Dr Sandeep Vaishya

DR. SANDEEP VAISHYA

MBBS, MS, MCH (Neurosurgery)
Fellowship Sundt & Mayo Clinic, USA
HOD & Executive Director 

Department of Neurosurgery FMRI

Sciatica

Sciatica

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    Frequently Asked Questions :

    1. What is the primary cause of sciatica?

    Sciatica is often caused by a herniated disc, spinal stenosis, or other conditions that compress the sciatic nerve.

    Yes, many cases of acute sciatica resolve within a few weeks with proper care.

    Consult a doctor if you experience severe pain, numbness, or weakness in the legs.

    Sciatica

    About Sciatica

    Sciatica refers to the pain that radiates along the path of the sciatic nerve, which runs from the lower back through the hips and buttocks and down each leg. It often occurs when the nerve is compressed, leading to discomfort, numbness, or weakness in the affected leg. Understanding sciatica is crucial for effective management and treatment.

    Causes of Sciatica

    Sciatica can arise from various underlying conditions, including:

    • Herniated Discs: When a disc in the spine protrudes and presses on the sciatic nerve.
    • Spinal Stenosis: Narrowing of the spinal canal that puts pressure on the nerve.
    • Degenerative Disc Disease: Age-related wear and tear on spinal discs.
    • Spondylolisthesis: A condition where one vertebra slips over another.
    • Injuries or Trauma: Accidents or falls can lead to nerve compression.

    Types of Sciatica

    1. Acute Sciatica: Sudden onset of pain that typically resolves in a few weeks.
    2. Chronic Sciatica: Long-lasting pain that may require ongoing management.
    3. Unilateral Sciatica: Affects only one side of the body.
    4. Bilateral Sciatica: Affects both legs, often indicating a more severe issue.

    Symptoms of Sciatica

    Common symptoms include:

    • Sharp pain in the lower back or buttock.
    • Tingling or numbness in the legs or feet.
    • Weakness in the affected leg.
    • Pain that worsens with sitting, standing, or moving.

    Diagnosis of Sciatica

    Diagnosing sciatica typically involves:

    • Medical History Review: Discussing symptoms and medical history with the doctor.
    • Physical Examination: Checking muscle strength and reflexes.
    • Imaging Tests: MRI or CT scans may be used to identify the cause of nerve compression.

    Treatment for Sciatica

    Treatment options may include:

    • Medications: Pain relievers, anti-inflammatory drugs, or muscle relaxants.
    • Physical Therapy: Customized exercises to strengthen muscles and improve flexibility.
    • Chiropractic Care: Manual adjustments to relieve pressure on the sciatic nerve.
    • Epidural Steroid Injections: Corticosteroids injected into the spine to reduce inflammation.
    • Surgery: In severe cases, procedures such as microdiscectomy or laminectomy may be necessary.

    Cost of Treatment and Stay in India

    The cost of sciatica treatment in India can vary significantly based on the treatment type, hospital, and location. On average:

    • Conservative Treatments: $100 – $500
    • Surgical Procedures: $2,000 – $10,000
    • Hospital Stay: Costs can range from $100 to $1,000 per night, depending on the facility and services provided.
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