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Sciatica (Sciatic Nerve Pain) 

Sciatica refers to pain that travels along the path of the sciatic nerve, typically starting in the lower back or buttock and extending down the back of the leg. It occurs when nerves in the lower spine become irritated or compressed, causing pain, numbness, tingling, or weakness. 

The most common causes of sciatica include herniated discs and spinal stenosis, which can place pressure on the nerves that travel into the legs. 

At Fortera Health, we evaluate the source of your nerve irritation and how it affects your daily function to create a treatment plan focused on reducing pain and restoring mobility. 

Sciatica symptoms may include: 

  • Sharp, shooting, burning, or aching pain traveling from the lower back into the leg 
  • Tingling, numbness, or pins-and-needles sensations 
  • Leg or foot weakness 
  • Pain that worsens with sitting, bending, coughing, sneezing, or certain movements 
  • Difficulty with walking, standing, or daily activities 

Symptoms may occur with or without lower back pain and can vary depending on the severity and location of nerve irritation. 

Sciatica develops when nerves in the lower spine become inflamed or compressed. Common causes include: 

  • Herniated discs: A damaged spinal disc can bulge or rupture, irritating nearby nerves. 
  • Spinal stenosis: Age-related changes, arthritis, or narrowing of the spinal canal can reduce space around spinal nerves. 
  • Degenerative changes: Wear and tear of the spine may contribute to nerve irritation. 

Less commonly, injuries, cysts, or other conditions affecting the spine may contribute to sciatic nerve symptoms. 

How Is Sciatica Diagnosed? 

Diagnosis begins with a review of your symptoms, medical history, and physical examination. Your provider will evaluate: 

  • The pattern and location of your pain 
  • Muscle strength and sensation 
  • Reflexes and nerve function 
  • Movements that reproduce your symptoms 

If additional evaluation is needed, an MRI of the lumbar spine may be used to assess discs, nerves, and areas of compression. Other testing, such as nerve studies, may be recommended in select cases. 

Treatment Options 

Many patients improve with conservative treatment. Depending on your symptoms and diagnosis, treatment may include: 

  • Physical therapy focused on strength, flexibility, and spinal mechanics 
  • Activity modification and guided exercises 
  • Medications to reduce inflammation or manage nerve-related pain 
  • Epidural steroid injections to decrease inflammation around irritated nerves 
  • Surgical evaluation for patients with persistent symptoms, progressive weakness, or significant nerve compression 

At Fortera Health, we focus on identifying the true source of your pain rather than treating imaging findings alone. Our team combines advanced diagnostics and personalized treatment strategies to help patients reduce pain, improve movement, and return to the activities that matter most. 

Physician holding a lumbar spine MRI up to the light while discussing the findings with a patient
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