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Pain Management Specialist

The Benefits of Seeing a Pain Management Specialist for Sciatica

When treating debilitating sciatica, seeing a pain management specialist offers clear benefits over general care. At San Antonio Pain Consultants, Dr. Darius Zagunis, M.D., provides expert, specialized treatment for sciatic nerve pain. Discover the advantage of advanced, non-surgical options, including targeted injections that can provide lasting relief. For more information, contact us or schedule an appointment online. We are located at 3903 Wiseman Blvd, Ste 117, San Antonio, TX 78251.

When treating debilitating sciatica, seeing a pain management specialist offers clear benefits over general care. At San Antonio Pain Consultants, Dr. Darius Zagunis, M.D., provides expert, specialized treatment for sciatic nerve pain. Discover the advantage of advanced, non-surgical options, including targeted injections that can provide lasting relief. For more information, contact us or schedule an appointment online. We are located at 3903 Wiseman Blvd, Ste 117, San Antonio, TX 78251.
When treating debilitating sciatica, seeing a pain management specialist offers clear benefits over general care. At San Antonio Pain Consultants, Dr. Darius Zagunis, M.D., provides expert, specialized treatment for sciatic nerve pain. Discover the advantage of advanced, non-surgical options, including targeted injections that can provide lasting relief. For more information, contact us or schedule an appointment online. We are located at 3903 Wiseman Blvd, Ste 117, San Antonio, TX 78251.

Table of Contents:

Why should I see a pain management specialist for sciatica?
What role do injections play in sciatica treatment by pain management specialists?
What is the role of nerve blocks in sciatica pain relief?
How can a pain management specialist help me manage sciatica flare-ups?

Why should I see a pain management specialist for sciatica?


If you are experiencing sciatica, seeking care at San Antonio Pain Consultants can be highly beneficial for several important reasons. Sciatica refers to pain caused by irritation or compression of the sciatic nerve, which often results in discomfort, tingling, numbness, or weakness radiating from your lower back down into your legs. While some mild cases may improve on their own, persistent or severe symptoms can significantly impact your quality of life and daily activities.

Our pain management specialists are trained to accurately diagnose the underlying cause of your sciatica—whether it’s due to a herniated disc, spinal stenosis, or another condition. We develop personalized treatment plans tailored to your unique needs, using a variety of non-surgical and minimally invasive options. These may include medications, targeted physical therapy, nerve blocks, or advanced interventional procedures such as epidural steroid injections. By addressing both your symptoms and the root cause of your pain, our team can help reduce your discomfort, improve mobility, and prevent long-term complications.

Our specialists are also experienced in coordinating care with other healthcare providers, such as neurologists, orthopedic surgeons, or physical therapists, to ensure you receive comprehensive and seamless care. Seeking expert care early at our practice can help you avoid unnecessary suffering, reduce reliance on pain medications, and lower the risk of your condition becoming chronic.

What role do injections play in sciatica treatment by pain management specialists?


At San Antonio Pain Consultants, we understand that sciatica can significantly impact your comfort, mobility, and overall quality of life. Our experienced pain management specialists are committed to providing advanced, personalized care for patients struggling with sciatica, especially when conservative therapies such as physical therapy, oral medications, and lifestyle modifications have not provided sufficient relief.

One of the key treatment options we offer is injection therapy. These procedures can serve both diagnostic and therapeutic purposes, helping us pinpoint the source of your pain and deliver targeted relief. Epidural Steroid Injections are among the primary interventions we use for sciatica. This procedure involves carefully administering a corticosteroid medication into the epidural space around the affected spinal nerves. By reducing inflammation and swelling near the irritated or compressed nerve roots, these injections can offer significant pain relief—sometimes lasting weeks or even months. This reduction in pain can help patients more fully participate in rehabilitation and return to their daily activities with greater ease.

