Sciatica Treatment in Hyderabad Non-Surgical Relief First
Get relief from shooting leg pain with Dr. Sayuj Krishnan's "Conservative-First" protocol. We successfully treat 90% of sciatica patients without surgery using targeted nerve blocks and advanced physiotherapy.
Avoiding Surgery for Sciatica
Many patients are told they need surgery too soon. At our Hyderabad clinic, we believe in exhausting all non-invasive options first.
- 1
Precision Diagnosis
We don't just treat "pain". We identify the exact nerve root (L4, L5, or S1) causing your symptoms using MRI and clinical correlation.
- 2
Targeted Nerve Blocks
A powerful anti-inflammatory injection placed precisely around the irritated nerve. This often provides immediate relief and prevents the need for surgery.
- 3
Spine-Specialized Rehab
Once the pain is managed, we strengthen your core to prevent recurrence.
*Surgery is reserved for cases with severe weakness or loss of bladder/bowel control.
Understanding Sciatica
Sciatica is a distinct type of pain affecting the sciatic nerve, the large nerve extending from the lower back down the back of each leg. It is often described as a sharp, burning, or electric shock-like sensation.
Common Symptoms
- •Pain radiating from lower back to buttock and leg
- •Burning or tingling sensation down the leg
- •Weakness or numbness in the leg or foot
- •Pain that worsens with coughing or sitting
Why Choose Dr. Sayuj?
- ✓Precise Diagnosis: Identifying the exact nerve root involved
- ✓Step-ladder Approach: Meds → Physio → Injections → Surgery
- ✓Minimally Invasive: Endoscopic options if surgery is needed
- ✓Holistic Care: Focus on long-term spine health
Why Patients Trust Dr. Sayuj Krishnan
Is Endoscopic Spine Surgery Safe for Elderly Patients?
Age is often a concern when considering spine surgery. However, traditional open surgery risks (like blood loss and long anesthesia times) are minimized with our endoscopic approach.
For patients over 60 suffering from severe back pain or sciatica, we use a specialized "Awake" or "Twilight" sedation protocol. This avoids general anesthesia and allows the patient to communicate with Dr. Sayuj during the procedure, ensuring safety.
- ✓ No General Anesthesia Risks
- ✓ Minimal Cardiac Stress
- ✓ Early Mobilization (Walk Same Day)
Second Opinion Service
Have you been advised open surgery? Get a second opinion to see if Endoscopic Spine Surgery is a safer option for you or your elderly parent.
Get a Second OpinionOur Treatment Ladder
Step 1: Conservative Care
Most patients start here. We use specific anti-inflammatory medications (not just painkillers) and muscle relaxants.
Success Rate: ~70%
Step 2: Pain Interventions
If pain persists, we use Transforaminal Nerve Root Blocks. This is a day-care procedure that delivers medication directly to the nerve root.
Success Rate: ~20% (of remaining)
Step 3: Surgical Solution
Endoscopic Discectomy is the gold standard when conservative care fails. It's a keyhole procedure with same-day walking.
Reserved for: ~10% of cases
Estimated Cost of Treatment
Transparent pricing for self-pay patients. Insurance packages available.
| Procedure | Estimated Cost Range (INR) | Typical Recovery | Includes |
|---|---|---|---|
| Conservative Management | ₹5,000 - ₹15,000 | 2-4 Weeks |
|
| Nerve Root Block (Injection) | ₹20,000 - ₹35,000 | Same Day Discharge |
|
| Endoscopic Discectomy | ₹1.50 Lakh - ₹2.50 Lakh | 1-2 Weeks |
|
Note: Estimates for general guidance. Final cost depends on hospital category (Economy/Private/Deluxe), specific implants (if any), and medical complexity. Insurance cashless facility available.
Is it a Slip Disc?
Most sciatica is caused by a herniated disc. Learn more about our specialized minimally invasive treatment for slip discs.
