• Yatharth Hospital, Sector 110, Noida: Mon-Sat 11:00 AM to 3:00 PM
Neurological Care · Delhi NCR

Advanced Sciatica Diagnosis and Personalized Treatment

Sciatica is a common condition that causes pain along the path of the sciatic nerve, the longest nerve in the body. The pain usually begins in the lower back and travels through the buttocks into one or both legs. However, early diagnosis helps identify the underlying cause and prevents long-term nerve damage.

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DM Neurology
Senior Consultant & HOD, Neurology
3 clinic locations
Noida · Greater Kailash 1 · Rajouri Garden
10,000+ patients
Treated across Delhi NCR
Overview

What is Sciatica?

Sciatica is not a disease; it is a symptom. This symptom is caused by the nerve being irritated or compressed. The culprit nerve root is in the spine, and it goes through the hips, buttocks, and down to each leg. When the culprit nerve root is compressed because of a problem in the spine, it can be very painful.

Some factors include slipped disc, spinal stenosis, degenerative disc disease, bone spurs, and sometimes injuries and spinal tumours.

Dr. Satyan Nanda
Senior Consultant & HOD, Neurology · Yatharth Hospital, Noida
MBBS · MD (Medicine) · DM (Neurology)
Why choose us

Why Choose Dr. Satyan Nanda for Sciatica Treatment?

Dr. Satyan Nanda provides consultation and treatment for sciatica across Delhi NCR, including Noida, Greater Kailash, Rajouri Garden, and nearby areas.

Focused Expertise in Sciatica Care
Dr. Satyan Nanda diagnoses and treats sciatica caused by nerve compression, helping patients manage pain, numbness, tingling, and leg weakness.
Identifying the Root Cause
Instead of treating symptoms alone, the evaluation focuses on identifying the underlying cause, such as a slipped disc, spinal degeneration, or other nerve-related conditions.
Evidence-Based Diagnosis
A detailed neurological examination, along with MRI or nerve conduction studies when required, helps determine the severity of nerve involvement and guides treatment.
Conservative Treatment First
Most patients benefit from a personalized combination of medications, activity modification, rehabilitation advice, and lifestyle measures before considering surgery.
Care Focused on Lasting Relief
The goal is to reduce pain, improve mobility, restore daily function, and help prevent recurrent episodes through ongoing guidance and follow-up.
Symptoms

Symptoms That May Require Specialist Evaluation

Sciatica symptoms vary from person to person. It really depends on where the nerve is compressed and how bad it is.

Pain Radiating Down the Leg
Pain that begins in the lower back or buttock and travels down one leg along the course of the sciatic nerve.
Burning or Tingling Sensation
A burning sensation, tingling, or "pins and needles" feeling in the buttock, leg, or foot.
Numbness or Weakness
Reduced sensation or muscle weakness in the affected leg or foot, making movement difficult.
Difficulty Standing or Walking
Pain or weakness that interferes with standing, walking, or performing everyday activities.
Persistent or Worsening Symptoms
If you have these Sciatica symptoms for a few weeks or if they get worse over time, you should go see a Sciatica specialist to get their insights.
Types

Types of Sciatica

Not every patient experiences sciatica in the same way. The type of sciatica depends on the location and extent of nerve involvement.

Acute Sciatica
Acute sciatica develops suddenly and usually lasts for a few weeks. It often improves with conservative treatment and lifestyle modifications.
Chronic Sciatica
When symptoms continue for more than three months or keep recurring, the condition is considered chronic. Long-term management may be necessary to control pain and improve mobility.
Alternating Sciatica
This less common form affects both legs, although not usually at the same time. It may indicate more extensive spinal involvement and requires detailed evaluation.
Bilateral Sciatica
In rare cases, both sciatic nerves and nerve roots are affected simultaneously, causing symptoms in both legs. This condition requires urgent medical assessment.
Diagnosis

Sciatica Diagnosis and Evaluation

Accurate diagnosis is essential to identify the underlying cause of sciatica and determine the most appropriate treatment. Dr. Satyan Nanda performs a comprehensive neurological evaluation to assess nerve function and locate the source of nerve compression.

1
Medical History
A detailed discussion of your symptoms, pain pattern, medical history, and activities that worsen or relieve the pain.
2
Neurological Examination
Assessment of muscle strength, reflexes, sensation, walking pattern, and nerve function to identify signs of nerve compression.
3
Straight Leg Raise Test
A simple physical examination used to evaluate irritation or compression of the sciatic nerve.
4
Diagnostic Investigations
MRI of the lumbar spine is commonly recommended to identify disc herniation or nerve compression. X-rays or CT scans may also be advised in selected cases to evaluate the spine.
Treatment

Treatment to Relieve Sciatica Pain

Treatment depends on the severity of symptoms, the underlying cause, and how much the condition affects daily life. Most patients recover successfully with non-surgical treatment.

Medications
Pain relievers, anti-inflammatory medicines, and muscle relaxants may be prescribed to reduce inflammation and relieve pain. In some cases, medications for nerve pain may also be recommended.
Physiotherapy
Physiotherapy plays an important role in recovery. A personalised rehabilitation programme helps strengthen the back and core muscles, improve flexibility, correct posture, and reduce pressure on the sciatic nerve.
Lifestyle Modifications
Maintaining a healthy weight, improving posture, avoiding prolonged sitting, and performing regular stretching exercises can significantly reduce symptoms and help prevent recurrence.
Interventional Pain Management
For patients with persistent pain that does not respond to medications and physiotherapy, image-guided spinal injections may be considered to reduce inflammation around the affected nerve.
Surgical Treatment
Surgery is generally reserved for patients with severe nerve compression, progressive muscle weakness, loss of bladder or bowel control, or persistent symptoms that fail to improve with conservative treatment.
Prevention

Preventing Sciatica Risk

Living with sciatica can be tough, especially when the pain gets really bad. Adopting simple preventive measures in your life can help with symptoms and keep your spine healthy in the long run.

Stay active with low-impact exercises
Sit and stand up straight
Don't Stand in one spot for too long
Take breaks to stretch during work
Keep control of your weight
Lift heavy things the right way
Sleep on a mattress that supports your back
Go to follow-up appointments
Sciatica Diagnosis and Evaluation

Accurate diagnosis is essential to identify the underlying cause of sciatica and determine the most appropriate treatment. Dr. Satyan Nanda performs a comprehensive neurological evaluation to assess nerve function and locate the source of nerve compression.

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