12Where does it hurt?
Leg
Step 1
Common symptoms
- Burning, tingling or numbness down the leg
- Cramping or heaviness with walking that eases with sitting
- Weakness or foot drop
- Pain in the thigh, calf or shin
Step 2
Conditions we treat
The condition pages that cover pain in this area.
Step 3
How we evaluate
Your visit starts with a comprehensive evaluation: your history, a focused musculoskeletal and neurologic examination, and a review of any imaging or diagnostic studies you already have. When it helps to pinpoint the source of pain, we use diagnostic nerve blocks or ultrasound-guided assessment before recommending treatment.
Leg symptoms are traced to the lumbar spine (radiculopathy, stenosis), a peripheral nerve or a local musculoskeletal cause.
Step 4
Treatment options
Treatments linked from those condition pages, from conservative care to advanced procedures.
Physical Therapy, Rehabilitation & Functional RestorationPhysical therapy and rehabilitation help patients improve movement, strength, flexibility, endurance, balance, and confidence with activity.
Epidural Steroid InjectionsEpidural steroid injections are image-guided procedures used to place anti-inflammatory medication near irritated spinal nerves.
Selective Nerve Root BlocksA selective nerve root block targets a specific spinal nerve as it exits the spine.
Facet Joint & Medial Branch BlocksFacet joints are small joints at the back of the spine that help guide movement.
Radiofrequency Ablation of the SpineRadiofrequency ablation (RFA) uses controlled thermal energy to interrupt pain signals carried by selected sensory nerves.
Sacroiliac Joint Injections & Diagnostic ProceduresThe sacroiliac (SI) joints connect the pelvis to the lower spine.
Sacroiliac Joint AblationAt APICO Pain and Wellness, Dr. Rany Abdallah offers Sacroiliac (SI) Joint Ablation for patients with chronic lower back or pelvic pain caused by inflammation or…
Basivertebral Nerve Ablation (BVNA)Basivertebral nerve ablation is a minimally invasive treatment for a specific form of chronic low back pain called vertebrogenic pain.
Minimally Invasive Lumbar Decompression (MILD)Minimally invasive lumbar decompression is designed for selected patients with lumbar spinal stenosis and neurogenic claudication, particularly when thickened ligament contributes to narrowing of the spinal canal.
Restorative Neurostimulation (ReActiv8)ReActiv8 is a restorative neurostimulation therapy for carefully selected patients with chronic mechanical low back pain associated with impaired control or function of the multifidus muscles.
Spinal Cord Stimulation (SCS)Spinal cord stimulation is an implantable neuromodulation therapy used for selected chronic pain conditions, particularly persistent neuropathic pain that has not responded adequately to more conservative treatment.
Dorsal Root Ganglion (DRG) StimulationDRG stimulation is a targeted form of neuromodulation that delivers electrical stimulation near the dorsal root ganglion, an important structure involved in sensory signaling.
Peripheral Nerve Stimulation (PNS)Peripheral nerve stimulation delivers electrical stimulation directly to a selected peripheral nerve or nerve region.
Minimally Invasive SI Joint FusionMinimally invasive sacroiliac joint fusion is an option for selected patients with persistent SI joint pain that has been carefully confirmed and has not responded adequately to conservative and interventional care.
Weight & Metabolic Health OptimizationBody weight and metabolic health can influence joint loading, inflammation, energy, sleep, cardiovascular health, and the ability to exercise comfortably.
Bone Health, Balance & Fall PreventionBone strength, muscle strength, and balance become increasingly important with age.
Regenerative Medicine & Orthobiologics (PRP, BMAC & Fat Aspirate)Orthobiologic treatments use autologous materials obtained from the patient with the goal of supporting the body’s biologic healing environment. BMAC & fat aspirate: Coming Soon
Work Injury Evaluation, Rehabilitation & Return-to-Work PlanningWork-related injuries often involve several overlapping issues: identifying the injured structure, controlling pain, restoring function, documenting progress, and determining safe work capacity.
Chiropractic CareAt APICO Pain and Wellness, Dr. Rany Abdallah offers comprehensive Chiropractic Care as part of an integrated approach to managing musculoskeletal pain.
Kyphoplasty/VertebroplastyMinimally invasive procedures that relieve pain from spinal compression fractures caused by osteoporosis or trauma.
Interspinous StabilizationAt APICO Pain and Wellness, Dr. Rany Abdallah offers Interspinous Stabilization as a minimally invasive solution for patients suffering from lumbar spinal stenosis and…
Ultrasound-Guided Peripheral Nerve BlocksPeripheral nerve blocks place medication around a specific nerve outside the spine.
Sympathetic Nerve BlocksThe sympathetic nervous system helps regulate blood flow, sweating, temperature, and other automatic functions.
Neuralace Axon TherapyNeuralace Axon Therapy is a minimally invasive neuromodulation treatment designed for patients with certain forms of chronic neuropathic and peripheral nerve pain.
Ketamine & Advanced Pain Infusion TherapyInfusion therapy may be considered for selected refractory pain conditions, particularly when neuropathic pain or complex pain has not responded adequately to standard approaches.
Pelvic & Groin Peripheral Nerve BlocksNerves such as the ilioinguinal, iliohypogastric, genitofemoral, and pudendal nerves can become irritated or injured after surgery, hernia repair, trauma, entrapment, or other pelvic conditions.
Cancer & Treatment-Related Pain ProceduresCancer pain may arise from tumor involvement, bone disease, nerve compression, surgery, radiation, chemotherapy, or treatment-related nerve injury.
Pain Management for Ischemic & Vascular PainIschemic pain occurs when tissues do not receive adequate blood flow and oxygen.
Varicose Vein Treatment & AblationVaricose veins and chronic venous insufficiency can cause aching, heaviness, swelling, throbbing, skin changes, and discomfort that worsens with prolonged standing. Coming SoonRequest an Evaluation
Questions? Call 855-932-7426
A member of our team will answer all your questions and help you find relief.