Sciatica and Radiculopathy

Sciatica is a term used to describe pain that radiates along the sciatic nerve—from the lower back through the hips and buttocks, down one or both legs. It is typically caused by:

• Lumbar disc herniation

• Spinal stenosis

• Degenerative disc disease

• Muscle or structural compression of the nerve

Symptoms may include sharp or burning leg pain, numbness, or worsening discomfort with sitting or coughing.

Radiculopathy refers to irritation or compression of a spinal nerve root, leading to pain, numbness, or weakness along the nerve’s path. It can occur in the cervical (neck), thoracic (mid-back), or lumbar (lower back) regions.

Common causes include:

• Herniated discs

• Bone spurs or degenerative changes

• Compression fractures

• Inflammatory or metabolic conditions (e.g., diabetes)

Symptoms often appear on one side and may involve the arm, shoulder, or leg depending on the affected spinal level.

You may be at increased risk for sciatica or radiculopathy due to:

• Aging or spinal degeneration

• Poor posture or biomechanics

• Heavy lifting with improper technique

• Obesity or sedentary lifestyle

• Genetic spine structure abnormalities

Early evaluation can help identify the root cause and prevent progression.

Treatment plans may include:

• Physical therapy and posture training

• Non-steroidal anti-inflammatory medications

• Epidural steroid injections

• Nerve root blocks or facet joint injections

• Activity modification and home exercise plans

In select cases, advanced options such as spinal cord stimulation or regenerative therapies may be discussed.

Our providers—Dr. Zwade Marshall, and Dr. Jennifer Xiong—offer:

• Image-guided, minimally invasive procedures

• Thorough diagnostic workups for spine-related nerve conditions

• Coordinated care in Atlanta, Marietta, and Fayetteville, GA

We focus on functional improvement and individualized, evidence-guided care.