The Best Sciatica Specialist
April 15, 2020
Back Pain Shooting Down the Leg: Symptoms of Sciatica
Sciatica can be a major pain, causing tingling, numbness, pain, or weakness in your back and legs. It stems from the sciatic nerve, the largest nerve in your body, so it’s no wonder it has potential for severe impact. For some patients, sciatic nerve pain is irritating but bearable, whereas for others, it’s debilitating. The good news is, it’s actually simple to treat and rarely requires surgical intervention. If you’re wondering whether to see a sciatica doctor, take a look at these common symptoms.
- Pain on one side of the buttock that is worse when sitting.
- Pain in one leg that is worse when sitting.
- Tingling or burning sensation down one leg.
- Weakness or numbness in your leg or foot.
- Difficulty moving your leg or foot.
- Constant pain on one side of your buttock.
- Sharp pain when standing or walking.
- Pain radiating down leg into feet or toes.
What Causes Sciatica? A Sciatica Doctor in NYC Explains
The sciatic nerve travels down the lower back, hips, buttocks, and back of the legs, into the feet. Since the sciatic nerve path exits the spinal cord as several nerve roots which join to form the sciatic nerve, it can affect just one side of the body, or occasionally, both. The symptoms vary depending on the location and severity of compression on the nerve.
If you’re wondering what triggers sciatica, there are multiple causes. The symptoms stem from pressure or aggravation of the sciatic nerve in the lower back. Herniated discs or spinal stenosis are often the culprits, but spinal injuries, degenerative disc disease, or even wear and tear over time can cause nerve compression that triggers sciatic pain. In addition, the sciatic nerve can be irritated by injury, infection, or internal bleeding, as well as pressure from adjacent things like bones, tumors, or muscles.
Sciatica left side pain and sciatica right side pain can occur, as can pain on both sides. But as you can see, the cause can be quite different. Severe sciatica and mild sciatica both cause lower back pain, but treatment for sciatica depends on the cause. That’s why it’s so important to visit a sciatica specialist at Pain Treatment Specialists in NYC to get a proper diagnosis.
Pain Treatment Specialists: Top Sciatica Treatment in NYC
Since the cause and severity of sciatica varies greatly, it’s important to seek the expertise of a pain management specialist. While some doctors recommend sciatic nerve surgery or narcotic medication for sciatica, the nerve pain in your lower back is often resolved without the need for either one. Herniated discs are a common example of sciatic pain that is relieved with simple techniques like rest and ice/heat therapy. The best sciatica doctors in NYC at Pain Treatment Specialists know that less invasive treatment is effective at relieving sciatic pain. Here are a few gentle ways our doctors relieve sciatic pain.
- Self Care– If your sciatica pain stems from a herniated disc, often the pain will abate within days and dissolve completely within weeks by limiting strenuous activity, using heat/ice therapy, and taking safe over-the-counter medications.
- Anti-Inflammatories– Sometimes our doctors prescribe nonsteroidal anti-inflammatory medicines (NSAIDs) like aspirin, ibuprofen, naproxen, or celecoxib to reduce inflammation.
- Pain Reduction– Analgesics like acetaminophen help alleviate pain for mild sciatica, although they don’t reduce inflammation, so NSAIDs are often more effective for profound cases.
- Muscle Relaxants– Methocarbamol, cyclobenzaprine, and carisoprodol alleviate sciatic pain triggered by uncontrolled muscle spasms.
- Steroids– Oral steroid medication or injections can be used to target a herniated disc with severe pain. Since they reduce swelling and inflammation at the site, the relief is swift and lasting. Injections are performed under fluoroscopy with analgesic numbing agents to target the epidural space of the spine and deliver rapid relief.
It’s essential for doctors to locate the origin of nerve compression to properly treat sciatica pain. The doctors at Pain Treatment Specialists are Ivy-League educated, certified specialists in interventional pain management. That means we seek to find the source of your pain and treat it preemptively, before you find yourself needing surgery. Sciatica is one of those conditions that rarely requires surgery, yet many doctors perform needless sciatica surgery. Schedule an appointment with Pain Treatment Specialists in NYC, conveniently located near the Empire State Building for a non-invasive sciatica solution. If you’re considering surgery for sciatica, read on to see why that should be your last resort.
Can Sciatica Come Back After Surgery?
While some doctors are quick to recommend sciatic surgery, it’s often ill-advised. Sciatic pain can not only return after surgery, it can be amplified by scar tissue and nerve damage. Sciatic pain after spinal fusion is often worse than the pain before. Rather than painful, invasive procedures like surgery, it’s better to seek the source of the pain and treat it as gently as possible. Often, techniques to reduce inflammation like steroid injections and NSAIDs are all that’s required.
Since the sciatic nerve impacts so many parts of the body, a surgical mishap could trigger a host of other issues. Spinal surgery is only advised when the cause is clear and all other remedies and procedures have failed. Be wary of doctors who are quick to prescribe surgery without trying less invasive techniques and allowing ample time for inflammation to heal.
At Pain Treatment Specialists, we avoid surgery and risky procedures that threaten more harm than good. Our treatment modalities have you back in action as quickly as possible with minimal pain or downtime. Since we thoroughly investigate the source of your pain, we can confidently perform the least invasive solution possible. Our doctors hold multiple certifications and are highly sought-after experts on pain management. Our techniques save you time, money, and in many cases, further complications. Visit Pain Treatment Specialists and see why non-surgical options are often the best choice for sciatica.
Harvard Medical School
Director of Pain Management
Dr. George Hanna is a nationally recognized pain management specialist and Double Board Certified in anesthesiology and pain management medicine. Dr. Hanna is currently available at Pain Treatment Specialists in Manhattan and Clifton, NJ. He is now accepting most major medical insurances, including Medicare.
Harvard Medical School
NY & NJ PAIN SPECIALIST
Dr. Volney is double board certified in Anesthesiology and Pain Medicine by the American Board of Anesthesiology. He is currently seeing patients at our Pain Treatment Center in Manhattan and Clifton, New Jersey. Most pain treatments are covered by all major medical insurances and Medicare.
Harvard Medical School
NY & NJ Pain Specialist
Dr. Michael Nguyen is world renowned in Pain Medicine. Dr. Nguyen completed his residency and advanced Pain fellowship training at Harvard Medical School. During his tenure at Harvard, Dr. Nguyen was awarded the “Mentor of the Year” and also “Teacher of the Year” award.
Harvard Medical School
NJ PAIN SPECIALIST
Dr. Lombardi specializes in the treatment of back, neck, and joint pain. By using a range of minimally invasive modalities as well as advanced procedures, she helps patients achieve a pain free life without the need for surgery. Dr. Lombardi will be offering her pain treatment services in Clifton, New Jersey.