Red Flags: When to See a Doctor Urgently
Do not ignore sciatica if you have:
- !Sudden, severe pain or numbness in both legs
- !Loss of bowel or bowel control (incontinence)
- !"Saddle anesthesia" - numbness in the groin area
- !Foot drop (difficulty lifting the front of your foot)
These could be signs of Cauda Equina Syndrome, a medical emergency requiring immediate surgery.
Patient Education Resources
Book Your Consultation
Living with sciatica can be debilitating. Get a proper diagnosis and start your journey to a pain-free life today.
Frequently Asked Questions
What is sciatica?
Sciatica is not a condition itself, but a symptom of an underlying problem. It refers to pain that radiates along the path of the sciatic nerve, which branches from your lower back through your hips and buttocks and down each leg.
Can sciatica be cured without surgery?
Yes. In fact, 90% of our patients recover completely with non-surgical methods like targeted nerve blocks, medication, and specialized physiotherapy. Surgery is a last resort, not the first step.
What causes sciatica?
The most common cause is a herniated (slipped) disc compressing the nerve root. Other causes include spinal stenosis (narrowing of the spine), bone spurs, or rarely, a tumor or diabetic neuropathy.
Does sciatica always require surgery?
No. 80-90% of sciatica cases resolve with conservative treatments like medication, physiotherapy, and rest. Surgery (endoscopic discectomy) is only recommended if pain persists after 6 weeks or if there is severe weakness.
How is sciatica diagnosed?
Diagnosis starts with a physical exam to check muscle strength and reflexes (Straight Leg Raise test). An MRI scan is the gold standard to visualize the nerve compression and identify the exact cause.
What are the warning signs of severe sciatica?
Seek immediate medical attention if you experience: sudden severe pain after an accident, loss of bowel/bladder control (Cauda Equina Syndrome), or progressive weakness/numbness in the leg.
What is the cost of sciatica treatment in Hyderabad?
The cost depends on the procedure. A simple nerve root block may cost ₹15,000–₹25,000, while endoscopic spine surgery typically ranges from ₹1.5 Lakhs to ₹2.5 Lakhs depending on the hospital category and implant requirements.
Is my office chair causing my sciatica?
Prolonged sitting is a major risk factor. Poor ergonomics can increase pressure on lumbar discs by 40%, potentially triggering or worsening sciatica. We recommend ergonomic adjustments and taking breaks every 30 minutes.
Is it Sciatica or Piriformis Syndrome?
True sciatica comes from the spine (nerve root compression). Piriformis syndrome is when a muscle in the buttock compresses the sciatic nerve. Dr. Sayuj uses specific clinical tests to distinguish them, as treatments differ significantly (spine decompression vs. muscle release).
Is sciatica common during pregnancy?
Yes, up to 50% of women experience some sciatic pain during pregnancy due to the baby's weight and postural changes. We offer safe, medication-free physiotherapy protocols to manage this pain without risking the baby's health.
Can I drive with sciatica?
Driving often worsens sciatica due to the vibration and leg position. We recommend short trips, using a lumbar support cushion, and stopping every 30 minutes to stretch. If you have foot weakness (foot drop), do not drive.
What exercises should I avoid with sciatica?
Avoid heavy hamstring stretches, straight leg raises, and twisting movements like golf until cleared by a physio. These can increase nerve tension.
Consult Dr. Sayuj Near You
Find specialized treatment for your condition at a clinic near you.
Medically reviewed by Dr. Sayuj KrishnanConsultant Neurosurgeon, Yashoda Hospital MalakpetLast reviewed 19 October 2025
This information is for educational purposes only and should not replace professional medical advice. Please consult with Dr. Sayuj for personalized medical guidance.
Sources & Evidence
- American Academy of Orthopaedic Surgeons – Sciatica (Lumbar Radiculopathy)
- National Institute of Neurological Disorders and Stroke – Sciatica Information
External links are provided for transparency and do not represent sponsorships. Each source was accessed on 19 Oct 2025.