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Sciatica Specialist

Subach Spinal Solutions

Spine Surgeons & Back Pain Doctor located in Arlington, VA

You can develop the pain of sciatica at any age, but it’s most likely to appear for the first time in your 40s. At Subach Spinal Solutions in Arlington, Virginia, Brian Subach, MD, FACS, Diana DeWolfe, PA-C, MPAS, and the team offer comprehensive care for sciatica. From conservative care and advanced therapies, such as spinal cord stimulation, to state-of-the-art robotic surgery to repair the problem causing your sciatica, the team at Subach Spinal Solutions can help relieve your pain and restore mobility. To schedule an appointment, call the office or use the online booking feature.

Sciatica Q & A

What causes sciatica?

Sciatica refers to a group of symptoms you experience when you have a pinched sciatic nerve. The sciatic nerves leave the base of your spine, travel through each buttock and then down each leg to your feet.

A pinched sciatic nerve is often caused by:

  • Herniated disc
  • Slipped vertebra
  • Bone spurs
  • Spinal stenosis
  • Degenerative disc disease

Sciatica develops due to a herniated disc in 90% of all cases.

What symptoms occur due to sciatica?

Sciatica causes pain that begins in your lower back and radiates down one leg. You may feel a burning or aching pain, but most people describe it as a sharp, electric-shock type of pain.

You may also experience tingling or numbness along the nerve as it goes down your leg and into your foot. In severe cases, muscle weakness may develop in the leg affected by sciatica

How do spine specialists treat sciatica?

Sciatica is initially treated with conservative therapies, such as stretching exercises, physical therapy, and medication, to relax your muscles and treat inflammation and pain. You may be able to prevent future flares of sciatica by following a progressive exercise regimen, improving your posture, and using good body mechanics.

Should you fail to improve with conservative therapies, your provider may recommend spinal injections to calm inflammation and alleviate your symptoms.

When conservative and interventional treatments fail to relieve your nerve pain, your provider at Subach Spinal Solutions may talk with you about surgery to decompress the sciatic nerve. You may have several surgical options, depending on the condition that’s pinching the nerve.

If a herniated disk is the source of your problem, your doctor at Subach Spinal Solutions may recommend a minimally invasive surgery to remove the herniated portion of the disk. In other cases, they may recommend removing the entire disk and fusing the two adjacent vertebrae to restore stability.

The team at Subach Spinal Solutions are experts in state-of-the-art robotic spine surgery, using the Mazor robotic system to precisely plan and guide surgery. 

If your pain persists or you have nerve damage that cannot be fixed with other surgical options, your provider at Subach Spinal Solutions may recommend interventional treatments, such as spinal cord stimulation with the Nevro HF10™ spinal cord stimulator.

After your provider implants the HF10, it delivers mild electrical stimulation to nerves in your lower spine. The electrical impulses block nerve signals so they don’t reach your brain. When your brain doesn’t get the message, it can’t perceive pain. As a result, your pain is significantly reduced.

You can get relief from sciatica at Subach Spinal Solutions. Call the office or schedule an appointment online today.