Sciatica Specialist

Mathew Lefkowitz, MD -  - Interventional Pain Medicine

Mathew Lefkowitz, MD

Interventional Pain Medicine located in Brooklyn Heights, NY

Sciatica pain is very common — as many as 40% of people in the United States experience this type of pain at some point during their lives. As an interventional pain management specialist, Mathew Lefkowitz, MD, has extensive experience helping his patients in Brooklyn Heights, New York, find much-needed relief from this often painful low back condition. If you want to explore your options for relieving sciatica pain, call to request an appointment.

Sciatica Q & A

What is sciatica?

Your sciatic nerves are the largest nerves in your body and start in your low back where they branch out and travel down both of your legs to your feet. When you have a problem in your low back — primarily a herniated or weakened disc — the inflammation can irritate your sciatic nerve, causing pain that radiates down one of your legs. The pain can be dull and constant or flare-up only with certain movements.

No matter how your pain presents itself, it can have a serious impact on your ability to move around.

How is sciatica treated?

In many cases, sciatica resolves itself with rest, anti-inflammatories, and ice. That’s the best case scenario, in any case. All too often, however, sciatica can last for weeks, and even months, severely impacting your life.

In these cases, Dr. Lefkowitz recommends an epidural steroid injection in order to reduce the inflammation for pain relief.

Also called a selective nerve root block, Dr. Lefkowitz is able to bring fast relief for sciatica pain using this technique.

What happens during a sciatic nerve block?

A dural sac, which contains and protects your spinal cord, nerve roots, and spinal fluid, encloses your lumbar spine (low back). Outside of the dural sac is a space called the epidural, which contains fat and blood vessels. During an epidural steroid injection, Dr. Lefkowitz accesses this space to release an anesthetic and cortisone to reduce the inflammation in the area and quiet the nerve root that’s causing the problem.

An epidural injection is considered to be very safe, especially with the use of fluoroscopy, which relies on X-ray technology to accurately guide the needle. The imaging is delivered in real-time as you lie on the table, allowing Dr. Lefkowitz to precisely target the area that’s causing your sciatic pain.

Dr. Lefkowitz administers the epidural injection at his office, which is equipped with two state-of-the-art fluoroscope machines. After your injection, you are able to go home and resume your normal activities.

The injection goes to work almost immediately to relieve your inflammation and pain, allowing you the freedom to move without debilitating pain again.

For expert sciatica care, call Mathew Lefkowitz, MD, or fill out the online form to schedule an appointment.