Our specialists also perform Selective Nerve Root Blocks, a procedure that involves injecting medication near a specific nerve root that may be causing your sciatica symptoms. Not only can this provide pain relief, but it also helps us confirm the precise location of nerve involvement, which is essential for developing an effective, individualized treatment plan.

What is the role of nerve blocks in sciatica pain relief?


At San Antonio Pain Consultants, we specialize in advanced, evidence-based approaches to pain management, including the use of nerve blocks for the treatment of sciatica. Sciatica is a common condition seen in our San Antonio clinics, characterized by pain radiating along the path of the sciatic nerve—often resulting from nerve irritation or compression in the lower back.

When more conservative treatments, such as oral medications or physical therapy, do not provide sufficient relief, our experienced pain specialists may recommend a nerve block. This minimally invasive procedure involves the precise injection of an anesthetic, sometimes combined with a steroid, near the affected nerve roots or along the sciatic nerve pathway. By temporarily interrupting pain signals, nerve blocks can provide significant pain relief for our patients, helping them return to their daily activities with greater comfort.

The primary goal of a nerve block is to reduce inflammation and swelling around the irritated nerve, which can decrease pain and improve mobility. By alleviating pain, nerve blocks can also make it easier for patients to participate in physical therapy and rehabilitation—key components of a comprehensive recovery plan. In many cases, patients experience immediate, though sometimes temporary, relief lasting from days to several weeks. For some, repeat treatments or diagnostic nerve blocks may be beneficial in identifying the exact source of pain.

It’s important to remember that while nerve blocks are highly effective for managing sciatica symptoms, they do not address the underlying structural cause, such as a herniated disc or spinal stenosis. That’s why at San Antonio Pain Consultants, nerve blocks are used as part of a holistic, personalized treatment plan under the careful supervision of our board-certified pain management physicians. We always discuss the potential risks—including infection, bleeding, or nerve injury—with our patients before proceeding, ensuring they are fully informed and comfortable with their care.

How can a pain management specialist help me manage sciatica flare-ups?


At San Antonio Pain Consultants, our pain management specialists play a vital role in helping patients manage sciatica flare-ups through a comprehensive, patient-centered approach. Our team begins by thoroughly evaluating your symptoms and medical history, allowing us to accurately diagnose the root cause of your sciatica and develop a personalized treatment plan that addresses your unique needs.

For immediate relief during a flare-up, we may recommend medications such as anti-inflammatories, muscle relaxants, or nerve pain agents to help reduce discomfort and inflammation. If conservative treatments are not providing enough relief, our specialists offer advanced interventional options such as epidural steroid injections or targeted nerve blocks. These procedures can significantly reduce irritation and swelling around the affected nerve roots, helping you return to your daily activities more comfortably.

We believe in long-term strategies for managing sciatica and preventing future episodes. Our specialists work closely with physical therapists to design customized exercise programs that strengthen the muscles supporting your spine, improve flexibility, and decrease the risk of recurrence. We also provide education on lifestyle modifications—including proper body mechanics, weight management, and ergonomic tips—to empower you to take an active role in minimizing your sciatica symptoms.

If your sciatica does not respond to these treatments, our pain management team can discuss further options, including minimally invasive procedures. When necessary, we coordinate with trusted orthopedic and neurosurgical colleagues in the San Antonio area to ensure you receive the most appropriate care, including surgical consultation if indicated.

Throughout your journey, the experts at San Antonio Pain Consultants will closely monitor your progress and adjust your treatment plan as your needs evolve. Our goal is to reduce your pain, restore your function, and improve your overall quality of life—so you can get back to doing what you love. For more information, contact us or schedule an appointment online. We are located at 3903 Wiseman Blvd, Ste 117, San Antonio, TX 78251. We serve patients from San Antonio TX, Helotes TX, Alamo Ranch TX, Leon Valley TX, Shavano Park TX, Balcones Heights TX, Fair Oaks TX, Fair Oaks Ranch TX, Castroville TX, and surrounding areas.