Are you experiencing persistent neck or back pain? It could be a result of foraminal stenosis, a common condition affecting the spine. In this article, we will delve into understanding the causes, symptoms, and treatment options for foraminal stenosis.

Foraminal stenosis occurs when the openings in the spine, known as foramina, become narrower, putting pressure on the nerves. This can lead to pain, numbness, and tingling sensations in the arms, legs, or other affected areas. Understanding the causes is crucial in managing this condition effectively.

There are several factors that can contribute to the development of foraminal stenosis, such as aging, degenerative disc disease, herniated discs, bone spurs, and spinal injuries. Identifying the underlying cause is essential in determining the most appropriate treatment.

Treatment options for foraminal stenosis range from conservative measures such as physical therapy and pain medication to more invasive interventions like corticosteroid injections or surgery. The right approach will depend on the severity of the symptoms and the patient’s overall health.

By gaining a comprehensive understanding of foraminal stenosis, you can take a proactive role in managing your condition and finding relief from the debilitating symptoms. Let’s explore this topic further and empower ourselves with the knowledge we need for a healthier spine.

What is foraminal stenosis?

Foraminal stenosis occurs when the openings in the spine, known as foramina, become narrower, putting pressure on the nerves. These foramina are passageways that allow the spinal nerves to exit the spinal column and extend to various parts of the body. When they become constricted or compressed, it can lead to pain, numbness, and tingling sensations in the arms, legs, or other affected areas.

The narrowing of the foramina can occur due to various factors, such as aging, degenerative disc disease, herniated discs, bone spurs, and spinal injuries. Understanding the underlying causes is crucial in managing this condition effectively.

Causes of foraminal stenosis

1. Aging: As we age, the structures in our spine naturally deteriorate. The discs between the vertebrae lose their elasticity, leading to a reduction in the space available for the nerves to pass through the foramina.
2. Degenerative disc disease: This condition occurs when the discs in the spine degenerate, leading to a loss of cushioning and height. The reduced disc height can cause the foramina to become narrower, putting pressure on the nerves.
3. Herniated discs: When a disc in the spine ruptures or bulges, it can protrude into the foramina, causing compression of the spinal nerves. This can result in pain and other symptoms associated with foraminal stenosis.
4. Bone spurs: Also known as osteophytes, bone spurs are bony outgrowths that can develop along the edges of the vertebrae. These spurs can encroach upon the foramina, leading to narrowing and nerve compression.
5. Spinal injuries: Traumatic events such as falls, car accidents, or sports injuries can cause damage to the spine, including the foramina. Inflammation and swelling from the injury can lead to foraminal stenosis.

Common symptoms of foraminal stenosis

The symptoms of foraminal stenosis can vary depending on the location and severity of the nerve compression. Some common symptoms include:

1. Pain: Pain is the most prevalent symptom of foraminal stenosis. It can be localized to the neck or back, or it may radiate down the arms, legs, or buttocks. The pain may worsen with certain movements or activities.
2. Numbness and tingling: Compression of the nerves can cause sensations of numbness and tingling. These sensations may be felt in the extremities, such as the hands, fingers, feet, or toes.
3. Weakness: Foraminal stenosis can result in muscle weakness in the affected areas. This can make it difficult to perform everyday tasks or participate in physical activities.
4. Loss of coordination: In some cases, foraminal stenosis can affect coordination and balance. This may manifest as difficulty walking or a sense of clumsiness.

Diagnosing foraminal stenosis

If you suspect you have foraminal stenosis, it is important to seek medical evaluation for an accurate diagnosis. Your healthcare provider will typically perform a thorough physical examination and may order additional tests, such as:

1. Imaging tests: X-rays, magnetic resonance imaging (MRI), or computed tomography (CT) scans can provide detailed images of the spine, allowing healthcare professionals to visualize any narrowing or compression in the foramina.
2. Electromyography (EMG): EMG tests measure the electrical activity of the muscles and nerves. This test can help determine if there is nerve damage or compression associated with foraminal stenosis.
3. Nerve conduction studies: These tests assess the speed and strength of electrical signals traveling along the nerves. They can help identify any disruptions or abnormalities in nerve function.

