Epidural Steroid Injection: Procedure and Details
Epidural steroid injection is a procedure used to help address certain types of back and neck pain by delivering medication close to the spinal nerves. This approach is designed to
Home Sciatica
If you are experiencing pain that starts in the lower back and travels down the leg, a consultation can help determine the underlying cause. Dr. Silky Patel is a double board-certified pain management physician in Houston who evaluates spine-related and nerve-related symptoms as part of a comprehensive approach to care.
Sciatica refers to symptoms that may occur when the sciatic nerve is irritated or compressed. Patients may experience discomfort in the lower back, along with pain, numbness, or tingling that can extend into the leg or foot. The intensity and pattern of symptoms can vary from patient to patient.
Dr. Patel performs a thorough evaluation, which may include a physical exam and review of imaging, to better understand the source of symptoms. Based on the diagnosis, she discusses personalized, non-surgical options designed to help reduce pain and improve function.
If your symptoms persist or begin to interfere with your daily activities, scheduling a consultation can help you better understand your condition and explore appropriate care options based on your evaluation.
The approach to managing sciatica-related symptoms depends on the patient’s condition, severity of symptoms, and clinical findings. In many cases, non-surgical options may be considered first based on evaluation and diagnosis.
Dr. Silky Patel performs a thorough assessment to determine the source of symptoms and discusses appropriate options as part of a personalized care plan designed to help reduce pain and improve function.
Options that may be considered include:
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Dr. Silky Patel is a double board-certified pain management physician in Houston, TX with over 15 years of experience in interventional spine and musculoskeletal care. She focuses on evaluating conditions such as facet arthrosis, sacroiliac (SI) joint dysfunction, and degenerative disc changes, and offers personalized, non-surgical options designed to help reduce pain and improve function. Based on your evaluation and diagnosis, a range of interventional and non-surgical options may be considered, including:
Living with chronic pain can affect every part of your life. Our team offers personalized, evidence-based care designed to help reduce pain and improve function based on your individual evaluation.
PRP (Platelet-Rich Plasma) injections are offered as part of regenerative medicine options and are designed to support the body’s natural healing response and may help reduce pain and inflammation in certain patients.
This type of injection places numbing medicine at the nerves of the neck and back arthritic joints. For example, facet arthropathy, spondylosis, or spine arthritis, can occur in the neck or low back. After a test block, known as a medial branch block, proves effective, Radiofrequency Ablation can be performed.
Having enough experience in practicing non-surgical procedures, Dr. Patel has remarkable expertise in joint injections. Joint injections may be considered as an option to help reduce pain and inflammation in certain patients based on their evaluation and diagnosis.
Whether you are suffering from muscle pains or if you want to get relief from stiff or stressed muscles, Trigger point injections may be used as an option to help reduce muscle-related pain in certain patients. Trigger point injections can be very helpful in soothing Myalgia (muscle knots, aches, inflammation or pain) in your back and neck.
Dr. Silky Patel may recommend Electromyography EMG and nerve conduction studies (NCS) are used to evaluate nerve and muscle function as part of the diagnostic process. Nerve or muscle diseases such as a pinched spinal nerve, peripheral neuropathy, myositis, and carpal tunnel syndrome can be easily identified by performing EMG/NCS tests.
Botox injections may be considered for certain conditions such as muscle-related pain or spasms based on clinical evaluation. Botox injections may also be considered as part of a management plan for certain patients based on evaluation.
The Vertiflex procedure may be considered for certain patients with lumbar spinal stenosis based on evaluation and diagnosis. This minimally invasive procedure involves placing an implant in the spine to help relieve pressure associated with certain positions such as standing or walking.
The MILD procedure may be considered for certain patients with lumbar spinal stenosis who experience difficulty with standing or walking, and may help reduce pain and improve function. Dr. Patel takes proper care of patients while practicing this safe outpatient “Minimally Invasive Lumbar decompression” MILD procedure.
The SI joint is where the spinal column meets the pelvis, and this joint can become inflamed, causing SI joint pain. SI joint pain can feel like low back pain and can sometimes track down the leg. SI joint pain is caused by arthritis, and can also be felt during and after pregnancy. Dr Patel can inject your SI joint to help decrease your pain.
Kyphoplasty/vertebroplasty procedures help by putting a type of 'cement' in a broken vertebrae. Vertebrae can be diagnosed with compression fractures caused by osteoporosis or falls. Without this treatment, compression fractures can be very painful and cause your spine to shorten.
Epidural steroid injection is a procedure used to help address certain types of back and neck pain by delivering medication close to the spinal nerves. This approach is designed to
Spinal cord pain can be a persistent challenge that affects many aspects of daily life, making it difficult to perform routine activities or find comfortable relief. When traditional treatments fall
PRP injections have gained attention among patients in Houston and nearby communities as a potential option for managing musculoskeletal discomfort and supporting joint or soft tissue function. Many people curious
Sciatica refers to symptoms that may occur when the sciatic nerve is irritated or compressed. Patients may experience pain that starts in the lower back and travels into the buttock or leg, along with numbness or tingling in some cases. Dr. Gunjan Silky Patel performs a detailed evaluation to determine the source of these symptoms.
Sciatica symptoms may be associated with conditions affecting the spine, such as disc-related concerns, spinal stenosis, or other factors that may contribute to nerve irritation. A thorough evaluation is important to identify the underlying cause based on imaging and clinical findings.
You may consider seeking evaluation if symptoms persist, worsen over time, or begin to affect walking, movement, or daily activities. Symptoms such as weakness, numbness, or discomfort extending into the leg may also require further assessment.
Non-surgical options may include image-guided injections, nerve-related procedures, and structured rehabilitation strategies. These approaches may be considered as part of a plan designed to help reduce pain and improve function in certain patients, based on evaluation and diagnosis.
Response to care can vary depending on the patient and the underlying condition. Some individuals may notice changes in symptoms over time, while others may require adjustments to their care plan. Ongoing evaluation helps guide appropriate next steps.
In some cases, mild symptoms may improve over time with activity modification. However, persistent or worsening symptoms may require evaluation to determine appropriate options based on the underlying cause.
Surgery is not always required. Many patients may be managed with non-surgical approaches depending on their condition. Dr. Silky Patel evaluates each patient individually and discusses appropriate options based on symptoms and diagnosis.
Maintaining strength, flexibility, and proper posture may help support spine health. Early evaluation and following a care plan based on your condition can also help manage ongoing symptoms. Dr. Silky Patel provides individualized recommendations based on each patient’s needs.