Sciatica Treatment in Delhi | Expert Pain Specialist Care at Eshna Pain & Palliative Centre

Sciatica is one of the most common and debilitating forms of nerve pain, affecting millions of people across Delhi and the NCR region. At Eshna Pain & Palliative Centre, we offer evidence-based, non-surgical sciatica treatment designed to provide lasting relief — not just temporary symptom suppression.

Our clinic is led by Dr. Neeraj K. Dahiya (MBBS, MD, PDCC Pain Medicine, FCPM, CCEPC) and Dr. Anwesha Banerjee, both specialists in interventional pain management with extensive training at KGMU, SGPGI, and AIIMS. We understand sciatica not just as a symptom, but as a condition requiring precise diagnosis and targeted treatment.

What Causes Sciatica?

•        Lumbar Disc Herniation (Slip Disc): A herniated disc pressing on the nerve root — the most frequent cause

•        Lumbar Canal Stenosis: Narrowing of the spinal canal that compresses nerve roots

•        Piriformis Syndrome: Irritation of the sciatic nerve by the piriformis muscle in the buttock

•        Spondylolisthesis: One vertebra slipping over another, narrowing the nerve exit

•        Degenerative Disc Disease: Age-related disc wear causing nerve compression

•        Facet Joint Arthritis: Inflamed facet joints contributing to nerve root irritation

Sciatica Symptoms — When to See a Pain Specialist

Consult a pain specialist at Eshna if you experience:

•        Pain radiating from the lower back through the buttock and down one leg

•        Numbness or tingling in the leg or foot

•        Weakness in the affected leg

•        Pain that worsens with prolonged sitting, standing, or coughing

•        Sciatica pain that has not improved with 4–6 weeks of conservative management

Sciatica Treatment Options at Eshna Pain & Palliative Centre

Step 1 — Accurate Diagnosis

Clinical evaluation, nerve tension tests (SLR, FNST), and review of MRI/CT scans to identify the exact pain generator.

Step 2 — Conservative Management

Medication optimization, physiotherapy guidance, posture correction, and activity modification.

Step 3 — Interventional Pain Procedures

•        Transforaminal Epidural Steroid Injection (TFESI): Corticosteroid delivered under imaging guidance directly to the inflamed nerve root — highly effective for disc-related sciatica

•        Caudal Epidural Injection: Effective for lower lumbar and sacral nerve root pain

•        Lumbar Selective Nerve Root Block: Precisely targets the specific compressed root

•        Piriformis Injection: Ultrasound-guided injection for piriformis syndrome

•        Pulsed Radiofrequency (PRF) of Dorsal Root Ganglion: For chronic, refractory sciatica

All procedures at Eshna are performed under imaging guidance (fluoroscopy or ultrasound) for maximum safety and precision.

Frequently Asked Questions — Sciatica Treatment Delhi