Non-surgical treatment options for foraminal stenosis

The treatment approach for foraminal stenosis will depend on the severity of symptoms and the patient’s overall health. In many cases, conservative measures can effectively manage the condition. Some non-surgical treatment options include:

1. Physical therapy: A physical therapist can design specific exercises and stretches to alleviate pain, improve flexibility, and strengthen the muscles supporting the spine. They may also provide guidance on proper body mechanics and posture.
2. Pain medication: Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) may help reduce inflammation and alleviate pain associated with foraminal stenosis. In some cases, stronger medications or muscle relaxants may be prescribed.
3. Steroid injections: Corticosteroid injections can be administered directly into the affected area to reduce inflammation and provide temporary pain relief. These injections may be recommended if conservative measures are not providing sufficient relief.
4. Lifestyle modifications: Making certain lifestyle changes can help manage foraminal stenosis symptoms. This may include maintaining a healthy weight, avoiding activities that exacerbate symptoms, and practicing good posture.

Surgical treatment options for foraminal stenosis

If non-surgical treatments fail to provide adequate relief or if the symptoms are severe, surgical intervention may be considered. The specific surgical approach will depend on various factors, including the location and extent of nerve compression. Some surgical treatment options for foraminal stenosis include:

1. Foraminotomy: In this procedure, the surgeon removes a portion of the bone or tissue that is causing the narrowing of the foramina. This helps create more space for the nerves to pass through.
2. Laminectomy: A laminectomy involves removing the entire lamina, which is the bony arch that covers the spinal canal. This procedure enlarges the spinal canal, relieving pressure on the nerves.
3. Spinal fusion: In some cases, spinal fusion may be necessary to stabilize the spine and prevent further degeneration. This involves fusing two or more vertebrae together using bone grafts or metal hardware.

Rehabilitation and recovery after foraminal stenosis surgery

After surgical intervention for foraminal stenosis, rehabilitation plays a crucial role in the recovery process. Physical therapy is typically recommended to help regain strength, flexibility, and range of motion. The therapist will develop a personalized program tailored to the individual’s needs and abilities.

It is important to follow the rehabilitation plan closely and communicate any concerns or setbacks with the healthcare team. With time and consistent effort, most patients can expect improvement in their symptoms and a return to their normal activities.

Lifestyle changes to manage foraminal stenosis

In addition to medical interventions, there are several lifestyle changes that can help manage foraminal stenosis and reduce the risk of further complications. Some lifestyle modifications to consider include:

1. Maintaining a healthy weight: Excess weight can put additional stress on the spine, exacerbating symptoms of foraminal stenosis. By maintaining a healthy weight, you can reduce unnecessary strain on your spine and improve overall function.
2. Practicing good posture: Poor posture can contribute to spinal misalignment and increase the risk of nerve compression. Pay attention to your posture throughout the day, especially when sitting or standing for extended periods. Use ergonomic chairs and supportive pillows to maintain proper alignment.
3. Engaging in regular exercise: Regular exercise, with the guidance of a healthcare professional, can strengthen the muscles supporting the spine and improve flexibility. Low-impact activities such as swimming, walking, or yoga can be beneficial for individuals with foraminal stenosis.
4. Avoiding activities that exacerbate symptoms: Certain activities, such as heavy lifting, repetitive bending, or high-impact sports, can worsen symptoms of foraminal stenosis. It is important to identify and avoid these triggers to prevent further damage.

