Sciatica describes symptoms associated with irritation or compression involving the sciatic nerve or related nerve roots. Rather than being a diagnosis by itself, sciatica is a pattern of symptoms that may have several underlying causes.
Symptoms can extend from the lower back or buttock into the thigh, calf, or foot.
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Common descriptions include:
- Shooting or radiating leg pain
- Burning discomfort
- Tingling or pins-and-needles sensations
- Numbness
- Buttock pain
- Symptoms aggravated by sitting or certain movements
- Leg or foot weakness in some cases
Not every pain that travels into the leg is true sciatica, which is why evaluation matters.
Evaluating Radiating Symptoms
The evaluation considers where the symptoms begin and travel, positions that increase or decrease them, neurological symptoms, spinal movement, strength, mobility, and other relevant findings.
The objective is to determine whether the presentation appears consistent with a musculoskeletal or nerve-related complaint appropriate for conservative care or whether further medical assessment is indicated.
Services That May Be Considered
Selected patients may be candidates for spinal decompression/traction. Chiropractic care may address relevant spinal or joint dysfunction, while therapeutic exercise can focus on mobility, strength, and movement mechanics.
High-power laser therapy may also be incorporated into an individualized musculoskeletal treatment plan when appropriate.
When Sciatica Requires Medical Evaluation
Progressive weakness, major loss of sensation, bowel or bladder dysfunction, saddle-region numbness, severe trauma, or rapidly worsening neurological symptoms require prompt medical evaluation.
Patients whose examination suggests a condition outside the scope of conservative musculoskeletal management may also be referred for imaging or another healthcare evaluation.
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