What is Sciatica?

Sciatica (lumbosciatica, radiculopathy) is a pain syndrome caused by irritation or compression of the sciatic nerve or its roots (L4, L5, S1). The sciatic nerve is the longest and thickest nerve in the human body, running from the lumbar spine through the buttock and along the posterior surface of the leg to the foot.

Sciatica is not an independent disease, but a symptom of other spinal pathologies. According to statistics, up to 40% of the population experience at least one episode of sciatica in their lifetime.

Causes of Sciatica:

  • Herniated Disc — the most common cause (60-90% of cases)
  • Spinal Stenosis — narrowing of the canal with root compression
  • Spondylolisthesis — vertebral slippage
  • Piriformis Syndrome — muscle spasm compressing the nerve
  • Osteophytes — bony outgrowths
  • Spondyloarthrosis — facet joint osteoarthritis

Facts about Sciatica

  • ICD-10: M54.3
  • Prevalence: up to 40% of the population at least once in lifetime
  • Peak: 30-50 years
  • Main cause: herniated disc (60-90%)
  • Recurrences: up to 50% of cases

Symptoms of Sciatica

Typical Presentation

  • Sharp shooting pain from the lumbar spine into the leg
  • Pain along the posterior/lateral thigh
  • Pain in the calf and foot
  • Worsening with coughing, sneezing, straining
  • Antalgic posture
  • Inability to sit or stand for long periods

Neurological Signs

  • Numbness and tingling in the leg
  • Sensation of «crawling ants»
  • Foot drop weakness
  • Reduced or absent reflexes
  • Muscle atrophy (in prolonged cases)

⚠️ Seek Urgent Medical Attention

  • Disruption of urination or defecation
  • Numbness of the perineum (saddle anesthesia)
  • Rapidly progressing weakness in the leg
  • Bilateral Sciatica
  • Pain not relieved by any medications

How regenerative treatment treats Sciatica

Regenerative treatment eliminates the cause of Sciatica, rather than masking the pain. Depending on the cause — herniated disc, stenosis, spondylolisthesis — treatment targets regeneration of the specific damaged structure.

01

Identifying the cause

Lumbar MRI is analyzed using Navigation system. The exact cause of nerve compression — herniated disc, stenosis, osteophytes — is precisely determined. A plan for micro-invasive access to the problem source is developed.

02

Obtaining regenerative concentrates

From blood — CGF with powerful anti-inflammatory and regenerative effects. From adipose tissue — MFAT with stem cells for restoring damaged tissues.

03

Targeted intervention

Concentrates are injected under navigational control directly into the problem source: into the damaged disc, around the compressed nerve, into the stenosis area. Anti-inflammatory factors quickly reduce swelling and pain.

04

Regeneration and decompression

Stem cells restore the damaged disc, reduce the herniation, and expand the effective canal lumen. The nerve is freed from compression through biological means, without surgical tissue removal.

Traditional Sciatica treatment vs regenerative treatment

Criterion Painkillers / blocks Microdiscectomy Regenerative treatment
Principle Suppression of pain with medications Surgical removal of herniation Elimination of cause + regeneration
Cause eliminated? ❌ No — only symptoms Partially — herniation removed, but disc damaged ✅ Yes — regeneration of disc and nerve decompression
Recurrence risk High (up to 50%) 15-25% (herniation recurrence) Low (regeneration of structure)
Pain relief speed Fast, but temporary Immediately after surgery Days — weeks (progressive effect)
Side effects GI tract, kidneys, liver (with prolonged use) Scarring, instability Minimal — own cells

Why regenerative treatment is effective for Sciatica

Sciatica is a symptom, not an independent disease. Traditional medicine fights the symptom (painkillers, blocks) or its direct cause — herniated disc (microdiscectomy). But none of these approaches restores the damaged disc. Regenerative treatment eliminates the cause and initiates regeneration simultaneously.