Preventing foraminal stenosis

While it may not be possible to prevent foraminal stenosis entirely, there are steps you can take to reduce the risk of developing this condition or mitigate its severity. Some preventive measures include:

1. Maintaining a healthy lifestyle: Adopting a healthy lifestyle that includes regular exercise, a balanced diet, and avoiding smoking can help promote spinal health and reduce the risk of degenerative conditions.
2. Practicing proper body mechanics: When lifting heavy objects or performing physical tasks, it is important to use proper body mechanics to minimize strain on the spine. Bend at the knees, keep the back straight, and distribute weight evenly.
3. Using ergonomic equipment: Whether at work or home, using ergonomic equipment such as chairs, desks, and keyboards can help maintain proper posture and reduce strain on the spine.
4. Seeking early treatment for spine-related issues: If you experience persistent neck or back pain, seeking early medical evaluation and treatment can help identify and address any underlying issues before they worsen.

Conclusion

Foraminal stenosis can be a debilitating condition, but with a comprehensive understanding of its causes, symptoms, and treatment options, you can take a proactive role in managing your condition. From conservative measures to surgical interventions, there are various approaches available to alleviate pain and improve function. By making lifestyle changes and adopting preventive measures, you can reduce the risk of developing foraminal stenosis or mitigate its impact on your life. Remember to consult with a healthcare professional for an accurate diagnosis and individualized treatment plan. Take charge of your spinal health and find relief from the debilitating symptoms of foraminal stenosis.

Contact us today to learn more or schedule an appointment.

The aches, pains and stiffness that come with facet joint disease affects millions of people each year, ranging from a moderate challenge to a debilitating condition that negatively impacts nearly every part of life. Routine activities, from working around the house to spending time with friends or participating in sports, can become difficult or even impossible to accomplish. If you are living with facet joint disease, it’s important to know that you are not alone and that effective treatment is possible. 

For many people, receiving an accurate diagnosis of the sources of pain and a personalized treatment plan are critical steps on the road to relief and a healthy, active lifestyle. This informative overview can help anyone understand the basics of facet joint disease and work more closely with providers to find the relief they deserve. 

 

Facet Joint Disease Explained

Also known by terms such as facet disease, facet syndrome or facet arthritis, facet joint disease is a condition where the facet joints in the spine become painful and stiff, often due to age-related factors. In the spine, most of the vertebrae have two pairs of facet joints that link with the vertebrae above and below. Together, the facet joints enable the spine to bend and flex while allowing it to be strong enough to support the upper body and protect the spinal cord. 

Like other joints in the body, the facet joints are protected by a layer of cartilage and lubricated by joint fluid that reduces friction. If the cartilage wears down and the joint fluid dries out, it can cause increased friction and inflammation in the facet joints, leading to facet joint disease and associated symptoms. 

 

What Causes Facet Joint Disease?

The primary cause of facet joint disease is the natural aging process, but other factors including injury and autoimmune diseases can also cause the condition. Age-related facet disease, a form of osteoarthritis, occurs when cartilage naturally becomes drier and more brittle over time. The increased bone-on-bone contact inflames the facet joints, causing pain and stiffness. 

Facet joint disease is most common in the cervical spine in the neck and lumbar spine in the lower back. This is because these regions are more flexible and undergo more stress than the thoracic (middle) spine. 

 

Facet Joint Disease Symptoms

Symptoms of facet joint disease can vary depending on the underlying cause and severity of the condition. Frequent symptoms include:

• Stiffness in the neck or back
• Aches and pains in the neck or back
• A grinding or popping sensation in the joints, known as crepitus

In addition to localized symptoms, swollen and inflamed facet joints can also put pressure on surrounding nerves, causing radiating pinched nerve symptoms including:

• Shooting pains into the upper or lower extremities
• Tingling
• Numbness
• Muscle weakness

Facet joint disease symptoms can be similar to other spine conditions, which is why a thorough and accurate diagnosis is needed to ensure proper treatment. 

