Dr. Amod Manocha - Pain Specialist In Delhi

Back Pain and Sciatica

In simple words, low back pain can be defined as pain experienced in the bottom region of spine (between lower margins of ribs and the gluteal folds). It may remain localised to back or radiate to the legs.

Sciatica is a term used for pain radiating down from the lower spine to the legs. Most common cause of sciatica is irritation or compression of the nerves as they exit the spine on their way to the legs. It may be accompanied by numbness, tingling and weakness in the distribution of the affected nerve.

Globally low back pain (LBP) is one of the leading causes of disability. LBP is an important cause of limitation of activities, absence from work with resultant economic implications. In industrialised countries lifetime prevalence of non-specific low back pain is estimated at 60–70%.Despite the high incidence and intensive research into this area, pain generators are not easy to identify and the diagnosis Nonspecific Low Back Pain is used commonly. This is different from situations where a specific cause such as fracture, infection, neoplasm etc. responsible for pain generation can be identified.

To find out more about Sciatica including commonly asked questions click on the link below
Sciatica Patient Information Leaflet


Potential Sources & Causes

Back pain can originate from numerous sources and some of the common causes include

 

Management

Pain Clinic offers non-surgical, minimally invasive management options.  A combination of comprehensive history, examination and investigation findings is used to identify pain generators and draw up a management plan. Like with other chronic pain conditions, multimodal multi-disciplinary management based on biopsychosocial model of pain is the preferred approach. This involves using a combination of different modalities to provide maximum relief with minimal side effects. Please follow these links to find out how medication optimisation, physiotherapy and psychology can be helpful. These are used in combination with injections, lifestyle changes (such as pacing of activities, weight management, giving up smoking etc.) and complimentary therapies (such as acupuncture, meditation).

Details of some common interventions for low back pain and sciatica are given below

Nerve Root Block/ Epidural
Lumbar Dorsal Root Ganglion Pulsed Radiofrequency

The dorsal root ganglion appears like small swelling on the nerve where it joins the spinal cord. It houses the cell body of the nerve cells that are involved in transmitting the impulses from the periphery to the spinal cord. A dorsal root ganglion block is an injection of local anaesthetic and steroid around the dorsal root ganglion. This is performed under x ray guidance. Pulsed radiofrequency can help to prolong the effect of injection.

Fluoroscopy Guided Adhesiolysis/ Racz Technique
Facet joint injections and medial branch radiofrequency
Sacroiliac Joint Injections and Radiofrequency
Nerve Blocks
Lumbar Sympathetic Blocks
Muscle and tendon injections
Trigger point injections
Injections for Proximal Hamstring Tendinopathy, Ischial Bursitis
Trochanteric Bursa Injection

Treatments

Dr. Amod Manocha - Pain specialist doctor in Delhi

Dr. Amod Manocha

FFPMRCA (UK), FRCA (UK), PG Cert. MSK US (UK), EDRA
Senior Consultant & Head - Pain Management Services
View Full Profile
Find us on: Facebook Twitter