Sciatica

 
 

Sciatica Specialist
Sciatica is characterized by pain that radiates along the sciatic nerve, running from the lower back through the hips and buttocks, down each leg. As the longest nerve in the body, the sciatic nerve connects the spinal cord to the leg muscles. When the nerve becomes compressed or irritated, it can lead to symptoms collectively referred to as sciatica.

What is Lumbar Radiculopathy?
Lumbar radiculopathy, commonly known as sciatica, occurs when one or more nerve roots in the lower back become compressed or irritated. "Lumbar" refers to the lower spine, and "radiculopathy" refers to issues affecting the nerve roots. This compression can cause pain, weakness, or numbness along the nerve’s path.

How is Sciatica Diagnosed?
Sciatica is typically diagnosed through medical history, physical examination, and diagnostic tests. When you visit Park Avenue Medicine & Surgery, Dr. Karan Johar, a Dual Board Certified Pain Management Physician with a Specialization in Spine, will ask about your symptoms, the location of your pain, and any activities that worsen or alleviate your symptoms.

During the physical exam, Dr. Johar will check your reflexes, muscle strength, and sensation in the affected leg. Certain movements may be performed to assess your range of motion and identify specific pain triggers. In some cases, additional tests like the following may be recommended:

  • Imaging tests: X-rays or MRIs can reveal structural abnormalities such as herniated discs, spinal stenosis, or bone spurs.

  • Electromyography (EMG) and nerve conduction studies (NCS): These tests measure electrical activity in the muscles and nerves, helping assess nerve function and identify compression or damage.

Symptoms of Sciatica
Sciatica symptoms can vary depending on the cause and severity of nerve compression. Common symptoms include:

  • Herniated Disc: A herniated disc presses on nearby nerve roots, causing pain and radiculopathy.

  • Spinal Stenosis: The narrowing of the spinal canal can compress nerve roots, often related to aging.

  • Degenerative Disc Disease: Spinal discs lose their cushioning over time, increasing the risk of nerve compression.

  • Bone Spurs: Bony growths caused by arthritis can encroach on the space where nerves exit the spine.

  • Spondylolisthesis: One vertebra slips forward over another, leading to nerve compression.

  • Trauma: Injuries to the spine can cause nerve damage and radiculopathy.

  • Inflammation: Inflammatory conditions, infections, or autoimmune disorders can lead to swelling and nerve compression.

  • Tumors: Benign or malignant growths near the spine can compress nerves.

Each case of sciatica is unique, and the severity of symptoms may range from mild discomfort to debilitating pain.

What Happens If Sciatica Is Left Untreated?
If left untreated, sciatica can lead to several complications, including:

  • Chronic Pain: Persistent, worsening pain can become debilitating.

  • Nerve Damage: Prolonged compression can lead to permanent sensory changes, muscle weakness, or loss of reflexes.

  • Loss of Mobility: Pain and weakness can limit mobility, making everyday tasks difficult.

  • Increased Risk of Falls: Weakness or sensory changes in the leg can increase the risk of falls and injuries.

  • Mental Health Impact: Chronic pain may contribute to anxiety, depression, or frustration, affecting overall well-being.

Seeking medical attention early can help prevent these complications.

Endoscopic Spine Surgery for Sciatica at Park Avenue Medicine & Surgery
Dr. Karan Johar specializes in a minimally invasive surgical technique for treating sciatica. This involves creating a tiny incision, less than half an inch, through which an endoscope is inserted. The endoscope is equipped with a camera and micro-instruments, allowing Dr. Johar to treat the compressed nerve without damaging surrounding muscles or ligaments.

How Long Does It Take to Recover from Sciatica Treatment?
Recovery times can vary, but Dr. Johar’s minimally invasive approach to endoscopic spine surgery typically results in a faster recovery compared to traditional methods, allowing patients to return to their normal activities more quickly.

Frequently Asked Questions About Sciatica
If you have additional questions about sciatica and its treatment, Park Avenue Medicine & Surgery is here to help. We can provide detailed answers and guide you through every step of your care.

Ready to Take the First Step Toward a Pain-Free Life?
At Park Avenue Medicine & Surgery, we understand how challenging chronic back or neck pain can be. Dr. Karan Johar offers a range of advanced treatments, including endoscopic spine surgery and disc regeneration, to help alleviate pain and improve mobility. Whether you're dealing with sciatica, spinal stenosis, or herniated discs, Dr. Johar provides personalized care tailored to your needs.

If you're ready to take the first step toward a pain-free life, contact us today. Our knowledgeable staff is available to answer your questions and schedule a consultation with Dr. Johar. Let Park Avenue Medicine & Surgery help you get back to the activities you love.