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Understanding Sciatica: A Patient's Perspective


Sciatica is more than just pain—it's an experience that can disrupt your life. It involves excruciating pain and strange sensations in the distribution of the sciatic nerve or related lumbosacral nerve roots. This condition can severely impact your quality of life, making even simple tasks challenging.

What do you feel?

For those suffering from sciatica, the pain can be unbearable. It often starts in the lower back or buttock and shoots down the leg. You might also experience numbness, tingling, or weakness in the affected leg. Sitting or standing for too long can worsen the symptoms, making it hard to find relief.

What are the causes?

Sciatica occurs when something compresses or irritates the sciatic nerve. This could be due to a herniated disc, spinal stenosis, or muscle spasms. Sometimes, underlying conditions like degenerative disc disease or spondylolisthesis play a role in causing sciatica.

Piriformis Syndrome

Piriformis syndrome is often overlooked but can cause symptoms similar to sciatica due to the proximity of the piriformis muscle to the sciatic nerve. Overuse injuries, common in athletes, can inflame the piriformis muscle, leading to pain and decreased hip joint mobility. Specific maneuvers aid in diagnosis, and treatments include stretches.

Herniated Lumbosacral Disc

A thorough neurological exam helps identify the location and type of lumbar disc herniation causing radiculopathy. Different types of herniation affect specific nerve roots, leading to varied symptoms. A straight leg raise test can indicate radiculopathies, aiding in diagnosis.


Spondylolisthesis, classified into various types, involves the forward displacement of vertebrae, potentially narrowing the spinal canal and compressing nerve roots. Imaging techniques like plain films and flexion-extension films aid in diagnosis.

Spinal Stenosis

Spinal stenosis results from the narrowing of the spinal canal, leading to compression of spinal structures. Various factors contribute to this narrowing, including herniation, fat deposition, and ligament hypertrophy. Imaging techniques help confirm the diagnosis.

What Investigations you may require?

To diagnose sciatica, doctors may conduct physical exams and various tests like X-rays, MRI scans, or nerve conduction studies. These help them understand what's causing your symptoms and how best to treat them.

What we offer?

Treating sciatica often starts with conservative measures like rest, pain medications, and physical therapy. If these don't help, your doctor might recommend Transforaminal epidural steroid injections, Dorsal Root Ganglion (DRG) Pulsed RFA, Pyriformis steroid injection.

Dealing with sciatica isn't easy, but with the right knowledge and treatment, you can manage your symptoms and get back to living your life. By working closely with your health