Common Specialities
Common Issues
Common Treatments


Sciatica - Symptom, Treatment And Causes

What is Sciatica?

Sciatica is the pain that occurs in the large sciatic nerve that runs from our lower back down through the back of the legs. It’s a disease that causes severe and debilitating pain. Sciatica pain that originates in the lower back moves down and travels through our buttocks along the path of the sciatic nerve, behind our legs causing numbness, tingling sensation or weakness.Anatomically speaking, this nerve is the largest single nerve in our body and constitutes of individual nerve roots that starts by spreading out from our spine in the lower back and then assimilate to form the ‘sciatic nerve’. The symptoms of this disease arise, when this large nerve gets compressed or irritated at or near its point of origin.

Causes and Risk factors

Patients suffering from sciatica pain are rarely aged below 20. This disease is commonplace in middle age people who are between the ages of 40-50.While sciatica pain is often loosely used to describe all kinds of leg pains, but researchers estimate that up to 43 percent of the global population gets affected with this disease, at some times in their lives.Although pain from a pinched nerve can be debilitating, but most of the patients suffering from sciatica, find themselves feeling better with medication, within a few weeks or months.

Sciatica is a condition that seldom occurs because of a particular injury, but rather this painful condition develops over time.

The following 6 lower back medical issues are the most common causes of sciatica:

In addition to the above stated 6 most common causes, a number of other conditions can also cause sciatica, which includes:

Treatment :

Sciatica can be treated both surgically and non-surgically. There are a wide range of options that are available for nonsurgical sciatica treatment, such as, ice and heat compression on the affected site, ingesting over-the-counter pain medications and injecting epidural steroid injection for relieving acute pain. Usually all these treatments are prescribed in conjunction with specific exercises. In addition, these common medical treatments, a wide number of alternative treatments have also proved effective for many patients for alleviating this pain. Some of the most accepted forms of alternate care for treating sciatica includes acupuncture therapy, chiropractic manipulation, massage and cognitive behavior therapy.

Treatable by medical professional Require medical diagnosis Lab test sometimes required Short-term: resolves within days to weeks Non communicable
Constant pain that remains on any one side of the buttock, but seldom on both sides. Pain originates in the low back and continuing to travel along the path of the sciatic nerve- down through the back of the thigh and into the lower part of the leg and foot. Pain often feels better when lying down or while walking, but worsens when sitting or standing. Pain is not a dull pain, rather, it’s a searing and sharp agony. Numbness, prickling and a pin-and-needle sensation that travels down the leg.

Popular Health Tips

Sciatica Pain - What Can Trigger It?

MCh - Neurosurgery , MS - Orthopaedics
Neurosurgeon, Bangalore
Sciatica Pain - What Can Trigger It?

Sciatica is a neurological condition that mainly arises due to problems in the sciatic nerve. The sciatic nerve is believed to be the largest nerve originating from the spinal nerves L4 to S3. It extends downward from the lower spine into the back of each leg (thighs) right down to the foot. The sciatic nerve acts as a connecting link between the spinal cord and the foot and the leg muscles. People with sciatica often experience a tingling sensation along with a shooting pain radiates downwards from the lower back (mostly the lumbar region) to the back of one of the legs. Some may also experience the sciatic pain down both the legs (rare).

Types of Sciatic Pain:

Sciatica that affects a person can be of two types depending on the severity of the associated symptoms

  • Acute sciatic pain: In this case, a person experiences a sudden radiating pain which often heals by itself within a week or two. More than often, the pain is triggered by an injury to the spinal joints, nerves, or the disc.
  • Chronic sciatic pain: This is a more serious condition where the pain may linger for long, often more than three months. The chronic sciatic pain may affect a person with severe Arthritis and nerve injury and damage.

Symptoms associated with Sciatica:

  • One of the characteristic symptoms of Sciatica is a shooting pain that radiates from the lower back (often the lumbar) to the back of one (or both) of the legs.
  • In some, the sciatic pain may result in weakness and a tingling sensation down the affected leg.
  • A person with sciatica may find it difficult to move his/her foot and legs (restricts their movement).
  • Some people may experience a shooting pain even while they are in a sitting position. In some others, the pain may be at its worst when a person is in a standing position.
  • Sciatica can also trigger a hip pain.

What triggers sciatica and the associated symptoms?

