Doctor Bella Zimilevich, MD of Mill Basin, Brooklyn (NY)

Sciatica

Sciatica Treatment

“Sciatica occurs when the sciatic nerve, which runs from your lower back down each leg, becomes irritated or compressed. This can cause sharp, radiating pain, numbness, or tingling, affecting your ability to sit, stand, or walk comfortably. With proper diagnosis and targeted treatment, most cases can be managed without surgery. If you are experiencing sciatica, I can help guide you toward relief and recovery.”

-Dr. Anatoly Pisman, MD

What is Sciatica?

Sciatica is a condition caused by irritation or compression of the sciatic nerve, most often due to a herniated disc, spinal stenosis, or degenerative disc disease. Symptoms typically affect one side of the body and can extend from the lower back through the buttock and down the leg.

Common Causes of Sciatica

Sciatica may develop suddenly or gradually, often triggered by underlying spinal conditions or certain movements. Common causes include:

Key contributors:

  • Lumbar herniated disc pressing on the sciatic nerve
  • Spinal stenosis (narrowing of the spinal canal)
  • Degenerative changes in the spine
  • Prolonged sitting, poor posture, or repetitive strain

These factors can increase pressure on the sciatic nerve, resulting in pain, numbness, or weakness in the leg.

Symptoms of Sciatica

Signs to watch for:

  • Sharp, shooting pain radiating from the lower back or buttock down one leg
  • Numbness, tingling, or weakness in the leg or foot
  • Pain that worsens with sitting, coughing, or sneezing

When Should You See a Doctor for Sciatica?

Seek medical evaluation if your symptoms persist, worsen, or interfere with daily activities.

Prompt attention is recommended if you notice:

  • Severe or increasing leg pain
  • Numbness or tingling in the leg or foot
  • Weakness affecting your ability to walk or control your bladder/bowels (rare, but urgent)

Early diagnosis helps prevent nerve damage and long-term complications.

Veteran treated at Mill Basin Medical for sciatica

Sciatica Diagnosis & Testing

Evaluation begins with a review of your symptoms and a physical exam to assess nerve function, strength, reflexes, and mobility.

If necessary, imaging such as MRI or CT scans can identify the source of nerve compression. EMG / NCV testing may be used in cases with persistent nerve symptoms to assess nerve health and function.

Non-Surgical Treatment Options for Sciatica

Most cases of sciatica improve without surgery. Treatment options include:

  • Physical therapy to improve flexibility, strengthen supporting muscles, and reduce nerve pressure
  • Epidural steroid injections or nerve blocks to relieve inflammation and pain
  • Activity modification and medications tailored to your symptoms

A personalized plan helps reduce pain, restore mobility, and prevent recurrence.

What Can I Expect at My Visit?

During your visit, we will review your pain history, identify any nerve involvement, and perform a physical examination. Based on your evaluation, a customized treatment plan will be created to relieve discomfort and improve daily function.

Taking action early is the first step toward sciatica relief and long-term recovery.