What causes sciatica
Sciatica is a symptom, not a diagnosis. Something is irritating the sciatic nerve or the nerve roots that form it. The most common culprits are:
- A bulging or herniated disc in the lower back
- Joints in the lower spine or pelvis that are not moving properly
- A tight piriformis muscle deep in the buttock (piriformis syndrome)
- Sacroiliac joint problems
- Narrowing around the nerve from wear and tear
How Dr. Jack treats sciatica
The exam focuses on finding the source. Treatment then targets that source rather than just the leg pain:
- Gentle adjustments to the lower back, pelvis and sacroiliac joints, including drop table and SOT techniques that are comfortable when you are hurting
- Active Release and trigger point work on the piriformis, glutes and hamstrings
- Specific stretches and positions that take pressure off the nerve
Get help right away if
You have leg weakness that is getting worse, numbness in the groin or inner thighs, or any change in bladder or bowel control. These need same-day medical attention.