  • The disc is a protective shield that prevents any damage or injury to the vertebrae. A degenerative disc problem can interfere with the normal functioning of the disc triggering sciatica.
  • Spondylolisthesis: In Spondylolisthesis, also known as a Slip Disc, a bone (mostly in the lumbar region) slips over the bone which is located just below it. People with prolonged and untreated spondylolisthesis are often known to suffer from sciatica.
  • The sciatic pain can also affect a woman during her pregnancy.
  • Lumbar spinal stenosis: This condition is is characterized by the spinal canal narrowing down in the lumbar region. Lumbar spinal stenosis exerts pressure on the sciatic nerve, giving rise to sciatica.
  • A muscular strain or spasm in the buttocks can also be a contributing factor.

Proper management and prevention for sciatica are possible. One should be alert and consult a doctor in case they experience the associated symptoms or any discomfort. In case you have a concern or query you can always consult an expert & get answers to your questions!

3045 people found this helpful

Procedures That Can Help Treat Slip Disc & Sciatica!

Pain Management Specialist, Delhi
Procedures That Can Help Treat Slip Disc & Sciatica!

The intervertebral discs are made-up of two concentric layers, the inner gel-like Nucleus Pulposus and the outer fibrous Annulus fibrosus. As a result of advancing age, the nucleus loses fluid, volume and resiliency and the entire disc structure becomes more susceptible to trauma and compression. This condition is called as degeneration of the disc. The disc then is highly vulnerable to tears and as these occur, the inner nucleus pulposus protrudes through the fibrous layer, producing a bulge in the intervertebral disc. This condition is named as herniated disc. This can then cause compression to the spinal cord or the emerging nerve roots and lead to associated problems of Sciatica radiating pain from back to legs in the distribution of the nerve. Other symptoms could be a weakness, tingling or numbness in the areas corresponding to the affected nerve. Sometimes bladder compromise is also present, which is made evident for urine retention and this need to be taken care as an emergency.

Excessive weight, bad postures, undue movements, improper weight lifting and other kinds of traumas may weaken the intervertebral discs. When this occurs the pulpous nucleus will bulge against the annulus, or even be squeezed through it (extruded disc).

The first steps to deal with a herniated or prolapsed lumbar disc are conservative. These include rest, analgesic and anti-inflammatory medication and in some cases physical therapy. At this point, it is convenient to have some plain X-rays done, in search of some indirect evidence of the disc problem, as well as of degenerative changes on the spine.

If in a few days these measures have failed, the diagnosis has to be confirmed by means of examinations that give better detail over the troubled area, as the MRI, CT which will show the disc, the space behind it and in the first case, the nerves. In some instances, the EMG (electromyography) is also of great value, as this will show the functionality of the nerves and muscles.

Once the diagnosis has been confirmed, one of the best alternatives existing today is the Ozone Discolysis as the results obtained are excellent and practically has no complications. This novel treatment avoids the use of surgery in 80% of those who needed it. In most patients left with painkillers as the only treatment, the symptoms eventually disappear, only that this could take weeks to months. Ozone speeds up these developments, see the same result in a few weeks. The problem has to be seen and approached integrally and frequently the combination of therapies has to be used, most frequently physiotherapy. Also, it has to be known that those who had a herniated disc have 10 times more chances of having another herniation than the rest of the population.

If despite the ozone therapy the symptoms persist, Drill Discectomy/ Laser Discectomy are good alternatives before open surgery (Discectomy) which has to be contemplated in those true emergencies, as mentioned above, this is possibly the first choice.

Once the conservative treatment fails:

Early aggressive treatment plan of pain has to be implemented to prevent peripherally induced CNS changes that may intensify or prolong pain making it a complex pain syndrome. Only 5% of total LBP patients would need surgery & 20% of discal rupture or herniation would need surgery. Nonoperative treatment is sufficient in most of the patients, although patient selection is important even then.

Depending upon the diagnosis one can perform & combine properly selected percutaneous fluoroscopic guided procedures with time spacing depending upon pt`s pathology & response to treatment.

Using precision diagnostic & therapeutic blocks in chronic LBP, isolated facet joint pain in 40%, discogenic pain in 25% (95% in L4-5&L5S1), segmental dural or nerve root pain in 14% & sacroiliac joint pain in 15% of the patients. This article describes successful interventions of these common causes of LBP after conservative treatment has failed.

