Sciatica is pain that starts in your lower back and shoots down through your legs and sometimes into your feet. It happens when something in your body, maybe a herniated disk or bone spur or tissues compresses nerve roots. Some people experience sharp, intense pain while others get tingling, weakness, and numbness in their legs.
It causes pain and discomfort, but there are many effective treatments for it. Most people with sciatica don’t end up needing surgery and about half get better within 6 weeks with only rest from daily activities and medication.
- Lower back pain
- Pain in your butt or leg that worsens when you walk
- Hip pain
- Burning or tingling down your leg
- Weakness, numbness, or difficulty moving your leg or foot
- A constant pain on one side of your butt
- A shooting pain down your leg that makes it difficult to stand up
- Rarely loss of bowel bladder control with or without numbness in private parts
- Age - Age-related changes in the spine, such as herniated disks and bone spurs, are the most common causes of sciatica.
- Obesity - By increasing the stress on your spine, excess body weight may contribute to the spinal changes that trigger sciatica.
- Occupation - A job that requires you to twist your back, carry heavy loads or drive a motor vehicle for long periods may play a role in sciatica, but there’s no conclusive evidence of this link.
- Prolonged sitting. - People who sit for prolonged periods or have a sedentary lifestyle are more likely to develop sciatica than active people are.
- This condition, which affects the way your body uses blood sugar, increases your risk of nerve damage.
- Predisposes to disc problems
Although most people recover well from sciatica, often without any specific treatment, sciatica can potentially cause permanent nerve damage so seek immediate medical attention if you experience any of these symptoms:
- Loss of feeling in the affected leg
- Weakness in the affected leg
- Loss of bowel or bladder function
- Numbness in private parts
The types of drugs that might be prescribed for sciatica pain include:
- Muscle relaxants
- Tricyclic antidepressants
- Neuropathic pain medication
Once your acute pain improves, your doctor or a physical therapist can design a rehabilitation program to help you prevent future injuries. This typically includes exercises to correct your posture, strengthen the muscles supporting your back and improve your flexibility.
In some cases, your doctor might recommend injection of a corticosteroid medication into the area around the involved nerve root commonly called as Selective nerve root block .Corticosteroids help reduce pain by suppressing inflammation around the irritated nerve. The effects usually wear off in a few months but can be of good value in some patients .The number of steroid injections you can receive is limited and cannot be given too frequently.
This option is usually reserved for when the compressed nerve causes significant weakness, loss of bowel or bladder control, or when you have pain that progressively worsens or doesn’t improve with other therapies. Surgeons can remove the bone spur tissue or the portion of the herniated disk that’s pressing on the pinched nerve.
If nonsurgical treatments aren’t providing adequate relief from the symptoms or pain related to your spine condition, or if your condition is worsening, you may be a candidate for spine surgery. Depending on your condition, our spine specialists can offer various surgical options to address your individual problem. Primus spine surgeons perform:
- Disc replacements, spinal fusion, and laminectomies to correct spine problems
- Spinal cord stimulation and other procedures to relieve pain
- Complex reconstructive surgeries to correct scoliosis and other spinal deformities
- Procedures to remove spine cancer lesions
- Decompression surgeries to relieve pain and pressure from pinched nerves
- And more
Our team of spine specialists includes neurosurgeons, orthopedic surgeons, physiatrists, spinal oncologists, pain management doctors, physical and occupational therapists, psychologists, social workers, and many others. We also have a chiropractor and acupuncturist on staff. Our surgeons meet together frequently to discuss whether patients are candidates for surgery and the best proposed surgery approach, so you get the advantage of receiving several expert opinions.
Research shows that hospitals and surgeons who perform more surgeries tend to have better outcomes.
Our surgeons are motivated to constantly improve, so they pay close attention to outcomes and always strive to do better and stay up-to-date on the latest technologies and advances in treating your spinal injury or condition. This results in safe, effective procedures that reduce complications to your crucial but delicate spine, nerves, and spinal cord.
Our spine team carries out minimally invasive spine procedures like keyhole vertebroplasty and kyphoplasty for spinal fractures, minimally invasive spinal fusion, percutaneous pedicle screw fixation, microscopic/endoscopic discectomy, and microscopic decompression of lumbar pathology. Apart from these minimally invasive procedures, the other routine major surgeries of spine like artificial disc replacement, treatment of cervical and dorsal myelopathy, spinal deformity (scoliosis and kyphosis) correction, spinal tumour surgery and treatment of spinal fractures are routinely done at Primus Super Speciality Hospital with outcomes that the best in the world. The department also offers wide range of modalities and exercise programs suited for patient’s conditions, such as in Degenerative Disc disease, through trained and experienced physiotherapists. This approach has helped numerous patients to appropriately manage spine problems.
Our department is one of the few centers across the country which offers complete range of Spine deformity correction services for Scoliosis and Kyphosis across all age groups. The treatment options range from conventional scoliosis correction procedures for Adolescent idiopathic scoliosis/congenital scoliosis to novel therapies such as Magnetic growth rod application for Early onset scoliosis (Scoliosis in very young children). Minimally invasive solution for spinal deformity is also offered for select group of patients, as per the diagnosis.
We have in-house multispecialty support along with world class operative, post op and ICU care. Patient safety and quality care are our top priorities. We use intra-operative real-time neural monitoring, a cutting edge technology, which can help in reducing the risk of paralysis and nerve damage during complex spinal surgery such as deformity correction and tumour excision and reconstruction. The specialist nurses trained specifically in spinal diseases along with the physical therapists provide robust support to the patient and service.
Dr.(Prof) Chandra Shekhar Yadav
9 A.M to 5 P.M