Answers to common questions about Sciatica at Spinal Health Center in Vero Beach, FL. Care is provided by Dr. Brittney Hughes.
Related care: Sciatica
What causes sciatica?
Sciatica is most commonly caused by irritation or compression of the sciatic nerve. This may result from a herniated disc, bulging disc, spinal stenosis, piriformis syndrome, arthritis, or other conditions affecting the lower back and pelvis. A thorough examination helps identify the specific cause of your symptoms.
Can chiropractic help sciatica?
Yes. Chiropractic care is a conservative treatment option for many causes of sciatica. Depending on your diagnosis, treatment may include chiropractic adjustments, spinal decompression, soft tissue therapy, rehabilitation exercises, and education designed to improve spinal function and reduce irritation of the sciatic nerve.
How do I know if I have sciatica or just back pain?
Sciatica typically involves pain, numbness, tingling, or weakness that radiates from the lower back into the buttock and down the leg. Mechanical low back pain often stays localized to the back. A physical examination can help determine whether your symptoms are related to sciatic nerve irritation or another condition.
Will I need surgery?
Most people with sciatica improve with conservative treatment and do not require surgery. Surgery is generally reserved for specific situations such as progressive neurological deficits, significant muscle weakness, loss of bowel or bladder control, or persistent symptoms that fail to improve with appropriate conservative care. If surgical evaluation becomes necessary, Dr. Hughes will refer you to the appropriate specialist.
Is walking good for sciatica?
For many patients, gentle walking can help maintain mobility and improve circulation. However, every case is different. Some conditions may require temporary activity modification. After your examination, Dr. Hughes will recommend exercises and activities that are appropriate for your condition.
Should I use ice or heat?
Both ice and heat can be helpful depending on the stage of your injury and your symptoms. Ice may help reduce inflammation during an acute flare-up, while heat may help relax tight muscles. During your visit, Dr. Hughes will recommend the most appropriate option for your condition.
Will I need an MRI?
Not everyone requires an MRI. Many cases of sciatica can be evaluated through a detailed history and physical examination. If your symptoms or examination findings suggest advanced imaging is appropriate, Dr. Hughes will explain why and coordinate the appropriate referral.
How many visits will I need?
Treatment recommendations vary depending on the cause of your sciatica, the severity of your symptoms, how long you've had pain, and how your body responds to treatment. After your examination, Dr. Hughes will discuss her findings and recommend a personalized treatment plan.
When should I seek emergency medical care?
Seek immediate medical attention if your sciatica is accompanied by loss of bowel or bladder control, numbness in the groin or saddle area, rapidly worsening leg weakness, severe trauma, or sudden inability to walk. These symptoms may indicate a medical emergency requiring immediate evaluation.