LESI: Lumbar Epidural Steroid Injection

Indicated in – Acute radicular pain due to irritation or inflammation.

  • Symptomatic herniated disc with failed conservative therapy
  • Acute exacerbation of discogenic pain or pain of spinal stenosis
  • Neoplastic infiltration of roots
  • Epidural fibrosis
  • Chronic LBP with acute radicular symptoms
  • Epidural- lumbar injection

ESI Treatment Plan

Compared to interlaminar approach better results are found with a transforaminal approach where drugs (steroid+ LA/saline +/- hyalase) are injected into anterior epidural space & neural foramen area where herniated disc or offending nociceptors are located. Whereas in interlaminar approach most of drug is deposited in posterior epidural space.Drugs are injected total 6-10 ml at lumbar, 3-6 ml at cervical & 20+ ml, if caudal approach is selected. Lumbar ESI is performed close to the level of radiculopathy, often using paramedian approach to target the lateral aspect of the epidural space on involved side. Cervical epidural is performed at C7-T1 level.

SNRB- Selective Nerve Root Block 

Fluoroscopically performed it is a good diagnostic & therapeutic procedure for radiculopathy pain if

  • There is minimal or no radiological finding.
  • Multilevel imaging abnormalities
  • Equivocal neurological examination finding or discrepancy between clinical & radiological signs
  • Postop patient with unexplainable or recurrent pain
  • Combined canal & lateral recess stenosis.
  • To find out the pathological dermatome for more invasive procedures, if needed

Intradiscal Procedures 

Provocative Discography - Coupled with CT

A diagnostic procedure & prognostic indicator for surgical outcome is necessary for the evaluation of patients with suspected discogenic pain, its ability to reproduce pain(even with normal radiological finding), to determine type of disc herniation /tear, finding surgical options & in assessing previously operated spines.

Percutaneous Disc Decompression (PDD)

After diagnosing the level of painful offending disc various percutaneous intradiscal procedures can be employed

Ozone Discolysis: Ozone Discectomy a revolutionary least invasive safe & effective alternative to spine surgery is the treatment of choice for prolapsed disc (PIVD) done under local anaesthesia in a daycare setting. This procedure is ideally suited for cervical & lumbar disc herniation with radiculopathy. The total cost of the procedure is much less than that of surgical discectomy. All these facts have made this procedure very popular at European countries. It is also gaining popularity in our country due to high success rate, less invasiveness, fewer chances of recurrences, remarkably fewer side effects meaning high safety profile, short hospital stay, no postoperative discomfort or morbidity and low cost.

Dekompressor: A mechanical percutaneous nucleosome cuts & drills out the disc material somewhat like morcirator debulking the disc reducing nerve compression.

Epidural Adhenolysis or Percutaneous Decompressive Neuroplasty for Epidural Fibrosis or Adhesions in Failed Back Surgery Syndrome (FBSS)

A catheter is inserted in epidural space via caudal/ interlaminar/ transforaminal approach. After epidurography testing volumetric irrigation with normal saline/ L.A./ hyalase/ steroids/ hypertonic saline in different combinations is then performed along with mechanical adenolysis with spring loaded or stellated catheters or under direct vision with epiduroscope.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4494 people found this helpful

Sciatica - When Do You Have To Go For Surgery?

MCh - Neurosurgery, MS-General Surgery, MBBS
Neurosurgeon, Delhi
Sciatica - When Do You Have To Go For Surgery?

Sciatica pain can be mild to intense. Many with lumbar herniated disc and sciatica often wonder whether or not they require a surgery. Needless to say, it is never an easy decision. But the good news is that micro discectomy surgery has a higher rate of success when it comes to relieving sciatica pain. When compared to many other options, this one is relatively minimally invasive. It doesn’t alter the structure of the spine permanently since it works by removing a small portion of the disc, which has herniated or extruded out of the disc.

When your sciatica pain stems from lumbar disc herniation, a small open surgery with the help of magnification is the prevalently opted surgical approach. On the other hand, a laminectomy is done when the bone or disc pinching the nerve root is required to be removed.

