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Dealing with Sciatica pain

Spine Health | Last Active: Oct 24, 2025 | Replies (180)

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I have endured Sciatica Nerve Pain for over 3 years now. Pain is coming from L5-S1, primarily S1. The Pain manifests itself in the lower calf of my right leg into my ankle. My right foot is always numb, but I can live with that. I have been through 3 surgeries, a fusion at L5-S1, shots, PT, and every pain medication there is. I have been on opioids for almost 3 years to endure the pain, with increases in dosage as I become more tolerant. Nothing has worked. I want to get off the opioids.
Other than a Spinal Cord Implant, I was told because of the location, I could not do an ablation. Are there other options for me?

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Replies to "I have endured Sciatica Nerve Pain for over 3 years now. Pain is coming from L5-S1,..."

FDA JUST APPROVED NON OPOID PAIN PILL ------JOURNAVX HAVE YOU TRIED IT?

@travelinman
Have you had a recent MRI ? What does it show? What spinal nerves are being compressed that are causing your leg/foot symptoms? Is your spinal cord being compressed (do you have spinal stenosis/neurogenic claudication)? What was your surgery supposed to address? Are you better or worse after the fusion? Did they injure a nerve?

Have you been to a neurologist for EMG/nerve conduction studies and seen other spine specialists for 2nd and 3rd opinions? Have you ever had a MRI of your pelvis/hips to see what nerves or blood vessels may be compressed? Have you ever had MRI or ultrasound of your calf/ankle to see if a nerve or blood vessel is pinched, blocked or damaged? Have you ever seen a vascular specialist? Have you ever had an ankle brachial test?
https://www.mayoclinic.org/tests-procedures/ankle-brachial-index/about/pac-20392934

I had L5-S1 ablations bilaterally multiple times. Don't understand why your doctor said that, but I have not had lumbar spine surgery. Ask again and get an answer.

Was hospitalized with severe back pains and then sciatic pain of the foot. No surgery was directed by my doctor and I was treated with traction. Took years to recover with my own traction inversion table. Now just need the table once in a while if my toe starts to hurt

I have the same or similar! The pain came on with a vengeance last fall. OMG - I couldn't even sleep. I have degenerative disc disease and so everything is falling apart in my spine and I get severe nerve pain from my sacral joint to my foot on the left. So i can tell you to find an excellent MFR therapist. (look it up here or on the internet) and read the book "Outlive" by Peter Attia if you read and like technical stuff.
I know everything originates from my deteriorating spine. I just had a GREAT SUCCESS - after dealing with all of this for well over 20 years. And that was to return to EXERCISE. Last night I had my first night of continuous sleep after starting to really exercise this week starting from nothing. I owe it all to the book getting me started again. I am very excited. Oh - and ps @travelinman THAT was what I was told - they couldn't do the ablatia where I had the hardware (ucsd - you don't happen to be there?) it is entirely NOT true as my surgeon and outside pain management doctor confirmed! Don't buy it. I had an epidural/with cortisone that located my newest intolerable sciatic/to leg/to foot pain and got rid of my pain for one month. That gave me the impetus to try a more aggressive exercise plan and I'm hear to tell you it worked! First night of continuous sleep. Took about 5 days of exercising to get to a point where there was a change. So happy! I hope it works for you too!

Thank everyone for your replies from experience. If anyone has any more thoughts or ideas, please share them with me. I will put together my plan of action, more specialists to see, the questions to ask of my surgeon and pain doctors, and ideas to try that have been shared with me.