
Dr. Pirthi Singh Mann
Orthopaedic Surgeon, Foot, Ankle, Hip & Knee Expert | Functional Medicine & Longevity Consultant
Pain that runs from the lower back into the buttock and down the leg is often sciatica: an irritated nerve, most often from a slipped or bulging disc. Our orthopaedic surgeons find exactly where the nerve is being pressed, then plan care that settles the nerve pain and rebuilds your back, with surgery discussed only if it is truly needed.
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Sound familiar?
If two or more sound like you, a consultation is a good next step.
This programme is likely worth a conversation with our team.
Request a call backConditions we treat
Nerve pain from the lower back into the buttock and leg, often with tingling or numbness.
The soft centre of a disc bulges out and presses on a nerve. Many shrink and settle with time.
The two lowest discs in the back, where most slipped discs happen; your MRI report usually names these levels.
Narrowing in the lower spine that causes leg pain or heaviness on walking, eased by sitting.
A tight buttock muscle can irritate the sciatic nerve and feel just like disc sciatica.
Desk jobs and long drives load the lower discs; posture and set-up are part of the plan.
Not sure which one you have? That is what the first consultation is for. Request a call back
Why it happens
A bulging (slipped) disc, usually at L4-L5 or L5-S1, can press on and irritate the sciatic nerve roots.
Long hours sitting or driving, lifting while bent, and a weak core keep loading the same discs.
Nerve pain feels alarming, but for many people it settles over weeks to a few months with the right care.
Your treatment options
Most people need only the first few steps. Your doctor explains which ones fit you, and why.
A nerve examination and a review of your MRI, or an MRI only if it will change the plan.
Medicines chosen for nerve pain and clear advice so you can keep moving, which helps sciatica recover.
Nerve-gliding exercises, then core, hip and back strengthening with our physiotherapists.
Options such as PEMF, added when your doctor thinks they will help your recovery.
If pain or weakness is not settling, your doctor explains whether a spinal injection or surgery is the next step and arranges it.
Do not wait for an appointment if you have:
Go to the nearest emergency department, or call 112.
Three kinds of care, one plan
Here is what each kind of care does in this programme. It is led by regenerative care.
1 · Preventive
Spot it early
A nerve examination and your MRI show which nerve is pressed, and why.
2 · Functional
Fix the cause
Sitting, lifting, sleep and weight habits that load the disc are corrected.
3 · Regenerative
Rebuild & restore
Nerve glides, then core and back strengthening, help the nerve and spine recover.
How the programme works
Every step is reviewed by your doctor, and the plan changes when your results do.
Find which nerve is irritated and why, from your examination and scans.
Nerve pain relief and gentle, guided movement so the inflamed nerve can calm down.
Core, hip and back strength, plus sitting and lifting habits, so it is less likely to return.
What you get
What we measure
Measured at the start and again on retesting, so progress is shown, not assumed.
Your specialists

Orthopaedic Surgeon, Foot, Ankle, Hip & Knee Expert | Functional Medicine & Longevity Consultant

Orthopedic Surgeon | Functional Medicine & Longevity Consultant
What patients say
I came to know about Dr Pirthi Singh Mann from a medical conference. I heard him talking about longevity and how the new science is looking at aging like a disease. I got curios and booked a consultation. Dr Mann explained me in detail how certain things that cause aging can be slowed down. I have been taking his advise and doing the things he prescribed - exercises, tests and some supplements. It’s too early to say how well it is working, but I can definitely feel more energy and better skin.
Pranav PrakashIv been under care of Dr. Ashish Shankar from Mitogenz longevity clinic for more than 6 months now. When I started my treatment I had various issues regarding my health which certainly I never imagined I’ll be facing at such a young age of 38. My issues consisted of getting tired easily, breathing difficulties even while climbing stairs, My face started losing its glow with regular incidences of black spots and rashes on skin. Basically started feeling old not just from inside but I could see that in mirror also. Body pain was something I could not get used too, hair fall causing receding hair line and difficulty getting a good night sleep was causing a mental break down. At one point I accepted that im getting old and this is what it feels like… that ofcourse until I met amazing Dr Shankar. He has brought activeness and self confidence back into my life. I’m again into sports now and feel fully active after an hour of active sports. He is very patient in making me understand the root cause of my issues. In 6 months he has transformed my life completely and I feel like 10 years younger.
Abhishek YadavI wanted to share my journey and positive experience with Mitogenez Longevity over the past few months. For the last nine years, I have been grappling with hypothyroidism and high body inflammation which brought multiple symptoms such as tiredness, sleeplessness and mood swings. About three months ago, I began consulting with Mistogenze Longevity and it has been a transformative experience. After undergoing several analyses, I received a detailed description of my current condition along with comprehensive remedies. Since then, I have been taking various multivitamins recommended by them, and the results have been remarkable. My skin has shown significant improvement with reduced blemishes and a more even skin tone. Additionally, the quality of my hair and nails has never been better. I now enjoy better sleep, and my body inflammation has significantly reduced. Despite living in Gurgaon, where the air quality index is almost always off the charts, my overall health feels much better. My mood has become more stable and pleasant, which is a tremendous relief. Also i am managing my PMS in a better way. I am incredibly grateful for the progress I have made so far and am committed to continuing my journey with Mitogenez Longevity for a healthier and happier me.
Shweta SenIndividual experiences; results vary from person to person.
How to start
Tip: Bring your MRI films or report and any X-rays, plus a list of the medicines you have tried. If you need a new scan, your doctor will tell you which and why.
Supportive therapies
Added only where they help. Your doctor decides with you; many people do not need them.
Questions
No. Most people with sciatica from a slipped disc improve without an operation. Surgery is considered when there is worsening weakness, warning signs, or pain that has not settled after a proper course of treatment.
It varies. For many people it eases over a few weeks to a few months. Starting the right treatment early, and staying gently active, usually helps it settle sooner.
They are the two lowest discs in your lower back. Most slipped discs happen at these levels. A bulge on the report does not always cause pain, so your doctor matches the scan to your examination before deciding on treatment.
Not for long. A day or two of easing off can help, but gentle walking and guided movement help sciatica recover better than bed rest.
They can ease the pain while the nerve calms down, but they do not fix the cause. Nerve-pain medicines, physiotherapy and changing how the disc is loaded work together.
Usually yes, with changes. Your plan covers chair and screen set-up, regular movement breaks and how to sit so the disc is under less load.
Book your consultation now, or leave your number and our team will call you about the Sciatica & Slip Disc Treatment programme.