Lumbar Spine
Low back pain, sciatica, and walking limitation need careful differentiation of the pain source.
Lumbar pain is not one diagnosis. It may come from disc degeneration or herniation, facet joints, spinal stenosis, instability, sacroiliac overload, or myofascial pain. Some patients mainly feel low back pain, while others report buttock pain, sciatica, numbness, burning, or heaviness in the leg while standing and walking. My consultation focuses on precise pain diagnostics, careful review after previous spinal procedures done elsewhere, and building a non-operative treatment plan matched to the true source of symptoms. Conservative care, physiotherapy, image-guided blocks, RF procedures, and selected orthobiologic options often help before any operative pathway needs to be considered.
Symptoms
- Low back pain when sitting, standing, or changing position
- Pain radiating to the buttock or leg (sciatica)
- Numbness, burning, or tingling in the leg or foot
- Weakness or reduced walking distance
Conservative treatment
- Detailed diagnostics with MRI / CT / X-ray review
- Physiotherapy and core / hip strengthening
- Pain treatment with appropriately selected medication
- Selective root, epidural, or facet blocks
- Thermolesion / RF ablation for facet-related pain
- Orthobiologic treatment in selected indications
When is surgery needed?
Emergency surgical assessment is needed for cauda equina symptoms, progressive paresis, or severe structural compression. Outside those situations, surgery becomes relevant only if leg pain, neurologic deficits, or walking limitation persist despite good conservative care and the imaging clearly matches the symptoms. I also verify patients after earlier spine procedures performed in other clinics.