invasive & Surgical Treatments

If conservative treatments fail to provide relief or if sciatica is severe, surgical options may be necessary:

  • Microdiscectomy – A minimally invasive procedure to remove a portion of a herniated disc that is pressing on the sciatic nerve.
  • Laminectomy – A procedure to remove a portion of the vertebrae to relieve pressure on the nerve.
  • Spinal Fusion – In cases of significant spinal instability, fusion surgery may be required to stabilize the spine and alleviate nerve compression.
  • Artificial Disc Replacement – Replacing a damaged disc with an artificial one to maintain normal spinal function.
Comprehensive Post-Treatment Care

Ongoing care is essential for long-term relief and to prevent recurrence of sciatica:

  • Strengthening Exercises – Focused on improving core and lower back strength to reduce pressure on the sciatic nerve.
  • Stretching Programs – To improve flexibility and prevent muscle tightness that may aggravate sciatica.
  • Posture & Ergonomic Training – Teaching proper body mechanics and posture to minimize strain on the spine.
  • Regular Follow-ups – Continuous monitoring of recovery and adjusting the treatment plan as needed.

Why Choose Expert Care for Sciatica?

  • Specialized expertise in diagnosing and treating nerve-related conditions in the lower back.
  • Advanced imaging techniques such as MRI and CT scans for accurate diagnosis.
  • Personalized treatment plans tailored to each patient’s symptoms and lifestyle for optimal recovery.

Sciatica can be a debilitating condition, but with timely and expert treatment, it is possible to find significant relief, restore function, and prevent long-term complications. Seeking professional care ensures the best possible outcomes for managing sciatica and achieving long-term spinal health.