Low Back Pain and Sciatica

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

• Disc Herniation, Degenerative disc disease
• Facet and Sacroiliac Joints
• Muscle and Ligamant sprains/injuries
• Narrowing of spinal canal- Spinal stenosis
• Spondylolisthesis
• Fractures, trauma
• Autoimmune diseases
• Infections
• Cancer

Pain Clinic offers non-surgical, minimally invasive management options. 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 and minimal side effects. Commonly used modalities include:

• Interventions such as nerve root blocks can be particularly helpful in cases of disc bulges causing sciatica like symptoms. Some of the other interventions offered in pain clinic include
  • Nerve root blocks – These can be particularly helpful in cases of disc bulges causing sciatica like symptoms
  • Facet joint injections and radiofrequency ablation
  • Epidural injections using caudal and interlaminar approach
  • Racz Procedure (Epidural Neurolysis)
  • Lumbar Dorsal Root Ganglion Pulsed Radiofrequency
  • Sacroiliac joint injections and radiofrequency ablation
  • Coccyx injections
  • Nerve blocks and deep muscle injections such as piriformis
  • Lumbar Sympathetic Block
  • Trigger point injections
    
    
• Medicines including anti-inflammatory medications, neuropathic agents, muscle relaxants and opioids
  
  
• Physiotherapy tailored to your functional status and focussing on core strengthening
  
  
• Psychology input including cognitive behavioural therapy, relaxation techniques, self help strategies and addressing any coexisting anxiety/depression
  
  
• Lifestyle changes such as pacing of activities, weight management, giving up smoking