Sciatica is a common but often misunderstood condition that causes pain along the sciatic nerve, which runs from the lower back through the hips, buttocks, and down each leg. While many cases can be managed with conservative treatment, some patients require surgical intervention to relieve persistent symptoms and restore quality of life.
As a leading Consultant Spine Surgeon in Nagpur, Dr. Paresh Bang specializes in diagnosing and treating spine-related conditions, including sciatica, using both non-surgical and advanced surgical techniques. In this blog, we explore the causes, symptoms, and surgical treatment options for sciatica.
What Is Sciatica?
Sciatica refers to pain that radiates along the path of the sciatic nerve. It is not a disease itself, but rather a symptom of an underlying spinal condition, most commonly a herniated disc or spinal stenosis.
Sciatica usually affects only one side of the body and can vary in intensity—from mild discomfort to severe, debilitating pain.
Causes of Sciatica
Sciatica occurs when the sciatic nerve is compressed or irritated. The most common causes include:
Herniated (Slipped) Disc: The soft center of a spinal disc bulges out and presses on the nerve root.
Degenerative Disc Disease: With age, spinal discs lose cushioning, leading to bone spurs or nerve irritation.
Spinal Stenosis: Narrowing of the spinal canal can compress the nerve roots.
Spondylolisthesis: A vertebra slips forward over the one below it, causing nerve pinching.
Trauma or Injury: Sudden injuries or falls can lead to nerve damage or disc herniation.
Tumors or Infections: Rarely, growths or infections in the spine can compress the sciatic nerve.
Lifestyle factors such as obesity, prolonged sitting, poor posture, and lack of exercise can increase the risk of developing sciatica.
Common Symptoms of Sciatica
Patients with sciatica may experience:
Sharp or burning pain radiating from the lower back down the leg
Numbness or tingling in the leg or foot
Muscle weakness in the affected leg
Difficulty standing or walking due to shooting pain
Pain that worsens with sitting, sneezing, or coughing
Symptoms may be intermittent or constant, depending on the severity of nerve compression.
When to Consider Surgery for Sciatica
While many cases of sciatica improve with rest, physiotherapy, medications, and spinal injections, surgical treatment may be necessary in certain situations:
Persistent pain lasting more than 6–8 weeks despite conservative care
Severe leg weakness or foot drop
Loss of bladder or bowel control (a medical emergency known as cauda equina syndrome)
Surgery is aimed at relieving pressure on the sciatic nerve and restoring function.
Surgical Treatments for Sciatica
Dr. Paresh Bang offers advanced, minimally invasive spine surgeries that provide faster recovery and reduced post-operative pain. Common surgical procedures for sciatica include:
Microdiscectomy: One of the most commonly performed surgeries for sciatica, this involves removing the portion of the herniated disc that is pressing on the nerve root. It is usually done under a microscope through a small incision.
Laminectomy: In cases of spinal stenosis, part of the vertebral bone (lamina) is removed to create more space for the nerves.
Endoscopic Spine Surgery: A minimally invasive technique using a tiny camera and instruments through a small incision. It is associated with faster recovery and minimal tissue damage.
Spinal Fusion (in select cases): If there is instability in the spine due to spondylolisthesis or degenerative disc disease, two or more vertebrae may be fused to stabilize the spine.
Recovery After Sciatica Surgery
Recovery time varies depending on the type of surgery and the patient’s overall health. Most patients:
Walk within a day after minimally invasive procedures
Resume light activities within 2–4 weeks
Regain significant relief from leg pain almost immediately after surgery
Dr. Paresh Bang ensures a personalized rehabilitation plan for every patient, including physical therapy and post-operative guidance to prevent recurrence.
Expert Spine Care in Nagpur
With extensive experience in advanced spine surgery, Dr. Paresh Bang provides comprehensive care for patients suffering from sciatica and other spinal disorders. His approach combines accurate diagnosis, patient education, and evidence-based treatments to achieve optimal outcomes with minimal disruption to daily life.
Whether you’re struggling with chronic back and leg pain or have already tried multiple treatments, Dr. Bang can help you explore the most effective surgical and non-surgical options for long-term relief.
Sciatica can significantly impact your daily life, but timely diagnosis and expert care can offer lasting relief. If you're experiencing symptoms of sciatica that are not improving, consult Dr. Paresh Bang, Consultant Spine Surgeon in Nagpur, for a thorough evaluation and advanced treatment plan tailored to your condition.
Disclaimer: The information provided here should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. The information is provided solely for educational purpose and should not be considered a substitute for medical advice.
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