Hi Twiggy first off I would tell you that if you have been on a waiting list for a year to go to a pain clinic, that is to long and they either don't have you on any waiting list, or they have lost track of you completely? Something is not right about that, that is for sure!, Did you get a doctors referral to that clinic? I would suggest that you go back to the doctor and get another referral.
As for your sciatic pain, have you ever had an MRI done of your Lumbar spine, usually ( not always) sciatic pain is caused by pressure or inflamation of the nerve root. Some times epidural steroid injections help relieve the pain, and is also a good diagnostic tool on showing the exact area that is causing the problem. I would strongly suggest that you see your doctor about it. Usually an MRI will show if the problem is in the spine, it could be you have a bulging or herniated disk, or bone spurs, that is putting pressure on the nerve root. Epidural injections often relieve the pain, and for some the relief last quite awhile. Usually as a last resort surgery is required. And depending on the exact problem, will determine the exact type of surgery needed to fix the problem.
I myself have a similar problem and I am scheduled for lower back surgery in January, I have severe pain in my buttocks going down my legs, the MRI shows I have severe narrowing of the foramin ( the opening in the vertebra where the nerve comes out from the spinal cord) at L3/4 and L4/5 on the right side, and this is putting pressure on the nerve root, so they are going to open up the foramina to relieve the pressure on the nerve root. I also have a severely herniated disk that is pressing into my spinal cord, at L4/5 more on the left side, so they are also going to do a diskectomy on the herniated disk, if a fusion is needed he will do it, but right now, he doesn't plan on it. Anyway, the surgery is considerd elective, but the surgeon says it will definitely relieve the pain in the buttocks and legs, but not necessarily relieve the pain in the lower back. I have had very good pain relief with surgery done in my cervical spine in my neck. So when the neurosurgeon recommended I agreed to have it done. Most of the time surgery is not recommended unless the damage is really severe and is thought necessary to improve the quality of the patients life when other methods have failed.
Anyway, I would definitely get your sciatic pain problem checked out to find out what is really causing it, and what can be done to relieve your pain. And if you need to be under the care of a Pain Management doctor, then definitely get that resolved too! A year is just to long to wait! I do wish you all the best and Please let us know how this turns out for you! You do have people here that really care! Good Luck
Moderator Chronic Pain
I retired from the USAF, in Sept, 1991. I went back to school and became a licensed RN in 1994, I worked on Oncology and Med Surg , I became disabled in late 1999 and was approved SSD in early 2002! Diagnosed with: DDD, herniated Disk at T12, L3/4; C3/4 Posterior Articular Joint fusion Nov 2010; C5/6 ACDF Sep 2009; C6/7 ACDF Mar 1985; Ulcerative colitis; Chronic Pain; Complex Sleep Apnea; and host of other things! I am White Beard with a White Beard!