Sciatica Specialist

ReGen Pain Management

Jonathan Koning, MD

Pain Management Physician located in Plano, TX & Frisco, TX

Millions of men and women suffer from sciatica, experiencing pain that radiates from the lower back through the buttocks and legs. At ReGen Pain Management, Dr. Jon Koning uses advanced techniques to treat sciatica in patients from Plano, TX, and throughout the North Dallas region, relieving symptoms and preventing recurrence.

Sciatica Q & A

by Jonathan Koning, MD

What is sciatica?

Sciatica is a condition that develops when the sciatic nerve becomes “pinched” or impinged where it exits the spine in the lower back. The sciatic nerve is the longest nerve in the body, extending from the lower back down each leg via two major branches. The nerve provides sensations throughout the buttocks, hips, legs, and all the way to the feet.

What are the symptoms of sciatica?

Because it involves a nerve, sciatica can cause pain and other sensations to occur locally and regionally along the nerve pathway. Common symptoms include:

  • pain or aching in the lower back
  • pain, numbness or tingling sensations through the buttocks or down the leg
  • feelings of fatigue or weakness in the leg
  • shooting, electricity-like pain extending down the leg

Sciatica can affect one nerve branch (involving just one leg) or both branches of the nerve (causing symptoms in both legs).

What causes sciatica?

Most commonly, sciatica is caused when one of the discs in the lower back slips out of alignment and bulges outward, pressing on the nerve as it leaves the spine. Sometimes the disc can burst, releasing a gel-like substance that can increase irritation along the nerve. Bulging or herniated discs can occur for different reasons, including:

  • poor posture
  • prolonged periods of standing or sitting
  • poor lifting technique
  • repetitive motions involving the back or legs
  • strain from physical activity including sports
  • being overweight or obese
  • pregnancy weight gain
  • wearing high heels or shoes that don't provide adequate support

Less commonly, sciatica can be caused by injury to the back, spinal diseases like arthritis or spondylolisthesis, or tumors. Symptoms of sciatica frequently occur when lying down and often interfere with the ability to sleep.

How is sciatica treated?

Sciatica treatment involves two goals: Relief of symptoms and prevention of recurrence. Many patients with mild to moderate sciatica can achieve both immediate and long-term relief with injections into the area near the spine to reduce inflammation and irritation on the nerve and to enable the disc to resume its normal position, combined with rest, physical therapy or lifestyle changes to prevent recurrence. Other minimally-invasive techniques like radiofrequency ablation can also be effective.


*Individual Results May Vary

Accepted Insurance Providers

We accept plans from the following insurance providers. Please call the office to determine if your specific plan is accepted.

Aetna
Blue Cross Blue Shield PPO
Cigna
First Health (Coventry Health Care)
Galaxy Healthcare PPO
HealthSmart ACCEL
HealthSmart PPO
Medicare
United Healthcare
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