The majority of Sciatic pain is a result of the nerve root being pinched or compressed by disc bulges, disc herniations (slipped or ruptured discs), bone spurs or canal narrowing (spinal stenosis). In rare instances, lumbar radiculopathy may also result from other causes (cysts, tumors, or infections). When affected, the nerve root becomes irritated, swollen and inflamed which results in the presenting symptoms and pain.

Symptoms

The symptoms of Sciatica may include pain, tingling, numbness and/or weakness from the back extending down to the leg, which can even extend into the foot. The pain is usually burning in nature and can radiate down from the buttock area all the way to the foot. There may also be a tingling or frank numbness in a similar area as the leg pain.

Diagnosis

A complete history and physical exam along with diagnostic tests will help to confirm the diagnosis of lumbar radiculopathy. Diagnostic tests may include imaging studies (X-ray, CT scan, MRI), diagnostic injections (selective nerve root blocks, discograms) and electrodiagnostic studies (EMG/NCS).

Treatment

Lumbar radiculopathy’s treatment goal is to effectively diagnose its cause and provide targeted treatment to relieve the pressure and inflammation along the nerve root, and help to prevent future re-injury. Treatment will usually consist of a combination of physical therapy and modalities, lumbar traction, medications and lumbar epidural steroid injections. If conservative care does not provide relief, then percutaneous disc decompression or other surgical procedures may be recommended to prevent permanent injury.

Our Fellowship Trained and Board Certified Pain Management Physicians will guide you through the treatment of your lumbar pain. Our goal is to relieve your pain, and help you can live life to the fullest.