(sciatica is a term used to describe pain, warmth, numbness
or other unusual sensations radiating along the path of the sciatic nerve from your buttock into your leg and foot.) when a patient complains of pain going down both legs, it's possible he or she is suffering from spinal stenosis
, which is a narrowing of the spinal canal caused by herniated disks and/or arthritis
You didn't mention whether you'd had an MRI
to identify the specific cause of your symptoms. If not, this might be useful in guiding your therapy. Many doctors don't order MRI right away for patients without sciatica because a trial of medications, physical therapy
and other remedies is worthwhile in these patients, and those that improve don't need mri. However, individuals with symptoms of sciatica or spinal stenosis usually undergo MRI fairly early in the course of their management.
Once an MRI is obtained, a variety of treatment modalities can be used to treat sciatica or spinal stenosis. If a patient is not improving on maximum recommended doses of medications (acetaminophen
, nonsteroidal anti-inflammatories, tramadol
, muscle relaxants, etc.), physical therapy, chiropractic manipulation, acupuncture
, and other conservative measures, referral to a surgeon or pain management
specialist is reasonable.
It isn't clear from your question how many of these modalities you've tried, nor is it clear how extensive your workup has been. Since your symptoms persist despite your best efforts, it's time to see your doctor again to see where you go from here.