All About Sciatica: Symptoms, Diagnosis and its Treatment

Sciatica
The term Sciatica is used to describe leg pain, tingling, numbness or weakness that travels from the low back down the sciatic nerve into the back of legs.
It is a very common condition with a prevalence of about 1 million cases per year in India. Sciatica is commonly due to entrapment or irritation of the sciatic nerve which is one of the main nerves of the lower limb. The most common cause is a prolapsed disc (slip disc). Although the incidence is more after the age of 40, with sedentary lifestyle, younger patients are also affected.

Symptoms of Sciatica:
1. Low back ache / hip pain radiating to legs
2. Electric shock like sensation / tingling /numbness in legs
3. Back pain aggravated on bending forward
4. Back pain while standing up from the sitting position
5. The pain of Sciatica can be excruciating and “not relieved by simple painkillers”.

How is Sciatica Diagnosed?
1. Detailed history along with thorough clinical examination
2. X ray of Lumbosacral spine
3. MRI of Lumbosacral spine

Our Non-Surgical Treatment Plan for Sciatica:
1. Initially a trial of medicines is given according to severity of pain and general health.
2. Physical rehabilitation of your spine will be done by our specialist through physical therapy and exercise along with medication.
3. You will be explained in detail regarding posture / ergonomic corrections in your daily life for preventing further aggravation of your condition.
4. Patients who have severe pain will be treated with “Epidural Steroid Injection”. This treatment has proven efficacy in avoiding spine surgery in such patients.

What is Epidural Steroid Injection?
Epidural Steroid Injection is a proven, safe and an effective treatment based on the concept of Interventional pain management to relieve the pain of Sciatica. Epidural Steroid Injection is a procedure done in an Operation Theatre using X-Ray guidance to locate the exact level of injection. A drug mixture consisting of a Steroid with Local Anaesthetic is injected into the epidural space of the affected nerve root. Steroid has anti-inflammatory properties thus decreasing nerve inflammation resulting from disc prolapse. This is a day care procedure i.e. the patients are discharged on the same day. Generally, a single injection is sufficient to relieve patients of their pain. The procedure can be repeated for a maximum 3 times in a year, depending on the patient’s response.

*If you have Sciatica with following symptoms, you may require spine surgery:

1. Weakness of legs
2. Loss of sensation over legs
3. Loss of control over urine or stools
4. Trauma to spine.

Non-Surgical Treatment Options for Back Pain Or Sciatic pain available at Painex:

  • Root Sleeve Epidural Injections/Transforaminal injections
  • Cervical Epidural Injections
  • Facet Blocks
  • Spinal Cord Stimulation
  • Radiofrequency Lesioning

Please consult with our Super Sepcialised Pain Management Doctors today, Click here to book an appointment.

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