 

Diagnosing Facet Joint Disease

To find the source of symptoms and reach a diagnosis for facet joint disease, doctors generally take the following steps:

• Review medical history
• Discuss symptoms and ask how they are affecting movement and activity
• Perform a physical evaluation including a hands-on examination of painful areas and movement and posture tests
• Order diagnostic testing and imagery, including X-ray and MRI 

In some cases, diagnostic tests such as nerve blocks may be ordered to pinpoint the exact location of symptoms. By injecting a numbing agent into the facet joint that is believed to be causing pain, providers can confirm it as the source of facet joint disease if the patient experiences relief. 

 

Facet Joint Disease Treatments

Upon diagnosis, many doctors will recommend an initial course of conservative therapies including rest, ice, a heating pad, cold compression therapy and over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs). Combined with a healthy lifestyle that includes a nutritious diet and regular moderate exercise, many people are able to manage facet joint disease with basic therapeutic measures. 

If symptoms persist or worsen, more involved treatment may be attempted including:

• Physical therapy 
• Alternative therapies, such as acupuncture
• Interventional pain management steps, such as facet joint injections

Severe cases of facet joint disease that do not respond to nonsurgical therapies, especially if nerve compression is involved, can benefit from surgical intervention. With advances in surgical technology and technique, surgeons can treat facet joint disease with a minimally invasive, outpatient procedure. Common surgical techniques include ablation procedures that carefully burn painful nerves in the facet joints, as well as procedures to remove damaged spinal material, such as bone spurs, that are causing nerve compression. 

 

Contact PPOA Today to Start Your Facet Joint Disease Treatment Journey

Whether you are dealing with mild, moderate or severe facet joint disease pain, the caring team at Physician Partners of America (PPOA) can help. Our expert pain management specialists can help you find the exact sources of your symptoms and develop an individualized care plan that puts you on the path to relief. We are passionate about helping people get their lives back from pain and regain the healthy, active lifestyle they deserve. 

 

Contact us today to learn more or schedule an appointment. 

For many people dealing with chronic neck and back pain, spine surgery is seen as a treatment of last resort. But if weeks or months of nonsurgical therapies have not brought relief and pain begins to disrupt quality of life, it can start to become a serious consideration. 

Why do so many people want to delay or avoid spine surgery? Because in the past, traditional open spine surgery usually meant a large incision, significant muscle disruption and a long, difficult recovery period. 

But now thanks to minimally invasive laser spine surgery, it is possible to find lasting relief from a range of spine conditions through an outpatient, muscle-sparing approach. If you have heard about laser spine surgery but have questions, this helpful guide will tell you everything you need to know about these exciting procedures.  

What Is Laser Spine Surgery? 

The term “laser spine surgery” is often used as a general substitute for a range of minimally invasive procedures used to relieve pain related to spine conditions. In particular, laser spine surgery describes minimally invasive decompression surgeries that relieve nerve compression, or a pinched nerve, by removing displaced spinal tissue. Laser spine surgery can include specific procedures such as microdiscectomy, laminotomy and facet thermal ablation. 

Thanks to the advancement of state-of-the-art surgical technology and specialized techniques, spine surgeons are now able to access the spine using a much smaller incision, often less than one inch, compared to traditional open spine surgery. Additionally, laser spine surgery will often use muscle sparing techniques that help to limit damage to surrounding soft tissue. This can help to shorten the recovery period and limit the risk of complications such as bleeding and infection. 

 

How Is the Laser Used? 

Medical lasers play a key role in laser spine surgery, but not as big of a role as many people think. In most procedures, surgeons will make a small incision with a scalpel and other surgical tools to access the treatment site, and use endoscopic technology and high definition monitors to view the area and perform the procedure. The surgeon may use the laser to remove small amounts of displaced or damaged spine material. In a facet thermal ablation, the surgeon will use a laser to carefully ablate painful nerve endings that cause facet joint pain. 

 

How Long Does the Procedure Last?

The length of a laser spine surgery depends on the specific procedure and individual patient factors. Many surgeries can be performed in as little as 60 to 90 minutes. Because of the minimally invasive nature of the procedure, laser spine surgery can be performed on an outpatient basis, with patients returning home or to a hotel once released. 