When should you consider undergoing surgery for sciatica?
Typically, neurosurgeons recommend considering surgery for sciatica in a host of situations which include the following:

  1. Severe pain in the leg lingering for more than six weeks, which mainly affects one side of the leg or buttock
  2. Intense pain in the low back and buttock, which continues through the course of the sciatic nerve andextends to the lower leg and even foot. This pain can be described as sharp and searing rather than a dull thud.
  3. When pain has not alleviated even after non-surgical treatments that may include non-steroidal anti-inflammatory drugs (NSAIDs),oral steroids, injections, manual manipulations, and physical therapy
  4. When the patient is not able to take part in the day to day activities due to intense lower back pain and the symptoms tend to become severe during movements like sneeze and cough.
  5. When the symptoms are continuing to worsen, thereby indicating nerve damage, particularly when the progressive signs have their root in neurological issues
  6. It is important to note here that surgical intervention may only be needed when the patient experiences progressive weakness in the lower portion of the body or sudden loss of bladder or bowel movement, which may stem from cauda equina syndrome. Two surgeries, namely lumbar laminectomy and microdiscectomy are performed on the basis of the cause as well as the duration of the sciatica pain.
  7. In some cases, the symptoms are unique on the basis of the underlying causes of sciatica. For instance, trying to bend the body backward or walking a longer distance than normal may trigger unbearable symptoms. On the other hand, when the affected individual tries to bend the body forward, it can lead to symptoms stemming from the lumbar herniated disc.
  8. In case sciatica occurs after an accident, injury or trauma, or if it happens in tandem with other symptoms, then it requires an immediate medical attention.

Thus, choosing to go for a surgery depends on several factors that only your doctor can assess and decide upon.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2737 people found this helpful

Sciatica Pain - 5 Ways You Can Treat It!

Interventional Pain Management
Pain Management Specialist, Lucknow
Sciatica Pain - 5 Ways You Can Treat It!

Sciatica pain arises from the sciatic nerve which is the single largest nerve in our body. It consists of individual nerve roots, which branching out from the lower back of the spine to the back of each leg and combining together forms the sciatic nerve. The origination of the sciatic pain lies in the lower back of the body and radiates down the buttock to the sciatic nerve.

Causes of the sciatica pain

  1. ArthritisIf an individual is diagnosed with arthritis, then he or she can expect a throbbing pain or numbness down till the leg.
  2. Herniated discAnother cause could be a herniated disc in the lower back of the body.
  3. SpondylosisSpondylosis in the lower back would also be a reason for the development of the sciatica pain.
  4. PIVD/DISC bulge

Other causes are a spinal injury, diseased degenerative disc, infection on and around the lower back. The pain would worsen, if an individual is in an occupation where he or she has to stand or sit for hours at length. The lifting of heavy things would strain the sciatic nerves as well.

How to identify sciatica pain?
Sciatica pain varies from infrequent to a constant throbbing down the lower back. So initially it is difficult to detect whether it is sciatic pain or not. But when the constant pain in the lower back leads right down till the toes and foot, it is really time for an individual to get in touch with a doctor. The pain can give a burning sensation almost searing making it difficult for the person to stand up or walk properly. Along with the pain, one can feel fatigued. An involvement of the spinal cord is rare in the sciatic pain but is possible.

Treatment for sciatica pain
Sciatica can be treated in both surgical and non-surgical way. Surgical treatment is rare as sciatica tends to respond well with non-surgical treatments. If the pain continues for over a month despite treatment, surgical treatment will be considered. The non-surgical pain treatment would include physical exercises and oral medications along with natural treatment.

  1. Medications: Painkiller medications prescribed by the doctor can be used to reduce sciatica. Medicines like aspirin, non-steroidal or oral steroids can help reduce the pain.
  2. Steroid injection: Epidural steroid injection acts faster as it is injected in the affected area, thus providing relief from the pain quickly.
  3. Exercise: Early morning exercises can be quite helpful.
  4. Percutaneous Endoscopic DiscectomyThe surgical treatment of Percutaneous endoscopic disc dissectomy constitutes a large part of interventional pain physicians and it has evolved considerably in terms of surgical technique and instrumentation. Percutaneous endoscopic discectomy is a relatively new technique for removing lumbar disc herniation. It involves using an endoscope to visualize the disc removal. The discectomy is performed through a posterolateral approach using specially developed instruments. The advantage of percutaneous endoscopic discectomy is that the disc is approached posterolaterally through the triangle of Kambin without the need for bone or facet resection thus preserving spinal stability. The procedure is day care and is done under local anaesthesia. If you wish to discuss about any specific problem, you can consult a pain management specialist.
4206 people found this helpful

Lower Back Pain - Do I Need Physical Therapy?

