Understanding Sciatica

Sciatica, or lumbar radicular pain, refers to pain originating from the lower back and traveling along the path of the sciatic nerve into the leg. This discomfort can radiate into the buttock, thigh, and even the lower leg, often accompanied by sensations like tingling, numbness, or muscle weakness. While some cases improve with time, persistent or severe sciatica may require professional assessment and management.

Sources of Sciatica

Sciatica is typically caused by irritation or compression of the nerve roots in the lower spine. Common causes include:

  • Lumbar Disc Herniation – A protruding or ruptured disc can press against the nearby nerve roots, triggering radiating pain.

  • Spinal Stenosis – Narrowing of the spinal canal can lead to compression of the nerve structures, resulting in leg pain with standing or walking.

  • Lumbar Facet Joint Arthropathy – Degeneration or inflammation of the facet joints can contribute to nerve irritation and discomfort.

  • Spondylolisthesis – When one vertebra slips forward over another, it may cause compression of spinal nerves.

  • Piriformis Syndrome – Tightness or spasms in the piriformis muscle can irritate the sciatic nerve, mimicking radicular pain.

Seeking Relief and Treatment

Sciatica can often be managed without surgery, with a range of non-surgical approaches providing relief and improving mobility. These may include:

  • Medications

  • Physiotherapy – Targeted exercises and rehabilitation can enhance strength, flexibility, and posture to alleviate nerve irritation.

  • Pain-Relief Interventions – We offer precision, image-guided injections that aim to settle down the inflammation around the nerves that are generating your pain.

Interventions for Sciatica Relief

Transforaminal Epidural Steroid Injection
Sciatica often occurs when a spinal nerve is inflamed or compressed by a slipped disc or narrowing of the spine. A transforaminal epidural steroid injection delivers anti-inflammatory medicine directly around the affected nerve through a precise, targeted approach. This can reduce pain travelling down the leg, improve mobility, and support rehabilitation when other treatments have not provided enough relief.

Our approach to sciatica management is individualized, ensuring patients receive an accurate assessment and appropriate care. If you are experiencing persistent sciatica or radiating pain from the lower back, seeking professional advice can help determine the best course of action for restoring comfort and mobility.