Dr. Sung Yang Discusses the Treatment Options for Sciatica

Dr. Yang Waikiki Hawaii

December 1, 2020

Dr. Sung Yang

Sciatica Is One of the Most Common Types of Back Pain and Dr. Sung Yang Is Here To Answer Your Questions About This Condition

Among the various reasons why someone might have to go on disability or miss time from work or school, lower back pain is right at the top of the list. One of the causes of lower back pain is called sciatica. Dr. Sung Yang is an expert when it comes to back pain and its treatment. He is here to review sciatica for the benefit of everyone who might suffer from this condition.

Dr. Sung Yang Highlights the Causes of Sciatica

First, Dr. Sung Yang wants everyone to know what sciatica is. Sciatica is a medical term that is used to describe the inflammation of the sciatic nerve, which is one of the biggest nerves in the body and crucial for the sensation and movement of the buttocks and lower extremities.  The sciatic nerve originates from or is formed by several nerve roots that branch from the lower spinal cord, travel through the buttocks, hips, thighs, legs, and then feet.  Along the way, the nerve could become inflamed due to compression, swelling, or even infections that might occur in this area. Then, people may start to notice symptoms of sciatica, such as pain, tingling, numbness, or even weakness of the lower extremities. Dr. Sung Yang wants everyone to know that there are treatment options available for those who suffer from sciatica.  Therefore, it is very important for everyone to seek the care of a medical professional as quickly as possible.

Dr. Sung Yang Reviews the Symptoms of Sciatica

According to Dr. Sung Yang, sciatica can present in different ways in different people depending on the severity of the condition. There are lots of people who suffer from sciatica who notice a shooting pain that travels from their back into their legs, particularly when they stand, walk or lift heavy objects. There are lots of people who notice a dull ache in their back as well. In addition, Dr. Sung Yang knows that some people who suffer from sciatica might actually notice numbness or tingling in their legs as if they are poked with needles. They might even feel the weakness that makes it hard to stand or walk. For these reasons, sciatica is not just uncomfortable but also disabling.

Dr. Sung Yang Discusses the Treatment Options for Sciatica

Finally, it is also important for everyone to know about the treatment options that are available for sciatica. According to Dr. Sung Yang, there are some people who think that they are going to need surgery in order to correct sciatica; however, this is not always the case. Dr. Sung Yang would like everyone to know that there are other non-invasive treatment options available as well. For example, some people may benefit from cortisone injections that target directly or indirectly to the site of the injury of inflammation, i.e. herniated disc or displaced piriformis (gluteal muscle).   The epidural cortisone injection is still a relatively invasive procedure that involves inserting the needle directly into the small space where the disc and nerve roots are located.  This direct injection can be effective since the cortisone medication is deposited at or very close to the site of the injury; however, there is a risk of injuring a blood vessel or nerve root during the injection.  A special video X-ray (fluoroscopy) is needed to guide the needle precisely into the epidural space.   On the other hand, Dr. Sung Yang focuses on the indirect injection of the cortisone into a muscle or skin area that is distant from the site of the problem while minimizing the risk of injury to the nearby vital structures.   The cortisone is injected into a special sensory area that is distant but overlaps with the site of the injury.  This indirect injection, which is also called Trigger Point Injection, is more comfortable for the patient, safer, and more cost-effective than the direct or epidural injection.