All Posts Tagged: sciatica

Sports Injuries

Well, we are in full swing of the summer! Speaking of swings, I hope most of you are enjoying my favorite game golf! I hope your swing looks as good as my daughters Maci’s after playing for only three months! I wish mine did as well, unfortunately, with the game of golf comes back and neck injuries all too frequently. To learn more about preventative measures stay tuned in the coming weeks we will post important steps to use to attempt to avoid injury.

Common injuries include musculoskeletal back pain and neck pain that can be treated with anti-inflammatories and physical therapy. More significant injuries can cause herniated discs in the neck or back. This can produce severe back and neck pain with or without radicular pain down the leg or arm. If the pain is down the leg or arm this is called sciatica. We can often treat these more significant injuries with the above and often with the addition of epidural steroid injections. These are outpatient procedures often done a couple of weeks apart for 2 to 3 injections. Of course, neural imaging is important to be obtained first. We perform these procedures and potential surgical intervention if needed at our outpatient spine facility- Legacy Surgery Center. Our team has vast experience with the performance of these and other spinal procedures which to be effective requires experience as well as fluoroscopic guidance.

Lastly, if a disc herniation causes intractable radicular (radiating) pain in the arm or leg (sciatica) refractory to the conservative care above then minimally invasive spinal surgery could be needed. At Legacy Spine and Neurological Specialists, we offer the most minimally invasive surgical solutions available anywhere in the world. These solutions range from micro decompression and discectomy surgery to the minimally invasive standalone lumbar fusion operations without the need for pedicle screws. These surgeries are performed through keyhole incisions less than 1 inch completely outpatient when medically appropriate.

To Learn more visit www.LegacyNeuro.com. Stay tuned for upcoming posts on prevention of golf and other sports -related back and neck injuries.

Read More

Sciatica

Sciatica is a painful condition of the nerves in the lower back that is associated with a variable degree of pain, numbness, tingling and weakness of one or both legs. Often it is self limited and resolves on its on. However, it can be persistent and need treatment. It is usually due to a ruptured or herniated or bulging disc. Discs are the cushions between our vertebrae of the spine. Normally these function as shock absorbers of the spine but over time the normal covering of the disc- the annulus- can become weak and allow the central part of the disc- the nucleus- to become displaced outside its normal location. If this displacement is adjacent to one of the nerves that run from the lower back into the legs it can produce sciatic pain.

Non-operative Treatment can consist of any or all of these options for those cases that do not spontaneously resolve:

* Spinal Exercises, Traction and other forms of spinal therapy

* NSAIDS

* Neuropathic medications such as Gabapentin

* Course of oral steroid medications

* Spinal Epidural injections In refractory cases minimally invasive microsurgical decompression and/or discectomy is a very safe and effective treatment.

 

At Legacy we offer this surgery for most patients at the outpatient surgery center through a MIS (minimally invasive) 1 inch or less incision. The success rate in terms of pain relief, return to work, return to ones sports or other activities of life are outstanding. Usually within 4-6 weeks most patients are able to resume normal activities. Patients with sedentary type work can usually return to their job in 2-5 days.

 

Read More

What is Sciatica?

In order to best understand sciatica, it’s important to first understand the literal “ins and outs” of what it’s caused by, what it feels like and how to treat it.

The first misconception to address is that sciatica is not an actual medical diagnosis- it’s a symptom of a medical condition.  More specifically, it’s the uncomfortable symptom of tingling, numbness, weakness or pain running from the lower spine, through the buttock, into the back of the thigh and down through the foot- the route of the largest single nerve in your body, the sciatic nerve.

Read More