Sciatica is a debilitating searing pain in the lower extremity commonly as a result of nerve root irritation.
Disc herniation, disc protrusion, overgrowth of the facet joint and thickening of the ligaments can result in nerve root compression or irritation. Non-surgical treatments to date have included x-ray guided epidural injections of local anesthetics and steroids. As discussed in the previous blog, steroid injections can be associated with many complications including cell death.
At the Centeno-Schultz Clinic, Regenexx PL is used as an alternative to conventional epidural steroid injections. A patient’s own platelet-derived growth factors are injected into the epidural space with the aim of increasing blood flow thereby stopping and potentially reversing the degenerative process. Enhanced blood flow to a given area increases the number of nutrients and optimizes the healthy environment. Regenexx PL has led to many clinical successes.
TA is an athletic patient with a 6-month history of severe right leg pain which was progressive in nature, originating in her right lower back with radiations into her big toe. She described it as a “sharp knife” in her foot. Oral narcotics and muscle relaxants did not relieve her pain. Having had extensive neck surgeries which were complicated and required revisions, she was committed to non-surgical therapy. Her MRI demonstrated a large right-sided disc protrusion @ L5/S1 with compression of the adjacent nerve root.