Sciatica refers to pain that radiates along the path of the sciatic nerve, which branches from your lower back through your hips and buttocks and down each leg. It typically affects only one side of your body.
Causes of Sciatica
Sciatica is a symptom, not a condition itself. It’s usually caused by:
● Herniated disc (most common)
● Spinal stenosis (narrowing of the spine)
● Degenerative disc disease
● Spondylolisthesis
● Piriformis syndrome
● Trauma or injury
● Tumors or infections (rare)
Symptoms
● Sharp, burning, or shooting pain in the lower back, buttock, and down one leg
● Numbness or tingling in the leg or foot
● Muscle weakness in the affected leg
● Pain worsens with movement, coughing, or sitting for long periods
Diagnosis
● Medical/Chiropractic history and physical exam
● Imaging tests: MRI, CT scan, or X-rays to identify underlying causes
Treatment Options
Conservative (First-Line)
● Rest (briefly – avoid long bed rest)
● Chiropractic and exercise
● Non-Spinal Decompression
● Hot/cold compresses
Alternative options
● Epidural steroid injections
● Surgery (for severe or persistent cases – e.g., microdiscectomy)
● Acupuncture
● Yoga/stretching routines for sciatic nerve relief
When to See a Chiropractor
Seek immediate care if:
● Pain is sudden and severe
● There’s loss of bowel/bladder control
● Significant weakness or numbness in the leg