What causes sciatica?
Sciatica can come from any condition that tends to cause nerve compression in the spine. A few of the most common conditions causing sciatica are:
- Herniated discs
- Degenerative disc disease
- Spinal stenosis
- Osteoarthritis
- Spondylolisthesis
- Traumatic injuries
- Tumors
When conditions like these cause pressure on the sciatic nerve’s root, the symptoms affect the whole nerve from the root downward. To identify the cause of your sciatica, Dr. Oliver performs a physical exam and might use testing strategies like X-rays, magnetic resonance imaging (MRI) scans, or nerve conduction studies to gather more information on your pain.
How is sciatica treated?
Treating sciatica starts with a comprehensive evaluation. Once Dr. Oliver has completed any imaging tests or studies, she develops your treatment plan for sciatica while considering the condition’s severity and your personal preferences.
One of the treatments Dr. Oliver uses most for sciatica at Alturas Pain & Spine Specialists is epidural injections. Using live x-ray guidance, a small amount of steroid (cortisone) and local anesthetic is placed into your epidural space, which is a space just outside the spinal canal. The steroids help reduce inflammation of nerves and discs which can reduce your pain. This might help you postpone surgery or avoid it altogether. The results vary, but relief may last a few weeks to over a year. Dr. Oliver might also supplement your treatment with physical therapy, activity modification, and medications.
If you’re interested in learning more about sciatica and how to manage it, call Alturas Pain & Spine Specialists, or book an appointment online today.