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Sciatica Specialist

Pain Solutions -  - Pain Management Physician

Pain Solutions


If you suffer from the debilitating pain of sciatica, you’re not alone. Up to 40% of all adults develop sciatica over the course of their life. When the pain interferes with your daily life, help is available from James Mirazita, MD, and PK Suchdev, MD, at Pain Solutions. At their three convenient locations in Nashua, Gilford, and Concord, New Hampshire, they provide personalized care that relieves your sciatica by treating the source of your pain. To learn more about your treatment options, call one of the offices or book an appointment online.

Sciatica Q & A

What is sciatica?

Sciatica is a group of symptoms that develop when your sciatic nerve is pinched in your lower spine. While an injury can cause sciatica, you’re more likely to develop the problem due to conditions that include:

  • Herniated disc
  • Degenerative disc disease
  • Bone spurs
  • Arthritis
  • Stress fractures
  • Spinal stenosis

These conditions lead to sciatica as they press against the nerve. 

What symptoms develop due to sciatica?

The sciatic nerve is the largest nerve in the human body. It leaves the spinal cord at the base of your spine and travels down both legs. In most cases, however, sciatica only affects one leg. The hallmark symptom of sciatica is pain that radiates down one leg.

Though the severity of sciatica pain varies for each person, many suffer from sudden, excruciating bolts of electric-shock pain that begin in their lower back and go to the bottom of their leg.

Pinched nerves can also cause sensations like tingling and numbness along the nerve. In severe cases, you may experience muscle weakness in the affected leg.

How do pain specialists treat sciatica?

The Pain Solutions team provides comprehensive care for your sciatica, beginning with a review of your medical history and a physical examination. They may order diagnostic imaging if needed to verify a diagnosis or evaluate the structures in your lower spine.

Each person’s treatment plan is tailored to the severity and frequency of their pain. Your treatment may include medications and physical therapy, which helps relieve pain and support healing.

When your pain remains despite conservative care, interventional medicine can help. These treatments target the precise source of your pain with treatments that reduce nerve inflammation, block pain signals, and decompress the pinched sciatic nerve.

Examples of interventional treatments include:

  • Lumbar epidural steroid injection
  • Spinal cord stimulation
  • Radiofrequency ablation
  • Percutaneous discectomy
  • Minimally invasive lumbar decompression (MILD)
  • Vertiflex® Superion® Indirect Decompression System

The Vertiflex Superion is one of today’s latest techniques. Your Pain Solutions provider inserts the small device between the two vertebrae pinching the sciatic nerve. 

Once it’s in place, the device gently separates the two bones, immediately relieving pressure on the nerve. The Vertiflex Superion is designed to stay in place to provide long-lasting pain relief.

If you suffer from sciatica, call Pain Solutions or schedule an appointment online today.