Sciatica Treatment in Delhi
Evaluation and targeted treatment for pain travelling from the lower back or buttock into the leg.
Dr. Ekta Gupta
MBBS, MD, Fellowship Trained Pain Physician, AIIMS Delhi
A focused approach to finding the pain source
Sciatica describes symptoms related to irritation or compression of the sciatic nerve. Pain commonly travels through the buttock and back of the leg and may be accompanied by tingling, numbness or weakness.
MBBS, MD, Fellowship Trained Pain Physician, AIIMS Delhi
Assessment before treatment
The aim is to understand the pattern of pain, its likely source and how it is affecting movement and daily life before selecting treatment.
Symptoms that may need assessment
Leg pain
Sharp, burning or shooting pain can travel from the lower back or buttock into the leg.
Tingling
Pins-and-needles may occur along the affected nerve distribution.
Numbness
Reduced sensation may affect the leg or foot.
Weakness
Nerve involvement can sometimes affect muscle strength.
Pain with coughing or sneezing
Pressure changes can aggravate symptoms in some people.
Reduced activity
Persistent symptoms can make walking, sitting or normal work difficult.
What can cause sciatica?
Slipped disc
A herniated disc is a common cause of sciatic nerve irritation.
Spinal stenosis
Narrowing around spinal nerves can produce leg symptoms.
Spondylolisthesis
A vertebra shifting relative to another can narrow nerve pathways.
Back injury
Trauma can contribute to nerve irritation or spinal pain.
Degenerative changes
Disc and joint changes may narrow space around nerves.
Inflammation
Irritation around a nerve can contribute to pain even when symptoms vary.
Treatment is based on the diagnosis
There is no single treatment that suits every patient. Options may include conservative care, rehabilitation, medication planning and selected image-guided pain procedures.
- Detailed clinical assessment
- Review of previous treatment and response
- Imaging when clinically appropriate
- Clear discussion of available options
- Follow-up based on symptoms and function
Activity guidance
Appropriate movement is usually encouraged rather than prolonged bed rest.
Physiotherapy
Exercises and movement strategies can support recovery and function.
Medication planning
Selected medicines may be used according to the patient's condition and medical history.
Epidural injection
For selected severe or persistent nerve-related pain, an image-guided epidural may be considered.
Selective nerve root block
A targeted block can help when one nerve root is suspected as the pain source.
RFA in selected cases
Radiofrequency procedures may be considered for particular chronic spine pain sources, not for every case of sciatica.
When targeted treatment may be appropriate
For selected patients, image-guided procedures can target a specific joint, nerve or other pain-generating structure. The procedure is chosen only after clinical assessment.
Commonly considered procedures
- Image-guided injections
- Selective nerve blocks
- Epidural injections for selected spine-related nerve pain
- Facet or joint procedures
- Radiofrequency ablation for selected chronic pain sources
Pain relief is only one part of recovery
Move better
Treatment is paired with movement and rehabilitation wherever appropriate.
Build confidence
A graded return to normal activities can help reduce fear and unnecessary avoidance.
Prevent recurrence
Strength, posture, activity planning and condition-specific advice can support long-term management.
Do not ignore persistent or changing pain
Urgent medical attention is required for severe or worsening weakness, symptoms affecting both legs, numbness around the genitals or anus, or new difficulty controlling or passing urine or stool.
A simple treatment journey
01 Consultation
Discuss symptoms, history, daily limitations and previous treatment.
02 Examination
Assess movement, strength, sensation and the likely pain source.
03 Plan
Choose appropriate conservative or minimally invasive options.
04 Follow-up
Review response, function and next steps.
Frequently asked questions
Related pain treatment pages
Discuss your pain with Dr. Ekta Gupta
If persistent pain is affecting your movement, sleep, work or everyday activities, a specialist assessment can help clarify the available treatment options.
MBBS, MD, Fellowship Trained Pain Physician, AIIMS Delhi
Ground Floor, E-29/B, Block E, Rajouri Garden, New Delhi - 110027
Call +91 95608 52171 Contact Clinic