Sciatica & Leg Pain Specialist in London

No. A herniated disc is a common cause, but spinal stenosis and other conditions can also irritate spinal nerves. Pain that resembles sciatica can also originate from other musculoskeletal problems. An assessment can help distinguish between these possibilities.

Sitting or bending can aggravate symptoms in some people, particularly when a disc-related problem is involved. However, symptom patterns differ, and sitting-related pain alone cannot establish the diagnosis.

Yes. Many cases improve with time, appropriate activity and conservative treatment. Surgery may be considered when pain or function has not improved with non-surgical management and imaging findings support a suitable surgical target.

Ultrasound can help identify fluid within the knee joint and distinguish it from some other causes of visible swelling, such as thickening of the joint lining or changes in surrounding soft tissues. At RRMG, ultrasound may be used during an assessment when clinically appropriate to help clarify the findings and guide a suitable procedure.

Tingling and numbness can indicate nerve irritation or compression, but they do not automatically mean permanent damage. New, progressive or significant weakness or numbness should be assessed promptly.

Not always. MRI is most useful when the results are likely to affect treatment decisions, such as when symptoms persist, a serious cause is suspected or an intervention is being considered. Routine imaging is not recommended for every case.

It can. Aspiration removes excess fluid, but it does not necessarily treat the underlying reason it developed. If the joint remains irritated by osteoarthritis, an injury or another condition, swelling may return. A broader treatment plan may therefore be needed to address the cause and manage symptoms.

An epidural injection containing local anaesthetic and steroid may be considered for selected patients with acute and severe sciatica. The potential benefits and limitations depend on the clinical situation, and it is not a guaranteed cure.

If symptoms persist, worsen or continue to limit your activities, the diagnosis and rehabilitation plan may need reviewing. A specialist assessment can help determine whether additional investigations, a different treatment approach or a surgical opinion should be considered.