West Islip, NY

Long Island Brain & Spine

Smithtown, NY

St. Catherine of Siena Medical Building

West Islip, NY

The Cancer Institute at Good Samaritan

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Phone Number

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Toll Free Number

Back and Leg Pain
  • Common symptoms
  • Typically the result of an injury or repeated activities over a long period of time
  • Not all back and leg pain has a surgical solution
  • Leg pain, numbness, tingling and weakness can be caused by pressure on the nerves traveling from the back down the arm
  • Leg raising usually aggravates pain
  • Imaging of the spine with an MRI is very useful to assess the status of the discs, patency of the spinal canal and assess for any nerve compression
  • Treatment focuses on conservative management first
    • Medications – to reduce pain and inflammation
    • Epidural steroid injections – to reduce pain and inflammation. Performed by Pain specialists
    • Activity restrictions
    • Physical therapy
    • Alternative therapies – e.g. acupuncture
  • Surgery is recommended when:
    • There is leg pain and/or numbness or weakness
    • There is radiographic evidence of spinal cord or root compression at the level corresponding to the patient’s symptoms
    • Symptoms are resistant to conservative therapy
Dr. Symeon Missios, MD