Sciatica

Sciatica

Sciatica is a common term used to describe symptoms that radiate from the low back to the lower extremities. sciatica is incredibly painful because it involves nerve root irritation and therefore the symptoms will manifest in a number of various ways. Some patients experience burning, numbing, tingling, shooting or stabbing types of pain. What determines what a patient will experience relies upon a variety of things however predominantly its associated with the placement of the nerve root irritation and therefore the severity of it.

Nerve root irritation and inflammation can even be caused by a variety of various lumbar spine conditions. These conditions can include degenerative disc disease, spinal stenosis, foramina stenosis, facet hypertrophy (facet disease), bone spurs (osteophyte), and bulging or herniated discs. These conditions can all add up to a significant narrowing of the canals that shelter the spinal cord and exiting nerve root branches.

With sciatica, it’s vital to always exhaust conservative treatment choices before considering surgery. However, if pain persists or the symptoms worsen, and conservative care is no longer providing relief, surgery may be thought about.

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Symptoms a patient may experience if they are suffering from sciatica can include:

Numbness or tingling

Weakness or atrophy in extremities

Radicular symptoms such as pain shooting into the lower extremities

Procedures

Minimally invasive procedures that may be considered when suffering from sciatica:

Laminotomy

A laminotomy is a surgical procedure where a small portion of the lamina is removed from the vertebral body so that decompression may be achieved. A laminotomy is typically performed in conjunction with other decompressive procedures such…

Foraminotomy

A minimally invasive foraminotomy is a procedure that is typically done in conjunction with other spinal procedures that can include laminotomy, discectomy, and possibly other decompressive procedures. In understanding spinal anatomy and …

Percutaneous Discectomy

A percutaneous discectomy is a surgical procedure that involves removal of disc material that may be causing spinal cord or nerve root irritation and inflammation. A discectomy is typically performed on bulging herniated, or protruding di…

Epidural Steroid Injection

Epidural steroid injections (or ESI) are typically performed after non-invasive measures (physical therapy and/or chiropractic) have failed. An ESI procedure involves delivering a steroid medication directly to the site of the inflammation…

Tranforaminal Lumbar Interbody Fusion

Trans-foraminal lumber interbody fusion is a surgical procedure that involves placing implants (also know as a cage or space) in between lumbar vertebral segments with bone graft to achieve fusion of the vertebrae. This procedure is often…

Lumbar / Cervical Laminectomy

A laminectomy is a surgical procedure that involves removal of the lamina. The lamina is part of the vertebra and serves the purpose of shielding the spinal canal. A laminectomy can also be called a “decompression” surgery. In spine surge…

Spinal Cord Stimulator

Spinal cord stimulators involve implanting a neurostimulation device that assists in interrupting nerve related pain signals before your brain can register the feeling of pain. With spinal cord stimulators they are often recommended for …

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