Triple action of regenerative treatment for Sciatica:

  1. Rapid pain relief — CGF and MFAT contain powerful anti-inflammatory cytokines (IL-1Ra, IL-10), which suppress inflammation around the compressed nerve. Swelling decreases, pressure on the nerve reduces — pain subsides in the first days
  2. Neuroprotection — nerve growth factors (NGF, BDNF) and vascular factors (VEGF) improve blood supply to the damaged nerve, restore its conductivity, and promote remyelination
  3. Regeneration of the cause — stem cells restore the damaged disc (in herniation), reduce ligament hypertrophy (in stenosis), strengthen the ligamentous apparatus (in spondylolisthesis) — eliminating the cause of nerve compression

As a result: pain goes away not because it is masked by medication, but because the nerve is freed from pressure and biologically restored. This is why recurrences after regenerative treatment are significantly less frequent than after blocks (up to 50%) or even surgery (15-25%).

Advantages of regenerative treatment for Sciatica

  • Elimination of the cause — not pain masking
  • Rapid relief — days, not weeks
  • Progressive effect — improvement continues for months
  • Low recurrence rate — structural regeneration
  • No side effects of NSAIDs (GI tract, kidneys, liver)
  • Comprehensive treatment — multiple causes at once

Regenerative method Advantages

A broad range of indications

Regenerative methods are used for many orthopaedic and spinal conditions. Some cases still call for surgery.

No anesthesia or incisions

Outpatient treatment via 0.3-1.5 mm puncture. No general anesthesia or hospitalization.

No age restrictions

Regeneration at any age. Safe for chronic conditions and anesthesia intolerance.

Rapid improvement

Concentrates have analgesic and anti-inflammatory properties. Relief within days.

Multiple zones at once

Simultaneous treatment of multiple discs or joints in one procedure.

Home the same day

No crutches, braces or rehabilitation needed. MRI follow-up at 8-16 weeks.

Regenerative treatment Technology

Navigation system for minimally invasive access

Navigation system

Intraoperative robotic navigation system. Provides precise access to deep structures with 1 mm and 1 degree accuracy.

Ultrasound guidance during the procedure

Ultrasound guidance

Device for intervention under sonographic control. Eliminates open surgeries with real-time visual monitoring.

Frequently Asked Questions about Sciatica Treatment

How quickly will regenerative treatment relieve pain from sciatica?
Regenerative concentrates have a powerful anti-inflammatory effect. Most patients report significant pain reduction within a few days. Unlike blocks, the regenerative treatment effect builds over time — complete relief occurs in 4-8 weeks, when regeneration eliminates the cause of nerve compression.
Will regenerative treatment help with chronic sciatica?
Yes. Regenerative treatment is particularly effective for chronic sciatica when conservative treatment (pills, physiotherapy, blocks) fails. The method addresses the cause — regenerates the damaged disc, reduces stenosis, strengthens ligaments. Even with long-standing sciatica, regenerative concentrates can restore tissue structure and eliminate nerve compression.
Is it necessary to stop painkillers before regenerative treatment?
Usually, there is no need to discontinue painkillers before the procedure. It is recommended to stop blood-thinning medications (aspirin, warfarin) 5-7 days prior in consultation with the treating physician. After regenerative treatment, the need for painkillers gradually decreases as nerve decompression progresses.
How is regenerative treatment better than epidural blocks?
Epidural steroid blocks relieve inflammation and pain for 1-6 months but do not address the cause of sciatica (herniation, stenosis). Pain returns after the block wears off, requiring repeat injections. Regenerative treatment not only reduces inflammation but also regenerates damaged tissues — disc, ligaments, neural structures. The effect is long-lasting and progressive.
Can sciatica be treated with regenerative methods during pregnancy?
Regenerative treatment is not performed during pregnancy due to the need for fluoroscopic control (C-arm) during the procedure. However, after delivery, the method can be used to treat sciatica that developed or worsened during pregnancy. The physician will select the optimal treatment timing during consultation.
Can sciatica return after regenerative treatment?
The risk of recurrence after regenerative treatment is significantly lower than after blocks or surgery. This is because the method eliminates the cause — restores disc structure, reduces stenosis, strengthens ligaments. Regenerated tissues are less prone to re-injury. To maintain results, moderate physical activity and core muscle strengthening are recommended.

Clinic and method matching — free of charge

Describe your case and attach your MRI report. We will identify clinics that use the relevant methods and forward your request to them. No obligation; we reply within two working days.

Send a request