Leg pain can vary in location and degree of intensity. Some of it may be relatively mild, and others may have enough pain to prevent them from conducting their daily duties. When it comes to the point of being unable to obtain relief through home remedies, there are several options that an interventional pain center can provide.
Most people know what it is when their foot or leg “falls asleep.” When it continues and it feels like your leg – or parts of it are numb, it can indicate a more serious problem. This is often caused by a problem with the sciatic nerve. The pain usually starts in the lower back and then it travels down your leg.
Various Treatments for Leg Pain
- Lumbosacral Selective Nerve Root Blocks (SNRB)
In this 10-minute procedure, the doctor will use a fluoroscope to safely guide the injection. It will contain a numbing agent for immediate pain relief. It is often used as a diagnostic test to ensure whether or not particular nerves have been affected. You will be able to return to work the next day.
- Caudal Epidural Steroid Injection (ESI)
This medical procedure is used to put medication into an area that is between the thickest ligament between your vertebra and the membrane that holds the spinal fluid. It is called the caudal canal. During the procedure, you will be given some medication intravenously to enable you to relax. The doctor, while being guided by a real-time x-ray, will then inject a dye to ensure the exact location, and then will inject a numbing agent and a steroid. It will take a couple of days for the steroid to work, but the effects can be enjoyed for up to three months. You can go to work the next day.
- Pulsed Radiofrequency of the Dorsal Root Ganglion (Pulsed RF)
The dorsal root ganglion is a cluster of nerves located behind the spine and it transmits sensory data to the brain. Treating back pain with pulsed radiofrequency involves an injection first to numb the pain, than placing a catheter close to the nerves. It is heated by using pulsed radiofrequencies. The heat destroys the nerves temporarily and may provide pain relief for about three months.
- Sciatic Nerve Block at the Pyriformis Musculature
The pyriformis musculature is the place where the sciatic nerve leaves the pelvic region. It can be easily compressed, leading to sciatic pain in the buttocks and leg. The sciatic nerve block is an injection guided by x-ray that is used for testing or pain relief. When used as a nerve block, the injection consists of a numbing solution and a steroid. The steroid will begin to reduce inflammation after a couple of days.
- Iliotibial (IT) Band Injection
Pain in the Iliotibial band is something that runners often experience, producing pain on the outside of the thigh and knee. An iliotibial band injection is a cortisone injection accompanied with some numbing medication. The needle may be guided by ultrasound. It will take a couple of days for the cortisone to relieve pain.
- Lateral Femoral Cutaneous Nerve Block
This nerve block may be guided by touch or with the guidance of a fluoroscope or ultrasound device. The nerve exits the lumbar region and extends to the knee. A needle will be inserted and when the proper place is found, an injection of numbing medication and cortisone will be made.
- Other Lower Extremity Peripheral Nerve Blocks
Other nerve blocks are also available, which can help a patient obtain greater pain relief. These may include a Popliteal Block, a Lumbar Plexus Block, and a Lumbar Paravertebral Block.
If you have pain in your legs that ordinary methods do not relieve, talk to one of our Board-certified doctors and find out how we can help you get relief. We have several offices in New York City.