 

What Conditions Does Laser Spine Surgery Treat?

Laser spine surgery can treat a number of degenerative spine conditions that cause spinal nerve compression and related symptoms such as local pain, radiating pain, tingling, numbness, muscle weakness and limited mobility. Conditions treated by minimally invasive laser spine surgery include: 

• Bulging discs
• Herniated discs
• Bone spurs
• Facet disease
• Degenerative disc disease
• Spinal stenosis
• Sciatica

It is important to receive an accurate diagnosis and a thorough evaluation before undergoing laser spine surgery. 

 

Who Is a Candidate for Laser Spine Surgery? 

Candidates for laser spine surgery will have a spine condition that is causing chronic, debilitating pain due to nerve compression and have not found relief from a full course of conservative therapies. For a large number of patients, options such as physical therapy or interventional pain management can be highly effective in achieving the relief necessary for a good quality of life. 

Patients considering laser spine surgery will need to undergo a full medical screening and evaluation to ensure they are able to undergo the procedure and that there is an operable condition that has been positively identified as the source of symptoms. 

 

What Is the Recovery Process for Laser Spine Surgery?

Your laser spine surgery provider will provide detailed instructions on what to expect before and after the procedure. Many patients are up and walking within hours of the procedure and can resume light activities within days. 

Full recovery and return to work times depend on the condition, procedure and individual patient factors. Some patients recovering from laser spine surgery can be back at work in a manner of weeks. It is critical to follow all postsurgical instructions for caring for the surgical site and resuming activities to ensure a safe and speedy recovery. 

 

Laser Spine Surgery at Physician Partners of America

The highly skilled surgeons at Physician Partners of America (PPOA) are among the pioneers of laser spine surgery procedures. Our minimally invasive spine procedures can be performed with a less than one inch incision, compared to five inches or more used in traditional open spine surgery. At our state-of-the-art outpatient facilities we help patients dealing with a wide range of conditions find long-term relief and a return to an active lifestyle.

 

Contact PPOA Today

We are committed to helping people achieve a pain-free life. If you have fully explored nonsurgical options and want to find out if you may be a candidate for minimally invasive laser spine surgery, contact our caring team today. 

Like any other spine condition, spondylolisthesis is a diagnosis that most people would like to prevent if at all possible. Although not always painful, especially in less severe cases, spondylolisthesis can be a source of back pain, spinal instability and mobility problems for the people it affects. It isn’t possible to completely prevent spondylolisthesis from developing, but one of the best steps anyone can take is to practice a lifestyle that promotes and maintains a healthy spine. 

By learning about the causes and symptoms of spondylolisthesis, as well as practical tips for keeping a healthy spine, you can lower your chances of dealing with this condition — or limiting its progress if you have been diagnosed.  

 

Spondylolisthesis Explained

Spondylolisthesis is a condition where one of the vertebrae in the spinal column begins to slip out over the one beneath it. This can cause instability in the spine as well as pressure on the spinal cord or a nerve root. Spondylolisthesis usually happens in the lower, or lumbar, region of the spine due to the constant stress this area undergoes every day. 

Spondylolisthesis is usually graded on a scale of one to five, depending on the level of severity. Level one represents minor slippage, while level five is almost total slippage and vertebral displacement. 

 

Understanding the Causes of Spondylolisthesis

There are multiple types of spondylolisthesis, and each type is generally related to an underlying cause. The most common types and causes of spondylolisthesis include: 

• Degenerative spondylolisthesis: Caused by age-related breakdown of the spinal discs and connective tissue.

• Isthmic spondylolisthesis: Usually develops as a result of a fracture in the spinal joint that causes the vertebral slippage.
• Congenital spondylolisthesis: Is vertebral slippage related to a birth defect in the spine that causes a misalignment. 

Other causes of spondylolisthesis can include traumatic injury, conditions such as osteoporosis, tumors and postsurgical complications. 