Pain Management Specialist, Kolkata
Lower Back Pain - Do I Need Physical Therapy?

Lower back pain is fast becoming an epidemic not just among elderly, but across all age groups. Primary causes of back pain are quite a few including lumbar hernia, disc degenerative disease (DDD), spondylosis etc., but the symptoms are usually the same excruciating pain in the lower region of the spine, followed by stiffness. Since back pain is caused due to a number of spinal problems, it manifests differently in different patients. The pain may be dull, burning or sharp. It could also be felt at a single point or over a broad area and could be accompanied by muscle spasms or stiffness or even shooting pain in one or both legs.

Back pain can also be differentiated according to time period:

  1. Acute: Pain lasts for less than three months.
  2. Recurrent: Acute symptoms reoccur over time.
  3. Chronic: Pain lasts longer than three months.

Sometimes symptoms resolve on their own, but in many cases conservative treatment, such as physiotherapy, which often work better than surgery, becomes essential. Alternate therapies like surgery, acupressure, acupuncture as well as yoga and Ayurveda also help.

Physiotherapy - Exercises that work
Since the reason for low back pain is not always same, a patient’s treatment too should be tailored for his specific symptoms and condition. This is what the physiotherapist will do design an exercise plan based on the patient’s specific problem and its cause.

Physiotherapy treatments may include:

  1. Manual therapy, which includes direct spinal manipulation aimed at improving the mobility of joints and soft tissues
  2. Strengthening and flexibility exercises
  3. Education about what do and what not to do
  4. Training for proper sleeping positions, lifting, bending, and sitting as well as for working at home and at work
  5. Use of heat/cold treatments or electrical stimulation to help relieve pain

Physiotherapy exercises help support the back and strengthen muscles so that the spine is cushioned properly. This is why physiotherapy is relevant as a treatment for backache. Treatments like traction help in lengthening the spine and relieving compression of nerves that cause sciatica, radiating pain into legs largely due to lumbar herniation. If back pain is extreme, a patient will require physical therapy along with medication, which will help in managing pain and bringing inflammation down. But in the long term, being physically active, going for walks, sitting properly and maintaining a good posture will help the most. If you wish to discuss about any specific problem, you can consult a physiotherapist.

3793 people found this helpful

Popular Questions & Answers

I have a spine problem, L4 L5 disc is protruding due to which have sciatica causing radiating pain to my left leg. Sometimes I feel disoriented & dizzy, is it also related to the spine.

MBBS Bachelor of Medicine and Bachelor of Surgery, Diploma In Orthopaedics (D. Ortho), DNB (Orthopedics)
Orthopedist, Tumkur
Usually lumbar disc prolapse will not lead to dizziness and disorientation. It can happen if you have cervical disc problem. But not disorientation. Kindly get evaluated for any cardiac problem. Get ecg, echo.
3 people found this helpful

I am 36 years old. I have a problem of sciatica pain in my right leg around ankle for last 13 days. The improvement is a little such as feeling no pain while sleeping but I feel pain under the ankle after walking about 500 meter. I am taking gabapin nt 100 mg tablet twice a day. Please advise me what should I do to get rid of this pain.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
Ankle pain. Our suggestion would be to do hot water fermentation along with Cold (ice) therapy. You shall also keep a pillow under the knee while sleeping, next is you can keep ice in the painful area for about 5-10 minutes.

Hi Sir, Mere baye pair me bahut dard hai doctor se dikhne pe wo mujhe sciatica ka Problem bata raha Mujhe sciatica ka koi achha sa doctor bataye.

MBBS, MS - Orthopaedics
Orthopedist, Hyderabad
Sciatica is a common symptom associated with back pain. It is due to disc prolapse in the spine compressing the nerve root of the leg. You consult an orthopaedician nearby.

Hi sir, I am suffering accidental nerve damage sciatic nerve my right leg not working proper for 3 year.Please suggest me something for that.

MS- Ortho, DNB
Orthopedist, Ahmedabad
You should consult orthopedic surgeon, go for nerve conduction & Electromyography study of lower limb, if definite injury then go for MRI of that area to see sciatic nerve injury. You may need nerve repair if it is genuianlly injured ,also may require reconstructive surgery to stabilize foot 7 ankle.

Table of Content

What is Sciatica?

