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Sciatica Treatment Doctors in Queens, NY

Dr. Daniel Khaimov is a sciatica diagnosis expert in Queens, New York. The top-rated sciatica doctor at his Queens medical practice has successfully treated thousands of sciatica patients (non-surgically). Sciatica is a broad term that refers to pain in the low back, buttocks, or leg. While there are numerous causes of sciatic pain, the most serious situation occurs when the spinal nerves that comprise the large sciatic nerve are irritated or pinched by a herniated disk or bone spur – this is when sciatica treatment is required.

Lumbar Radiculopathy (Sciatica)

This condition is an irritation or compression of one or more nerve roots in the lumbar spine. Because these nerves travel to the hips, buttocks, legs and feet, an injury in the lumbar spine can cause symptoms in these areas. Sciatica may result from a variety of problems with the bones and tissues of the lumbar spinal column.

Lumbar Epidural Steroid Injection

This injection procedure is performed to relieve low back and radiating leg pain. Steroid medication can reduce the swelling and inflammation caused by spinal conditions.

Percutaneous Disc Decompression (Stryker® Disc Dekompressor® Discectomy)

This is a procedure to treat a herniated disc. That’s a bulging disc in your spine. Getting rid of the bulge can relieve pressure on your nerves. It can relieve pain in your lower back and your legs.

The sciatic nerve starts at the base of your spine than branches down both legs; it is the largest and longest nerve in the body. The Sciatica condition is pain that radiates along the path of the sciatic nerve, pain can be incapacitating to infrequent. Sciatica pain symptoms are often felt as leg pain and possibly tingling, numbness or weakness. Most sciatica treatment methods are non surgical, depending on the main cause of the pain.

What Are The Symptoms Of Sciatica?

The classic sciatica symptom is pain that starts in the lower back and radiates (travels) to the buttock and down the back of the leg possibly to include the foot and toes. The pain may be felt anywhere along this path but typically follows the path from the back to the buttock and back of the thigh or calf.

Pain level can vary from mild to severe and is usually described as shooting, burning in sensation, electric shock-like, as well as cramping sensations in the same pattern.

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Call us to find out about your options for treatment of your pain condition.


How is Sciatica Diagnosed?

  • To diagnose sciatica, your doctor will first ask you about your complete medical history, including whether or not you have suffered any recent injuries, where you feel the pain, and how that pain feels. Your doctor will want to know what causes the pain, what causes it to worsen, and when it started.
  • Your doctor will then perform a physical exam, testing your muscle strength and reflexes.
  • You may be asked to perform moving and stretching exercises to determine which activities cause pain.
  • Your doctor may also need to perform nerve tests to determine the extent to which the impulse has been slowed.
  • Imaging tests will provide your doctor with a better view of your spine, allowing them to determine what is causing your sciatica. CT scans, MRI scans, and X-rays are some of the most commonly used imaging tests.

What Are The Causes?

Sciatica refers to pain that stems from the sciatic nerve, a large nerve extending from the lower back down the back of each leg. Sciatica is not a disorder, but a symptom of another underlying problem, such as a spinal or neural foramina stenosis, a pinched/irritated nerve in the lower back or a herniated disc, and bone spurs and facet hypertrophy (overgrowth of bone or enlargement) causing narrowing of the opening where the nerve travels

What Are The Risk Factors?

Health problems, lifestyle choices and genetic factors such as age and history of diabetes are all risk factors of sciatica. Occupations that require you to twist your back and carry heavy loads increase your risk of developing sciatica.

Treatment Options for Sciatica Offered by the Queens Sciatica Specialist

There are a number of treatment options that help reduce the painful symptoms of sciatica, which include:

  • Epidural Steriod Injections
  • Caudal Steroid Injection
  • Neurostimulation Therapy
  • Medication Management
  • Percutaneous Discectomy
  • Muscle relaxants for muscle spasm
  • Oral steroids (Medrol dose pack)
  • Antidepressants may also be prescribed for chronic low back pain
  • Chiropractic manipulation, focusing on relief of spasm and mobilization of the spine, pelvis, and leg muscles
  • Acupuncture

As soon as you are diagnosed with sciatica, your doctor will give you instructions on how to manage your sciatica pain. You must continue with your daily activities as much as possible. Not being active can only worsen your condition.

Alternative Treatments for Sciatica Pain

Heat and cold. Heat and cold are considered to be beneficial home treatment for those suffering from sciatica pain.

Ice packs should be applied to the area affected for 20 minutes a day a couple of times a day. Heating pads can help to reduce the pain. It is recommended to start with cold therapy for the first few days of pain and then continue with heat therapy.

Stretching your back can also be beneficial. If you are unsure about how to properly do beneficial stretches, speak to your doctor for sciatica pain about the possibility of being referred to a physical therapist.

Alternative medicine options can help sciatica patients, such as acupuncture or seeing a massage therapist or a chiropractor. Some patients benefit from hypnosis, which can put patients in a focused state of mind and best receive healthy instructions and suggestions.

Over-the-counter Medications

Some patients benefit from using over-the-counter medications, such as ibuprofen and aspirin.

As previously mentioned, it is very important to remain active. Being active releases endorphins, which are pain-relievers that your body produces. In the beginning, it is important to start with low-impact activities to only then continue with core stability and strength training.

Severe Sciatic Nerve Pain

In more severe cases of sciatica pain, your doctor might prescribe you muscle relaxers, narcotic pain relievers, or antidepressants. Some patients get corticosteroid injections, which are injected directly into the epidural space. This is a canal that surrounds the spinal cord. Such injections can lead to some serious side effects, which is why they are only prescribed on a limited basis.

For patients who might suffer from severe pain where non-invasive treatment options seem to be unresponsive, surgery might be necessary. This is especially the case in severe sciatica cases, such as when patients have developed loss of bowel and bladder movement.


Dr. Baruch helped me figure out a spinal issue that has caused me 6+ years of chronic, intense sciatica pain. I now feel like I have the information and tools to deal with this issue and manage my pain and health. Those who work at reception were always professional and friendly with me. Dr. Baruch is also very professional, friendly, clear and communicative in his approach. I felt like I could ask any questions I had and that he was comfortable talking through what was going on in my spine and what was evident in my MRI.

Angela Di Giulio

When Should You Contact the Queens Sciatica Specialist

It is very important to seek medical attention if you:

  • Sciatica pain is severe or gets significantly worse and spreads down your legs
  • Experience pain that occurs after an accident or after a severe injury
  • Suffering from sudden and excruciating pain in the lower back followed by numbness or muscle weakness
  • Not being able to control the bowel or bladder movement
  • Difficulty with urination
  • Loss of bowel or bladder control
  • Fever, unexplained weight loss, or other signs of illness
  • Difficulty walking, standing, or moving
  • Is worse at night, or worse when you lie down

Precision Pain Medicine’s best-in-class doctors for sciatica pain are honored to provide you with highly personalized and comprehensive care. Our philosophy of direct case management by an expert pain management physician has earned us a reputation as one of the most trusted and respected practices in Queens, NY. Please contact our pain management specialists today to discuss your specific sciatica condition and get started on the road to recovery.

Page Updated on Jul 12, 2022 by Dr. Daniel Khaimov (Pain Specialist) of Precision Pain Medicine
(718) 878-4656