Comprehensive Sciatica Care in Texas

Sciatica is a prevalent musculoskeletal problem caused by pressure on the sciatic nerve in the back. This significant nerve originates from the lumbar (lower) spine and extends through the buttocks, with individual branches extending down each leg.

Symptoms

• Pain
• Tingling
• Prickling
• Pins-and-needles sensation
• Numbness
• Weakness
• Loss of function

Symptoms typically spread down the leg along the nerve's pathway. While sciatica commonly affects one leg, it can develop bilaterally. The pain associated with sciatica is often described as shooting or electric-shock-like, and is frequently more severe in the buttocks and leg than in the lower back.

Sciatica results from the compression or pinching of the sciatic nerve as it exits the spine, a condition known as lumbar radiculopathy. This compression is typically caused by various factors, including bone, disc, ligament, or other tissue abnormalities, leading to spinal stenosis, which is the narrowing of the spinal canal.

Risk Factors for Sciatica

• Herniated discs
• Bone spurs (osteophytes)
• Osteoarthritic changes
• Spinal tumors
• Thickened ligaments

Several factors increase the likelihood of developing sciatica, including poorly managed diabetes, heightening the risk of nerve damage. Additionally, individuals with excess body weight, smokers, pregnant individuals, or those who spend prolonged periods sitting, lifting, or twisting are also at an increased risk of developing sciatica.

Rest is essential for reducing nerve pressure and inflammation, but prolonged inactivity can worsen symptoms. Gentle movement, ice packs, and anti-inflammatory medications can help with mild sciatica. If pain persists or becomes severe, seeking an evaluation at the Center for Minimally Invasive Neurosurgery is recommended. Treatment options may include physical therapy, epidural steroid injections, or minimally invasive surgery for sciatica relief.

The appropriate surgery for sciatica depends on the cause and severity of nerve compression, as well as individual factors like age and health. A herniated disc may necessitate microdiscectomy or discectomy, while lumbar decompression surgery is often recommended for spinal stenosis. Stabilization of the spine through fusion or artificial disc replacement may also be an option.