That Severe Leg Pain With Your Period? It Has a Nameāand We Have a Plan
If you’re here, it’s likely because you’re experiencing something confusing and distressing: severe, sciatica-like pain that arrives like clockwork with your period. You’ve probably wondered if you’re imagining it. You may have even been told it’s an unrelated back problem or just “part of being a woman.” Let us be clear: It is not a mystery, and you are not imagining it. That pain is a clear signal of a complex medical issue. And while it may be complex, it is not something to be feared. It is something to be understood and addressed with a definitive plan. This is the foundation of our patient care philosophy: a comprehensive approach that replaces confusion and fear with clarity and confidence.
The First Step: Meticulous Diagnosis (Beyond the Obvious)
The first step in our approach is a meticulous diagnosis that starts with truly listening. We understand that the pain isn’t just “leg pain.” It’s cyclical, often radiating from your back to your leg or from your pelvis to your back . To understand why, we need to look at the anatomy. The nerves that supply your leg originate from the spine and sacrum, passing through the sacral nerve roots before joining to form the large sciatic nerve.
Deep endometriosis is responsible for these troublesome symptoms. For instance, the uterus is connected to the sacrum by supporting ligaments called the uterosacral ligaments, a common site for endometriosis. Endometriosis in these supporting ligaments can irritate the nearby sacral nerve roots, which causes the radiating pain to the legs. In other cases, endometriosis around the sciatic nerve itself is also a possibility.
Recognizing these specific pain patterns is what points directly to Deep Infiltrating Endometriosis (DIE). Providing a clear, confident diagnosis of Cyclical Sciatica isn’t just about naming the problem; it’s about validating your entire experience and ending the cycle of uncertainty .
The Blueprint: A Personalized Surgical Plan
Once we know exactly what we’re dealing with, we design a personalized surgical blueprint. For cyclical sciatica, the plan is non-negotiable: it must be a nerve-sparing excision. As discussed in the video, surgical excision of endometriosis can dramatically reduce symptoms of radiating pain. Because the endometriosis is on or near the sciatic nerve, the only acceptable outcome is to remove 100% of the disease while meticulously protecting the nerve itself. Our surgical plan is built around one primary goal: to restore your quality of life by preserving the function of every vital structure.
The Promise: Our Surgical Philosophy in Action
The surgery itself is where our confidence becomes your comfort. Operating in the deep pelvic spaces near major nerves is not a place for hesitation. It requires absolute certainty, which comes from years of specialization and the use of advanced 3D visualization that provides unparalleled clarity. Our promise is to navigate this complex anatomy with precision and calm. We have the skill and technology to create a safe, predictable, and successful outcome for you.
The Journey Forward: Our Commitment to You
Our commitment to you doesn’t end when the surgery is over. It extends to your full recovery. This includes dedicated post-operative support, clear guidance on managing your recovery, and a plan to get you back to living your life. We are with you on the journey forward, ensuring the relief you feel is lasting and your return to a pain-free life is complete. If you are tired of being told your pain is a mystery, let’s replace that uncertainty with a plan.
To learn more about our comprehensive approach and get a precise diagnosis for your symptoms, schedule your consultation today.
Frequently Asked Questions
Q1: What is cyclical sciatica?
Cyclical sciatica is radiating leg pain that is caused by endometriosis irritating or compressing the sacral nerve roots or the sciatic nerve itself. It is a sign of Deep Infiltrating Endometriosis and typically flares up in sync with the menstrual cycle.
Q2: Why is a specialist needed for endometriosis-related leg pain?
This condition involves endometriosis growing deep within the pelvis on or near major nerves. A specialist with extensive experience in deep pelvic anatomy and nerve-sparing techniques is required to safely remove the disease without damaging crucial nerve functions.
Q3: What is nerve-sparing excision surgery?
Nerve-sparing excision surgery is an advanced surgical technique with two main goals: to completely excise (cut out) all endometriosis from the root, and to meticulously identify, map, and preserve the pelvic nerves that control bladder, bowel, and sexual function.
Author Bio:
Dr. Vivek Salunke is a leading Endometriosis Excision Surgeon in India. With extensive training and a practice dedicated exclusively to advanced laparoscopic and robotic excision surgery, he is committed to providing women with a definitive, long-term solution to endometriosis. His multidisciplinary approach ensures comprehensive care for even the most complex cases, including deep infiltrating and bowel endometriosis.