Sciatica can be a life altering condition, and past treatment options have failed to bring relief. A new treatment option is providing relief in most cases, without the risk associated with surgery.

Sciatica is the the term used to identify pain running down the leg, it is irritation of the actual sciatic nerve as it exits the spine at various levels. The sciatic nerve is actually made up of several different nerves joining together to form one large nerve. The most likely cause of sciatica is a herniated or bulging disc in the lower back. The discs are thick fibrous structures between each vertebrae that offer cushioning and spacing needed for the nerves to exit and the flexibility needed to move.

The disc is essentially made up of two materials an outer layer consistent with cartilage and a much softer inner portion almost gelatinous in nature. With wear and tear the outer fibers can weaken allowing the softer material to gradually migrate outwards. This in turn causes an out pouching or bulging of the disc which then can compromise the exiting nerve. When this occurs symptoms of sciatica can manifest. This may include pain, numbness and even weakness in the leg.

Traditional treatment programs for sciatica typically consist of pain medication, injections and in severe cases surgery. These approaches may work in the short term to reduce inflammation and decrease the pain somewhat, however they also carry with them significant risk. The risk to reward benefit is often not worth it long term as most of these treatment are only temporary. If the problem becomes more severe and the nerve is actually compressed then these treatments may offer no relief at all.

Lets look at steroid injection in specifically now as a common sciatica treatment. The goal with an epidural steroid injection is to reduce inflammation to the nerve root and surrounding structures. While these types of injections can bring temporary relief, they can also cause what’s called a rebound effect, where the pain comes back much more intense. They can spike blood sugar in diabetics and over time can lead to other potential side effects. If the pain is severe however, the benefit of some pain relief may in fact be worth the risk, but the key is to do something proactive while the the pain is decreased.

In extreme cases of unrelenting sciatica surgery may be recommended and in a small number of cases may be an appropriate treatment. However, the overall success rate for disc related surgery is poor at only about 50% and in many cases the problem may worsen after surgery resulting in a condition called failed back surgery syndrome. This complication may arise from post surgical scarring, spinal instability, and increased stress on adjacent discs. It is very common to require another surgery in later years.

A new approach to the treatment of sciatica now exists that is safe, effective and treats the cause of the problem not just the symptoms. It’s called Spinal Decompression and brings with it a patented technology that allows a negative pressure to be created inside the disc space through a gentle distraction on the spine. This technology bypasses the typical guarding reflex of the spinal muscles and produces these negative gradients drawing in bulging and herniated material as well as fluid and nutrition so the disc can heal. It’s effective in over 80% of patients and has no risky side effects. While some will say it looks like traction the computer system makes it highly sophisticated and beyond the realm of traditional traction devices.

As more studies are done on this technology a consistently high success rate is achieved. The long term benefits are also very promising because as I stated previously the treatment is aimed at healing the disc and removing the pressure and irritation from the nerve, not just masking it. While spinal decompression is not right for everyone with sciatica, it certainly represents a true breakthrough and a safe long term option for this condition.