As a prominent back doctor and spinal surgeon, Dr. Irby has seen many cases of Sciatica in Richmond, Virginia and the surrounding areas. Sciatica, also known as lumbar radiculopathy, is often mistaken for a disease. In reality, it’s actually a term that is used to reference and describe a set of symptoms that are caused by irritation or compression of a sciatic nerve.


These symptoms can include:

  • Pain – Ranging anywhere from your lower back, legs and feet.
  • Numbness or Weakness in parts of your legs and feet.
  • “Pins and Needles” sensation (or tingling) in your leg.
  • Difficulty Controlling and Moving your leg.

Usually, the pain and various symptoms are only experienced on one side of the body. Sciatica is actually a pretty common form of pain in the leg and lower back, although it is not a diagnosis for what is causing irritation to the nerve. Although sciatica isn’t necessarily a disorder, it is treatable and the symptoms can be resolved with the right approach. Often, the best treatment differs greatly from patient to patient, and really depends on the underlying cause.

Causes and Treatments

Common causes of sciatica include herniated discs, spinal stenosis, and tumors. All of these common causes irritate the sciatic nerve in one way or another, either through an increase in pressure, or through compression and pinching of the sciatic nerve roots. It should be noted, that the presence of a herniated disc is often accompanied with sciatica symptoms.

Treatment is dependent on what is causing irritation to the nerve. If the root causes of the symptoms are due to a herniated disc, then a Microdiscectomy should alleviate the problem. For those that are experiencing sciatica as a result of spinal stenosis, then a Decompression Laminectomy is typically the best option for treatment.

If you’re experiencing symptoms that are indicative of sciatica, then it’s likely a sign of a more serious underlying cause. For more information, a diagnosis, and to find out what treatment options are best for you, don’t hesitate to contact one of our offices in Richmond or Kilmarnock VA, for an appointment with Dr. E. Claiborne Irby, Jr.