Radicular Pain or Sciatica

What is

Radicular pain, also commonly known as sciatica, is pain that appears as an electric shock, numbness, numbness or unpleasant tingling sensation that manifests itself in the legs.

Causes

This pain occurs when the nerves that provide sensation and ability to move the legs are compressed. They can be compressed by:

Protrusion or herniation of the disc: an alteration of the shape of the disc.
Narrowing of the bony canal through which the nerves exit (known as the intervertebral foramen).

Symptoms

Appearance of symptoms such as:

Low back pain.
Numbness or numbness.
Sensation of electricity (known medically by the terms paresthesia and dysesthesia).

Approach protocol

Diagnosis and assessment

A correct medical evaluation will be necessary by means of a good anamnesis, physical examination and, in case of being necessary, support of image tests. Focusing especially on Detecting the factors that have produced the cause of the sciatica-type pain will be fundamental. In addition, it will be very important to assess whether the lesion is present exclusively at one vertebral level or affects several. Finally, it is not uncommon for this type of pain to overlap with other forms of pain that occur in the lumbar spine (such as facet or myofascial syndrome) and it is therefore essential to have a correct medical visit with an adequate anamnesis and physical examination of the patient to evaluate each symptom in detail.

Complementary tests

MRI and/or CT scan.

Treatment

Treatment will depend on the physician’s diagnosis and may be applied:

Drugs for pain relief
Physiotherapy: the combination of osteopathic manual technique treatments with invasive neuromodulation/electrolysis techniques associated with technologies such as Magnetolith, superinductive systems, MBST and therapeutic exercise.
Interventional treatments: interventional techniques may be applied such as:
- Lumbar epidural
- Radiofrequency of the dorsal root ganglion of the spinal nerve.
- Neurostimulation of posterior cords
- Intradiscal treatments with regenerative medicine.
  - Platelet-rich plasma: the compound extracted from the patient’s own blood has a concentrate of anti-inflammatory factors and cytokines that make it very useful for this pathology.
  - Cytokine-rich serum: this is a different process to platelet-rich plasma in which a compound rich in anti-inflammatory cytokines is also obtained from the blood.
  - Stem cells: originating from the patient’s bone or fat, they have a regenerative and anti-inflammatory power that makes them a unique treatment for pain relief.
- Radiofrequency.

Here begins your life without pain

Book appointment

Lili

5 days ago

Hace muchos años que comencé a ir por distintas dolencias, y a otro sitio nunca fui. Hay MUY BUENOS PROFESIONALES Y TODOS MUY CERCANOS CON LOS PACIENTES. También en la recepción hay un personal muy amable y resolutivo al momento de tener que sacar citas y aclara alguna duda que pueda tener.

Begotxu

5 days ago

Atención muy cordial y agradable

Oscar Scolaro

5 days ago

"Una experiencia de 10 en la Clínica de Fisioterapia MIVI Fuengirola. Son unos buenos profesionales de los pies a la cabeza, con instalaciones modernas y un trato impecable. Quiero destacar de forma muy especial la atención de Carmen: su trato es sencillamente espectacular, súper empática, cercana y pendiente de cada detalle. Da gusto ponerse en manos de gente así. ¡Recomendadísimo al 100%!"

Matteo Cudicio

2 weeks ago

Estoy encantado con el trato recibido tanto en recepción como por parte del equipo médico. Llevo más de un año acudiendo al centro por una hernia discal y, cada vez que comienza el dolor, sé que puedo contar con ellos. Desde la primera sesión de tratamiento noto una mejoría importante. El otro día acudí al centro con mucho dolor y sin cita previa. Aun así, hicieron todo lo posible por encontrarme un hueco ese mismo día, y lo consiguieron. Además, revisaron personalmente mi cobertura del seguro para que el tratamiento pudiera ser más completo y efectivo, adaptándolo a mis necesidades. Quiero agradecer especialmente su profesionalidad, empatía y dedicación. Sin duda, recomiendo este centro.

Juan Ramon Riquelme

2 weeks ago

Una gran atención y excelente equipo médico. Me asesoraron muy bien y pendientes de mi infiltracion lumbar.

Stig Herbern

3 weeks ago

Very professional and the treatment has helped me to survive the summer. I had one injection in May but due to too much tension it did not work as well and I was offered a new treatment mid July that worked much better. The injection are done at the Kiron hospital in a very professional setting. Both the doctor and the assistant are client oriented and make you feel taken care of.