Sciatica: Why It Happens and How to Treat It

Understanding the Cause of Leg Pain and the Best Treatment Options

Sciatica is one of the most common causes of leg pain, yet many people misunderstand what it actually is. It’s not just back pain—it’s a condition where the sciatic nerve gets irritated or compressed.

This leads to pain that travels from your lower back down to your leg. If you’ve ever felt sharp, shooting pain in your leg, it could be sciatica.

What Is Sciatica?

Sciatica refers to pain caused by irritation of the sciatic nerve—the longest nerve in the body, running from the lower spine to the legs.

  • Sharp, shooting pain in one leg
  • Burning or tingling sensation
  • Numbness or weakness
  • Pain that worsens while sitting

Why Does Sciatica Happen?

1. Herniated (Slip) Disc: A bulging disc presses on the nerve.

2. Spinal Stenosis: Narrowing of the spinal canal compresses nerves.

3. Piriformis Syndrome: Muscle irritation affecting the nerve.

4. Degenerative Disc Disease: Age-related wear and tear.

Who Is at Risk?

  • People with sedentary lifestyle
  • Long sitting hours
  • Improper lifting habits
  • Overweight individuals

How Is Sciatica Treated?


1. Conservative Treatment
  • Rest and activity modification
  • Physiotherapy
  • Pain medications

2. Advanced Non-Surgical Options
  • Epidural injections
  • Nerve blocks

3. When Is Surgery Needed?

Surgery is required when pain is severe, long-lasting, or when there is nerve weakness. Modern procedures like microdiscectomy are minimally invasive and highly effective.

Prevention Tips

  • Maintain proper posture
  • Exercise regularly
  • Avoid long sitting hours
  • Lift weights correctly

When Should You See a Doctor?

Seek medical help if your pain is severe, persistent, or associated with weakness or numbness.

About the Expert

Dr. Gururaj Sangondimath is one of the leading spine surgeons in North India, known for his expertise in minimally invasive and complex spine surgeries.

He is Associate Director & Unit Head Department of Spine Surgery at Indian Spinal Injuries Centre, New Delhi, one of India’s premier institutions for advanced spine care and rehabilitation.

With years of experience and thousands of successful cases, he has helped patients regain mobility and live pain-free lives.