 

Spondylolisthesis Symptoms

Symptoms can vary depending on the severity and cause of spondylolisthesis, but can include: 

• Lower back pain
• Stiffness and limited mobility
• Muscle spasms
• Muscle weakness
• Neuropathic symptoms, including tingling and numbness in the feet and toes

Anyone experiencing possible symptoms of spondylolisthesis for more than a few days to a week at the most should see a doctor or pain management specialist for immediate diagnosis and treatment. Spondylolisthesis is a progressive condition and preventing it from worsening requires a proactive approach that includes following recommended treatments and committing to a spine healthy lifestyle. 

 

Four Tips for Maintaining Spine Health to Prevent or Manage Spondylolisthesis

There is no way to completely prevent the development of spondylolisthesis. Factors such as aging, genetics and birth defects all contribute to this condition regardless of other steps that are taken. The best thing anyone can do to prevent spondylolisthesis or prevent the condition from progressing is to take steps that increase overall spine health and slow down natural degeneration as much as possible. 

Here are four practical tips for a spine healthy lifestyle:

1. Exercise regularly to increase flexibility and strengthen supporting muscles

One of the biggest contributors to spine conditions including spondylolisthesis is a sedentary lifestyle. Regular exercise, including a mixture of cardiovascular exercise and strength training, can help strengthen the muscles and connective tissue that hold up the spine. This in turn decreases stress on the vertebrae, discs and joints, which can potentially slow the degeneration that can lead to vertebral slippage and other conditions such as arthritis or degenerative disc disease. Even something as simple as 20 minutes of walking, gentle stretching and planking a few times a week can make a huge difference. 

2. Eat a healthy diet

The food we eat has a big impact on spine health. For example, a diet high in processed foods, saturated fats and sugar can increase inflammation while decreasing bone and muscle health. In contrast, eating a diet rich in whole grains, leafy green vegetables, fruits, lean proteins and unsaturated fats are associated with a reduced inflammatory response, stronger muscles and more durable bones all of which can help reduce the risk of spondylolisthesis and other spine conditions. It is also essential to drink plenty of water and stay hydrated while minimizing intake of sugary beverages and alcohol. 

3. Maintain a healthy weight 

Carrying extra weight adds to the stress on the spine. Even losing just a few pounds can make a difference on the pressure that is put on the discs, joints and vertebrae in the spinal column. Reducing calorie intake, eating a nutrient rich, whole food diet and getting regular exercise can all work together to help anyone achieve a weight loss plan. This in turn can promote a more stable spine that is less prone to spondylolisthesis and other spinal problems. 

4. Practice good posture and ergonomics

Reducing stress and wear and tear on the spine is something that can be done throughout the day to help prevent or manage spondylolisthesis. Practicing good posture while standing and sitting helps to even out pressure and minimize the impact on individual areas of the spine. While at work, be mindful of your spine while performing any repetitive physical movements and always lift with your legs. You can also work on spine health while sleeping by using a supportive mattress and pillow and getting a good night’s sleep each night. 

 

Contact PPOA to Learn More About Spondylolisthesis Prevention and Treatment

If diagnosed, spondylolisthesis is usually treatable with conservative therapies including rest, over-the-counter medication, physical therapy and interventional pain management steps such as anti-inflammatory injections or nerve blocks. Surgery can become an option if conservative therapies are not effective for managing symptoms or for severe grades of spondylolisthesis. 

No matter where you are on your therapeutic journey for spondylolisthesis, Physician Partners of America (PPOA) can help. From prevention to interventional pain management to minimally invasive spine surgery, our caring experts will assist you in developing a personalized plan that fits your needs, treatment goals and lifestyle. Contact us today to learn more and schedule your appointment.

Sciatica nerve pain affects millions of people in the United States. The shooting pains and symptoms like muscle weakness can impact quality of life and make it difficult to do the normal activities that many of us take for granted. Although it may seem like something you just have to live with, the truth is that there are effective treatments for sciatic nerve pain and it is a condition that is possible to manage. 

