Sciatica

What is it and what are my treatment options?

Call Today:
(844) 228-4836

What is it?

Your sciatic nerve is the largest nerve in your body and it starts in your lower back and runs down your leg until it reaches your foot. When your sciatic nerve is irritated or you experience a unique burning pain down the leg, which is called sciatica. It is important to know that sciatica is not actually a diagnosis, but a symptom of an underlying condition.

Common conditions that cause sciatica include:

  • Lumbar herniated disc
  • Lumbar spinal stenosis
  • Osteoarthritis
  • Spondylolisthesis

When you come to Active Orthopedics and Sports Medicine, your Board Certified and Fellowship Trained Spine Specialist will conduct a medical history review, performs a physical examination and orders and analyzes medical imaging studies to determine the exact cause of your sciatica.

What are sciatica symptoms?

The main sciatica symptom is a burning pain that starts in the lower back and travels down the buttocks, back of the thigh and calf. Other symptoms that you should be aware of include:

  • Numbness in the legs or feet
  • Tingling in the legs or feet
  • Weakness in the legs or feet

Recognizing sciatica and making an appointment with an Active Orthopedics & Sports Medicine Spine Specialist is the number one way to ensure your symptoms go away as quickly as possible and your condition does not get worse. We have helped thousands of patients with sciatica return to an active and healthy life.

What are my treatment options?

A customized nonsurgical treatment plan is used to treat your symptoms. Your Active Orthopedics & Sports Medicine Spine Specialist may include any of the following in your customized plan:

  • Activity modification
  • Anti-inflammatory medications (NSAIDs)
  • Physical therapy

In the instances where non-surgical treatment options have not provided lasting relief from sciatica, your Spine Specialist may recommend:

  • Spinal Injections
  • Minimally Invasive Spine Surgery

In the rare cases where surgery is needed, our Board Certified and Fellowship Trained Orthopedic Spine Surgeons utilize the latest advancements in minimally invasive spine surgery.

How do I make an appointment with Active Orthopedics & Sports Medicine?

Please contact Active Orthopedic & Sports Medicine if you experience sciatica symptoms. Appointments with our Board Certified and Fellowship Trained Spine Specialists may be made at any of our conveniently located offices in Hackensack, Montclair, Emerson & Elmwood Park.

Meet Our Spine Experts

Richard Rhim, MD

Orthopedic Spine & Neck Specialist

James C. Natalicchio, MD

Orthopedic Spine & Neck Specialist

Justin Mendoza, DO

Non-Operative Spine Care

Our Vast Experience in Treating Spine Disorders and Injuries Is Second to None

Yes! We participate with most major insurance plans!

Yes! We participate with most major insurance plans. 

 

"Pain Free" Starts Here.

Flexible appointments.

Or call — 844 228 4836

Awarded Orthopedic Care.

24/7 service. Same Day Appointments are Available.

(844) 288-4836

info@activeorthopedic.com

25 Prospect Ave, Hackensack, NJ, 07601

Cervical & Lumbar Disc Herniation

What is it and what are my treatment options?

Call Today:
(844) 228-4836

What is it?

The intervertebral disc is a cushion or shock absorber between the bones of the back and neck. A disc consists of two separate components. A jelly-like center is surrounded by rings of cartilage. With wear and tear or injury, some of the rings of collagen are weakened. DISC HERNIATION occurs when some of the jelly-like central disc material pushes through a defect in the outer portion of the disc.

SYMPTOMS

The symptoms present from a disc herniation can be quite varied. A person may not experience any significant pain. However, most people with a disc herniation experience some degree of neck or back pain. The location and severity of the symptoms are dependent upon what structures are irritated. For example, if the disc presses against a nerve root, one can develop “referred pain” (pain down the arms with a neck herniation and down the legs with a back herniation). This pain may worsen or improve with certain actions or changes in body position.

Progressive weakness in the arm or leg affected by the disc herniation. Progressive loss of sensation. An inability to control urination or bowel movements. This may mean an inability to pass urine or wetting or soiling clothing.

TREATMENT OPTIONS

Initial treatment of a disc herniation focuses on pain control. Patients are usually given anti-inflammatory medications such as ibuprofen or naproxen and non-narcotic pain medications. The second step is modification of certain activities which are likely to increase pain. Prolonged bed rest is not recommended. Specific exercises can decrease symptoms dramatically, so physical therapy with a therapist specializing in spine-care is initiated. For more severe and persistent pain, epidural steroid injections are often used to provide pain relief and decrease inflammation. Dr. James Natalicchio routinely performs in office procedures including a full complement of therapeutic injections.

This condition is generally manageable with appropriate treatment. In 80 to 90 percent of cases the above measures combined with approximately 4 to 6 weeks of time to heal are enough to manage symptoms. Only when symptoms remain unmanageable are more invasive procedures considered. These may include minimally invasive procedures to decompress the disc or surgery.

Although aggressive conservative treatment plans are very effective, a patient with a disc herniation is always at a higher risk for recurrent episodes of back or neck pain. Exercise and modifying one’s activities can sometimes be the best way to achieve the highest degree of function, minimize symptoms and reduce the risk of future problems. Patients should use common sense and ease into more strenuous activities. Most people are able to return to their former jobs and recreational activities without restriction. It is helpful to follow a regular exercise program specifically designed by a physical therapist and your spine physician.

Meet Our Spine Experts

Richard Rhim, MD

Orthopedic Spine & Neck Specialist

James C. Natalicchio, MD

Orthopedic Spine & Neck Specialist

Justin Mendoza, DO

Non-Operative Spine Care

Our Vast Experience in Treating Spine Disorders and Injuries Is Second to None

Yes! We participate with most major insurance plans!

Yes! We participate with most major insurance plans. 

 

"Pain Free" Starts Here.

Flexible appointments.

Or call — 844 228 4836

Awarded Orthopedic Care.

24/7 service. Same Day Appointments are Available.

(844) 288-4836

info@activeorthopedic.com

25 Prospect Ave, Hackensack, NJ, 07601

Call Us Now!