Dr. Amod Manocha - Pain Specialist In Delhi and Gurgaon
Back Pain and Sciatica Treatment In Delhi
Back Pain Treatment In Delhi, Back Pain Treatment In Gurgaon, India

Back Pain (Slipped disc) and Sciatica

March 25, 2018

Back Pain and Sciatica Pain Treatment In Delhi and Gurgaon

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.

For commonly asked questions and more information on Sciatica click on the link

Sciatica - Patient Information Leaflet

Potential Sources & Causes

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

  • Disc herniation (Slipped Disk), degenerative disc disease
  • Facet and Sacroiliac Joints
  • Muscle and ligament sprains/injuries
  • Narrowing of spinal canal- Spinal Stenosis
  • Spondylolisthesis
  • Fractures, trauma
  • Autoimmune diseases
  • Infections
  • Cancer


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


Dr. Amod Manocha - Pain specialist doctor in Delhi and Gurgaon

Dr. Amod Manocha

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