A key first step is to educate yourself as a patient. By understanding exactly what sciatica nerve pain is, what the causes are, and how to recognize the symptoms, you can take a more active role in your care. We’re sharing this guide to help anyone dealing with sciatica take control of their pain and get back to spending time with the people and activities they love. 

 

Sciatica and the Sciatic Nerve Explained

Sciatica is a term for a set of painful symptoms caused by compression of the sciatic nerve. The sciatic nerve is the longest and widest nerve in the body, consisting of multiple nerve roots that originate in the lumbar (lower) spine before branching off into the lower body. This nerve travels through the buttocks, backs of the legs and down to the feet on both sides of the body. 

Because it is so long, there are multiple points along the nerve where compression and irritation can occur, especially in the lower spine and the buttocks. Similarly, sciatica nerve pain can be experienced all along the nerve pathway. One of the most common paths is the lower back to the buttocks and to the back of one of the legs. 

Sciatica nerve pain usually occurs on one side or the other, although bilateral nerve pain can occur in some cases.  

 

Common Causes of Sciatica Nerve Pain 

There are a wide range of conditions that can compress the sciatic nerve and cause sciatica nerve pain, including:

• Herniated discs in the spine
• Bulging discs in the spine
• Spinal bone spurs from bone-on-bone friction caused by conditions such as facet disease or degenerative disc disease
• Muscle strains in the buttocks, particularly the piriformis muscle 
• Pregnancy-related sciatica caused by excess pressure from a growing baby in the womb
• Nerve damage related to diabetes or other conditions

Risk factors that can increase the chances of sciatica developing include age, lack of exercise, poor nutrition, being overweight and obese, poor posture, smoking, and excessive alcohol consumption. Although there is no way to completely prevent sciatica, practicing a spine healthy lifestyle can significantly decrease the chances of sciatica nerve pain and potentially lessen the severity if it does occur. 

 

Sciatica Symptoms

The type and severity of sciatica nerve pain symptoms can vary depending on the location and extent of sciatic nerve compression. Some of the most commonly reported symptoms include: 

• Shooting or burning pain starting in the lower back 
• Pain in the buttocks 
• Pain in the back of the leg
• Tingling and numbness in the extremities
• Muscle weakness
• Muscle spasms
• Limping
• In severe cases, a symptom known as foot drop can develop which can severely hinder walking

Because sciatica-like symptoms can be caused by other conditions and injuries, it is critical to receive an accurate diagnosis for the source of your pain. Doctors will review symptoms and medical history, perform a physical examination, and order diagnostic imagery such as an MRI. Additional testing such as nerve blocks may be required to pinpoint the exact point of compression or irritation. 

 

Effectively Managing Sciatica Nerve Pain

Treatment for sciatica nerve pain will generally begin with conservative therapies. For many people, basic treatments such as rest, hot and/or cold compression, over-the-counter medication and gentle stretching can be very effective. 

In more severe cases, interventional pain management, including pain management injections, may be necessary to relieve sciatic nerve pain. Additionally, treatments such as physical therapy and therapeutic massage can help improve function, strengthen supporting muscles, relax soft tissue and improve circulation to the area. 

Sciatica pain that does not respond to a full course of nonsurgical pain management therapy may benefit from minimally invasive spine procedures. By using a small incision and muscle-sparing techniques, highly skilled surgeons can access the spine and remove material, such as part of a herniated disc or bone spur that is causing sciatic nerve compression. Thanks to advanced technology and surgical methods, these procedures can be completed on an outpatient basis with less risk of complication compared to traditional open spine procedures. 

 

Find the Relief You Deserve with PPOA

No matter the stage of your sciatica treatment journey, the caring experts at Physician Partners of America can help. For years, we have been helping people dealing with sciatica nerve pain and related conditions find personalized care that addresses the sources of sciatic nerve compression. Whether you need interventional pain management or minimally invasive surgery, we can assist you in making the right care decisions for you and your family. 

Contact our dedicated team today to learn more.