Your situation is unique. This is our starting point.

Embarking upon a health procedure, whether simple or involved, can be an anxiety-producing experience for most patients. The critical thing to remember is that SPINE-PEDS ORTHO team of professionals will handle complicated spinal problems, possibly much like your own, on a frequent basis. And knowledge helps a great deal. Higher volume leads to better expertise and outcomes.

One step in allaying concern is to try and become more familiar with your condition and treatment options. Our team believes in educating our patients about their conditions. Your physician will determine the best treatment for your particular condition.


Sciatica is the result of irritation to the nerves exiting the low back and traveling into the legs. It typically manifests as pain that starts in your lower back or buttock and radiates down your leg. Patients with sciatica may also experience numbness, a “pins and needles” sensation, muscle weakness, and reflex changes. Symptoms may be worsened by bending, lifting, twisting, sitting, coughing, or sneezing. These symptoms can be brought on by wear and tear over time or by an injury causing a rupture or herniation of a disc, when the inner contents (a gel-like nucleus) protrudes through the torn outer ring (annulus) affecting the adjacent nerve roots.

Conservative treatment is aimed at pain reduction. Initial treatment starts with cold packs or heat, NSAIDs (non-steroidal anti-inflammatory medications), muscle relaxants, pain medications, and alternative therapies such as acupuncture. Education about proper mechanics (bending and lifting), physical therapy, and epidural steroid injections may also help patients return to full activity. The majority of patients with sciatica have a favorable outcome with natural resolution of symptoms in several months.

Some patients who do not respond to non-surgical care and who experience persistent, disabling sciatica may benefit from surgery.