Causes and Risk factors

Treatment :

Play video
Process of bloodletting
Blood-letting process for sciatica & backache.
Play video
Medications To Treat Pain

I am Doctor Varun Singla International pain specialist doctor of reviving pain and spine centre. So today we will discuss about medicine. What is pain medicine? Who is a pain specialist? Then we'll go to the conditions which are being treated by page creation and you can help the people in the treatment of these conditions. Medicine which deals with the management of pain and who is a pain specialist doctor who specialises in pain in the use of minimally invasive non-surgical procedures.

So I see many patients who are coming to us and they are suffering from pain living with it and don t take treatment and unaware of the treatment that are available today in the modern medicine so many ways by which you can be treated by open position for example back pain, sciatica pain, joint pain, shoulder pain, Trigeminal Neuralgia facial pain many things in which you can see treatment. There are many ways to get rid of pain like physiotherapy, chiropractors, massage, manipulation surgery and minimally invasive procedures. In our houses, if someone has pain how do they go about it. They start with home based therapies, massages and then they will go to the chemist to buy a medicine a painkiller that is a dangerous thing.

That is not to be done and if the pain is not relieved they will go to the doctor like the orthopedician or a surgeon then their device do surgery. And many people will face now that should I go for a surgery? Has there a risk involved but they are not being cheated with medicine or physiotherapy. What to do? Here comes the role of interventional pain medicine which is a non surgical minimally invasive and leaving procedures so they can go for these procedures.

So how does a pain physician relieve the pain? What are the methods by which a pain physician relieves the pain? These are like injecting drugs to a target area under imaging like laparoscopy or ultrasound small needle like injection and second thing is radiofrequency ablation. 3rd Thing would be intrathecal pump spinal cord stimulator and then there is endoscopic spine surgery. It is a spine endoscopy so when should you visit the pain physician if you are having any chronic pain which is more than 3 months like back pain, sciatica neck, pain facial pain, trigonal Neuralgia, joint pains, poster camera neuralgias, shoulder pain, knee pain, crps for any of these Sonic Paints so you can visit to pain specialist who can get rid of your pain if you are suffering from any kind of chronic pain. Kindly visit the wine pain and spine centre thank you
Play video
Side Effects Of Over-The-Counter Painkillers
I am Dr. K J Choudhury, senior consultant in pain management and in charge of pain clinic in Indraprastha Apollo Hospital, New Delhi. Many people don't know what pain management is about. Though people know that pain is the issue with every family. An I am sure in every family there must be a member who is suffering from pain from 2-3 months like joint pain, headache, neck & back pain. Generally, the treatment given for any pain or painkillers, they are given for a time period and if they don't subside they seek surgical opinion like an orthopedic or neurosurgeon. But every pain does not require the surgery. So, pain management or we call it interventional pain management delivers the medications where the problem is without cutting. So, the drugs you normally use by mouth, they circulate all over the body through blood. But the area that requires the treatment may be a 1 mm area, so the whole body is loaded with medications. If we misuse the painkillers, it becomes the important cause of kidney failure and liver failure. What does a pain physician do? They look at the exact source of pain. They use the specialized technique to teat the pain. And they deliver the medications mostly through needles using specialized equipment like x-ray or ultrasound to reach to the target so as they stay where it is required. So, the rest of the body is safe from the ill effect of painkillers. But all the patient does not need any surgical interventions. It is not necessary that all the painkillers will work for every painful condition. So, the pain specialist also knows that what kind of painkillers or what exponents are required. So, I will tell you about back pain. It is common today. Who are not physically fit, they use the wrong posture while using computers, bicycles. They stress on the muscles and that could be because of pain. But if doesn't subside with medication and physiotherapy, you can go to a surgeon who will ask you for the MRI. Now the question is whether the disc is the cause of the pain. So, what we do is, between the 2 vertebrae, it contains a gel. When the covering breaks down because of the poor body strength then these gel causes irritation of the nerves that are going down to the legs and it is called sciatica. The most common thing is that we enter into the place where the disc material is irritating the nerve and put the healing agents. We don't have to treat inflammation with a surgical technique. But if the patient has the unstable spine or there is a tumour or there is the narrowing of the bony canal in spinal cord then it needs a surgical intervention. My idea is to educate you that not every patient who fails medications, require surgery. There is much safer procedure to take care of pain anywhere in the body. Thank you very much.
Play video
Back Pain
Causes and Symptoms of Back Pain

