Sciatic nerve pain often has an underlying condition causing the symptoms:
Pregnancy, injury or tissue damage, scar tissue, developing cancers or even certain types of infection can all be sciatica causes as well.
The team of dedicated spinal specialists and neurosurgeons at NSPC in Long Island is ready to help you treat any and all of your underlying sciatica causes.
The degree, type and symptoms of the sciatic pain can vary dramatically from patient to patient, depending on the particular location of the affected nerve causing the sciatica.
Most Commonly Diagnosed Sciatica Symptoms:
The first step in a sciatica diagnosis is a medical interview, where your spine specialist will inquire about any past medical conditions and your family history of spinal or neurological issues that may be contributing or aggravating your problem.
Next, a physical examination will be performed. During this examination, the doctor will test your range of motion, note the degree of pain and check several other factors. In the vast majority of cases, they will be able to determine the approximate location of the nerve impingement simply from the examination itself.
The neurosurgeon may order a medical imaging test to confirm the sciatica diagnosis and to investigate other possible issues and causes of the sciatica. Most often CT scans and MRIs are employed for this purpose, although electromyogram testing is used in some cases as well; medical imaging allows physicians to exactly pinpoint the nerves causing the sciatica.
Treatment plans often start with medications, which may include anti-inflammatories and muscle relaxants. Physical therapy can strengthen the muscles and increase flexibility. Steroid injections may reduce inflammation and the associated pain around the sciatic nerve. When other treatments are not effective, surgery may be the best treatment for your sciatica.
Surgical options for sciatica treatments depend on the underlying cause of the nerve irritation. These surgical treatments include both minimally invasive and open procedures:
Lumbar LaminectomyThis surgical procedure reduces pressure on the nerve root by removing a portion of the lamina (part of the vertebral bone) and any bony growths to increase the spinal canal opening. This operation is often used for those with spinal stenosis. If the narrowed spinal canal put pressure on the sciatic nerve, this decompression surgery may alleviate the sciatic symptoms.
MicrodiscectomyDuring this procedure, the neurosurgeon employs specialized microscopes to removed damage or herniated discs. If these discs are impinging on the sciatic nerve, this may relieve the sciatica.
As leaders in neurosurgical practice in the New York region, our top-notch multi-disciplinary team of physicians can provide expert surgical treatment options for less common causes of sciatica, such as brain and spine cancers along with other tumors.
A brain and spine specialist experienced in the underlying causes of sciatica can be the best doctor to help you determine the optimum treatment plan for your chronic leg pain. Located in centers across Long Island, NSPC has neurosurgeons skilled in treating sciatica with state-of-the-art medical procedures.
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