Find a Provider Community Forum
For Providers For Attorneys
Sign In

Sciatica Treatment – Understanding the Pain

Sciatica Treatment – Understanding the Pain

Key Takeaways

  • Sciatica is nerve-related pain that often starts in the low back and travels through the buttock and down one leg.
  • Symptoms typically follow the path of the sciatic nerve and may include tingling, numbness, or weakness along with pain.
  • Common contributors include irritation or compression of nerve roots in the lumbar spine, often linked to disc or joint issues.
  • Conservative care like targeted exercise, stretching, and manual therapy may help reduce symptoms and improve function.
  • New or worsening weakness, bowel/bladder changes, or severe symptoms need prompt medical evaluation.

Sciatica Treatment

If a person feels a pain that begins in the lower back and travels through the hips and buttocks and then down one leg he or she probably has sciatica. Many that suffer from sciatica choose to just deal with the pain. But rest assured, there is something that can be done about it. Let's talk about why it happens. The sciatic nerve radiates from the lumbar spine down through the legs. There are two nerves, one for each leg. That explains why pain is felt in only one leg. It just depends on which nerve is being irritated or becomes inflamed. This can happen due to many conditions of the spine. The sciatic nerve controls the muscles in your back, knees, and lower legs. When sciatica flares up, it is important to deal with it as soon as possible. If not, it can lead to problems later on, such as numbness, muscle atrophy, tingling, and foot drop.

Home Remedies

If a person is not able to get in immediately to see their chiropractor, there are some things they can do at home to help ease the pain until their appointment.  • Do not lift or twist the body.  • Stay off your feet as strenuous activities can aggravate the condition.  • Apply ice in 20-minute increments several times a day.  • Do exercises that strengthen your abs and improve the flexibility of the spine.

What We Can Do to Help

Upper cervical chiropractors realize that if something is wrong in the spine, it can cause other major problems throughout the body. We will begin by examining the upper neck area, specifically the top two bones of the vertebrae. A misalignment here of only ¼ of a millimeter can lead to problems such as sciatica. Even though the pain is felt in the lower back, it often starts up much higher. The weight of the head can shift due to injury or a fall, and the spine will try to compensate for that. This leads to discs becoming irritated and coming out of place. A very common reason for sciatica. By realigning the vertebrae in the neck, many people have found relief from their sciatic pain. Another condition called Piriformis Syndrome can lead to sciatica. A small muscle called the piriformis connects to a bone in your pelvis called the sacrum and then also attaches to the femur(trochanter).   When this muscle becomes tight it compresses the sciatic nerve and can reproduce the pain one experiences that are termed sciatica. The interesting thing, neurologically speaking, is that the piriformis muscle tone is actually controlled in the upper cervical spine. We have found that by correcting the upper neck misalignment many cases of sciatica improve.

Medical Disclaimer: This article is for informational purposes only and does not constitute medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider for personalized medical guidance. If you are experiencing a medical emergency, call 911 or your local emergency number immediately.

Frequently Asked Questions

What is sciatica, and why does it usually affect only one leg?
Sciatica is pain (and sometimes tingling or numbness) caused by irritation of the sciatic nerve or the nerve roots that form it in the lower back. Because you have a left and a right sciatic nerve, symptoms often show up on only one side at a time. The discomfort commonly starts in the low back or buttock and travels down the leg.
What are common signs and symptoms of sciatica?
Sciatica symptoms often include a sharp, burning, or electric-like pain that runs from the lower back or buttock down the back of the thigh and sometimes into the calf or foot. Some people also notice numbness, tingling, or weakness in the leg. Symptoms may worsen with sitting, bending, coughing, or prolonged driving.
What causes sciatica pain to flare up?
Sciatica flares often happen when the nerves in the lower back get irritated or compressed. Common contributors include a lumbar disc bulge or herniation, age-related spine changes, tight hip muscles, or prolonged positions that stress the low back (like long sitting). Poor lifting mechanics and sudden increases in activity can also trigger symptoms.
What conservative treatments may help sciatica?
Many people improve with conservative care focused on reducing nerve irritation and restoring movement. Options may include guided stretching and strengthening (especially for the hips and core), activity modification, heat or ice, and manual therapy such as spinal mobilization/manipulation or soft tissue work. A provider may also recommend posture and lifting changes to prevent repeated flare-ups.
When should I see a provider for sciatica?
Schedule an evaluation if your leg pain lasts more than a few days, keeps returning, or limits walking, sleep, or work. Seek urgent medical care if you develop new or worsening leg weakness, numbness in the groin/saddle area, or changes in bowel or bladder control. Those symptoms can signal a more serious nerve problem that needs immediate attention.

Sources

  1. Sciatica — NHS (2023)
  2. Low Back Pain Fact Sheet — National Institute of Neurological Disorders and Stroke (NINDS) (2023)
  3. Lumbar Radiculopathy (Sciatica) — American Academy of Orthopaedic Surgeons (AAOS) OrthoInfo (2022)

We use first-party cookies to run this site and understand how patients find us. Privacy