Epidural Steroid Injection
A targeted injection into the epidural space that aims to reduce inflammation around irritated spinal nerves and help ease leg pain or sciatica.
Lumbar Nerve Root Block
A precise injection around an individual nerve root that may help confirm the source of pain and reduce nerve related symptoms.
Piriformis Muscle Injection or Botox
A targeted treatment for piriformis muscle spasm which may compress the sciatic nerve and contribute to leg pain or sciatica.
Epidural Lysis of Adhesions and PRP
A minimally invasive technique designed to reduce scar tissue around spinal nerves sometimes combined with PRP to support healing in selected cases.
Why Specialist Treatment for Leg Pain and Sciatica Matters
Leg pain and sciatica can arise from several causes including disc bulges spinal stenosis nerve root irritation muscle compression or scar tissue following surgery or inflammation. Because symptoms often overlap accurate diagnosis is essential.
Specialist assessment helps identify whether pain originates from a specific nerve root the epidural space muscular compression or post surgical adhesions. Consultant led care ensures treatment is targeted to the underlying cause rather than symptoms alone improving the likelihood of meaningful relief.
Consultant Led Assessment and Diagnosis
Your care begins with a detailed consultation with an experienced pain specialist. This typically includes
• Full medical history and symptom review
• Assessment of pain pattern including radiation and triggers
• Neurological examination of strength sensation and reflexes
• Review of previous imaging such as MRI CT or X ray
• Discussion of how symptoms affect walking sleep and daily life
Where appropriate further imaging or diagnostic injections may be recommended to clarify the source of nerve irritation.
Targeted Evidence Based Interventions
Once the likely cause of leg pain or sciatica is identified your consultant will discuss appropriate treatment options which may include
• Epidural injections to reduce widespread nerve inflammation
• Nerve root blocks to target a specific irritated nerve
• Muscle based injections when nerve compression is muscular rather than spinal
• Scar tissue focused procedures such as epidural lysis of adhesions
• PRP in selected cases to support healing and recovery
All procedures are selected based on clinical findings imaging and individual needs. Imaging guidance may be used to optimise accuracy and safety.
Focused on Long Term Relief and Function
Managing leg pain and sciatica is not only about reducing pain but also about restoring confidence in movement and preventing recurrence. Treatment plans may include
• Gradual return to walking and activity
• Physiotherapy or rehabilitation support
• Posture and movement advice
• Medication review where appropriate
• Ongoing monitoring and follow up
By combining targeted interventions with supportive care we aim to help patients regain mobility comfort and quality of life.