Hello. Main ek physiotherapist hu. Mera naam vishwas virmani hai. aajkal kamar dard ke jo mareez hai unki sankhya bahut hi zada badhti jaa rahi hai. Kamar dard jo ki pehle kam logo mein paaya jaata tha aajkal bahut hi zada log isse peedit hai. aur jo bachhe hai bees bees saal ke bachhe hai, bees pachhis saal ke bachhe hai inko bhi kamar dard sata raha hai. unke liye mere pass do upaye hai. kyunki humlog subah se sham taka age ki taraf jhuke rehte hai baithna bhi ek taraf se aage ki taraf jhukna hi maante hai kyunki hum baithte bahut zada hai kamar dard hone ki sambhavna bahut zada badh jati hai.

Toh uska ek simple sa solution kya hai ke jab bhi aap baithege hare k beese minute ke baad aap uthiye aur kamar ko seedha karke bas peeche ke taraf jhuk jayiye jaise ki aap upar wale ko yaad kar rahe ho. Toh aapko har bees minute pe uthna hai jhukna haia ur upar wale ko yaad karna hai. dusra upay kya hai ki agar aapke kamar mein ya kule mein problem hai ya dard hai aur Sciatica ka complain hai ya aapko agar kisi ne kaha ho ke performance syndrome hai uske liye aapko kya karna hai ki ek ball lena hai, us ball ko rakhna hai, aur uske upar apna kula rakh dijiye, kuch is tareeke se. Kula rakh ke aapne apne ek taang ko upar kar lena hai aur uske baad ball ko kule ke upar thoda thoda ragadna hai. aap is ball ko thoda aage ragad sakte hai, side mein ragad sakte hai, jaha pe aapko sabse zada dard ho, us point ko ispe ragadna hai.

Play video
Back Pain and Its Management
Hello, I am Dr Sajna. I am an Ayurveda physician and specialized in Panchakarma therapy. We are doing authentic ayurvedic treatment and special Kerala Panchakarma treatment. Here I want to talk about the Back pain management through Ayurveda. Nowadays back pain has become very common and people are not aware of its cause and the correct treatment. There are many reasons for back pain such as;

Deficiency of Calcium and Vit-D
After delivery
During menses
After menopause and much more...
For treating this problem, seek for a good doctor, know the main cause and start the treatment.

How can we manage back pain with the help of Ayurveda?

Here in the Ayurveda, we are treating back pain into two different ways;

Shamana Therapy
Shodhana Therapy
Shamana therapy is basically a meditation which helps in strengthening muscles, veins, nerves and helps in reducing swelling and pain. It is a drug treatment which includes massage. The medicine is poured on the swelled part of the body, in order to get relief from pain and swelling

The other one is Sneha Swed Therapy. It includes oil massage, medicated leaves. The massage with this mixture is extremely helpful in pain relief and selling treatment. It helps in strengthening muscles and give relief to nervous, also it reduces compression.

The second part of the treatment is to reduce the reoccurrence and the compression. That is the Shodhana Therapy which is also called Detoxification process. Here in back pain, we do three types of detoxification process;

First is the Nasal cleaning. This is basically a cervical problem. In this, we pour some medicated oil or the decoction in the nasal for its cleaning.
Second is for the lower back, that is, Basti and the Virechana.
Virechana is a loose motion process. This helps in cleaning the bawal and helps in reducing the pain.

The other one is Basti. This is one of the main treatment in Ayurveda. It is a Panchkarma treatment, which is called Enema. There are two types of Enema- Oil Enema and Khada enema (decoction of medication). This Basti is helpful in reducing the vada which is accumulated in the lower back, causing the back pain. it also helps in reducing the compression.
Sometimes the pain radiates to the legs, which is called Sciatica or Gridhrasi.

So the main treatment is Panchkarma treatment which helps in reducing nervous compression, muscle relaxation and helps in reducing reoccurrence pain.

So this is a small description of Ayurvedic treatment for back pain. Yogasana is also one of the successful treatment for reducing back pain. Here we provide ayurvedic treatment in the best possible way.

You can contact me through Lybrate or visit my clinic which is located in sec 42, 43, near Rapid metro station and another centre is in sec 48, Sohna road.

Thank you.
Having issues? Consult a doctor for medical advice