The Doctors: Butt Pain
A woman named Greta has had chronic butt pain for about five years. She has been diagnosed with Sciatica, which was treated with multiple injections. The pain begins in her lower back and radiates down her legs. She has trouble bending, getting in the car, and doing other physical tasks.
Greta and Dr. Nick Shamie appeared on set to discuss her pain treatment. Dr. Travis said there could be a variety of causes for this type of pain.
The Drs TV: Lumbar Spinal Stenosis & Sciatica
Dr. Nick explained that Greta’s problem was Lumbar Spinal Stenosis, a pinched nerve in her lower spine. This created her butt and leg pain, which is commonly referred to as Sciatica.
Since her pain has been escalating recently, Dr. Nick explained that this could be attributed to shrinking discs in her spine. This would cause the spine to encroach on the nerves, creating intense pain with aging.
X-Stop Spacer Procedure
Leaning forward is one way to alleviate this type of pain, and new surgery can create a space in the spine to alleviate this.
Dr. Nick showed an animation of the spinal discs degenerating and pinching the nerves. He showed the surgical implant called an X Stop that creates a space in the spine, replicating what happens when a patient leans forward to alleviate their pain.
X Stop Implant For Sciatica Relief
He shared the X Stop piece and showed how the implant works using a skeleton. By maintaining that space, you can prevent a patient from experiencing this pain.
Dr. Nick said Greta seemed to be a good candidate but would need an updated MRI to rule out Disc Herniation as a cause of her pain. Dr. Travis said Sciatica can occur at any age, but younger patients would want to consider a variety of causes for their butt pain.
Spinal Pain & Younger Patients
According to Dr. Nick, spinal discs are like jelly donuts, and if the jelly is squeezed out, the nerve will be exposed, causing Sciatica Pain. As you age, the so-called jelly will dry up anyway, shrinking the “donut” and leading to Stenosis.
The Doctors: Non-Surgical Spinal Relief
Dr. Travis asked for advice for patients in their 30s or 40s with this type of pain. Dr. Nick said 90% of these cases can be managed without surgery, and may even get better on their own. Physical therapy and medication are less dramatic ways of managing this pain.