Sciatica Specialist

Premier Pain Solutions

Interventional Pain Management Specialists located in Asheville, NC, Columbus, NC, Wilmington NC, Southern Pines NC, Easley SC, & Greenwood SC

Sciatica strikes 40% of adults at least once. For many, their first bout turns into an ongoing and debilitating condition. If you suffer from sciatica, you owe it to yourself to talk with Javid Baksh, DO, and Christopher Mallard, MD, at Premier Pain Solutions. They specialize in interventional treatments that target the source of your pain, and regenerative medicine that promotes healing. When conventional medicine fails to relieve your sciatica, request an appointment online or call one of the offices today. They’re conveniently located in Asheville, Columbus, Southern Pines, and Wilmington, North Carolina; and Easley and Greenwood, South Carolina.

Sciatica Q & A

What is sciatica?

Sciatica refers to the symptoms that occur when your sciatic nerve is pinched. As the largest nerve in your body, the sciatic nerve connects the spinal cord with the muscles and skin in your thighs, legs, and feet.

After the nerve leaves your lower spine, it passes through the buttocks, and goes down the back of your leg, all the way to the heel and sole of your foot. When it’s compressed, you can feel symptoms along the entire nerve.

What causes sciatica?

You could develop sciatica after straining your back muscles or suffering an injury. But in most cases, the pinched nerve occurs due to one of the following spine conditions:

  • Herniated disc
  • Spinal stenosis
  • Facet joint arthritis
  • Degenerative disc disease
  • Bone spurs


A herniated disc is the most common cause. Though it’s rare, you can also end up with sciatica when the buttock muscles spasm. This condition is called piriformis syndrome.

What symptoms does sciatica cause?

Sciatica’s primary symptom is pain that suddenly shoots down one leg. The severity of your pain may vary, but most people describe like an electric shock or excruciating pain. You may also have burning or tingling sensations along the nerve.

In severe cases, muscle weakness or numbness may develop in your leg, or you could lose bowel or bladder function. If any of these symptoms develop, you need immediate medical attention.

How is sciatica treated?

Treatment for sciatica begins with a conservative approach that includes stretching, nonsteroidal anti-inflammatory medications, and physical medicine. If your symptoms persist or get worse, Premier Pain Solutions offers steroid injections, regenerative medicine, and interventional medicine.

Regenerative treatments such as platelet-rich plasma (PRP) and stem cell injections help to heal the damaged tissues, including the nerve and the damaged tissues in your spine, such as herniated discs.

A few examples of interventional treatments that relieve the pain of sciatica include:

  • Epidural steroid injections
  • Spinal cord stimulation
  • Facet joint injections
  • Nerve blocks
  • Radiofrequency ablation

Epidural steroid injections reduce inflammation in the sciatic nerve. The other interventional therapies stop nerves from sending pain signals to your brain. As a result, you get significant relief from your pain.

Don’t wait to get help for sciatica. Call Premier Pain Solutions or book an appointment online today.