Sciatica Treatment

We provide effective sciatica treatment in Los Angeles by first ensuring an accurate diagnosis through a neurological examination, and possibly comparing the examination to more advanced diagnostic studies such as a weight bearing magnetic resonance imaging (MRI) scan, a nerve conduction velocity (NCV) test, and/or an electromyogram (EMG) test.

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Integrated Physicians Medical Group

Sciatica refers to pain in the lower back or down the back of one or both legs depending upon the cause of the pain. Sciatica is a set of symptoms caused by the pinching of nerves that come out of the spine or the vertebral column.

Proper and effective treatment for sciatica includes determining if the pain down the back of the leg is being caused by a disc bulge or herniation(s), spinal stenosis, facet syndrome, a synovial cyst, an epidural lipoma, sponylolisthesis, retrolisthesis, a combination of the above, or, on rare occurrences, cancer in the spine. Further, we need to know which disc level(s) and nerve roots are involved and affecting the pain. In addition, the sciatic nerve can become compressed or trapped anywhere along its path. For example, the piriformis muscle can often compress the sciatic nerve as it passes underneath it, and in some people the nerve actually pierces the piriformis, leading to what is often diagnosed as “piriformis syndrome”. The piriformis further can become hypertonic (tight or spasmed) by hip problems, and abnormal descending motor output.

Further, the major hip flexor muscle of our body, the psoas, attaches to every vertebrae in the lumbar spine and connects to the hip. Anything that can affect the psoas muscle can contribute to hip and/or low back pain, and ultimately sciatica. This is because hip motion and lumbar spine (low back) motion are so intimately linked biomechanically, neurologically, and muscularly.

We provide effective sciatica treatment in Los Angeles by first ensuring an accurate diagnosis through a neurological examination, and possibly comparing the examination to more advanced diagnostic studies such as a weight bearing magnetic resonance imaging (MRI) scan, a nerve conduction velocity (NCV) test, and/or an electromyogram (EMG) test. Once we do a full evaluation of the cause of sciatica, we are then able to treat the cause and provide lasting healing.