July 20, 2025

Sciatica: When Back Pain Radiates to Your Legs

Sciatica | Johns Hopkins Medicine

Sciatica is a common condition affecting the lower back, hips, and legs. It stems from irritation or compression of the sciatic nerve, which is the largest nerve in the body. Individuals who experience this condition may report discomfort that can significantly interfere with their daily lives. Here is more information on the causes, symptoms, and treatment options available:

What Is Sciatica?

Sciatica is a condition characterized by pain that radiates along the sciatic nerve’s pathway. The sciatic nerve extends from the lower back, through the hips, and down each leg. It primarily impacts one side of the body, though both sides are rarely affected simultaneously. The pain associated with this condition can vary in intensity, ranging from mild to severe.

What Causes It?

This condition is often associated with underlying issues in the spine. Herniated or bulging discs are common culprits, as they can press against the sciatic nerve, causing irritation. Spinal stenosis, which is a narrowing of the spinal canal, may also contribute to sciatic nerve pain.

Bone spurs and conditions like spondylolisthesis can place pressure on the nerve. Other contributing factors include prolonged sitting, poor posture, or an injury that directly impacts the lower back. These factors can strain the sciatic nerve and exacerbate the condition.

What Are the Symptoms?

The primary symptom of sciatica is sharp, radiating pain that follows the path of the sciatic nerve. This pain often starts in the lower back or hip and extends down the leg. It may feel like a mild ache for some, while others experience an intense, burning sensation.

Other symptoms include tingling, numbness, or weakness in the leg or foot. Some individuals may find it difficult to stand or walk due to discomfort. Symptoms can worsen with prolonged sitting, sudden movements, or activities that strain the back.

How Is Sciatica Treated?

Effective treatment for sciatica depends on the severity and underlying cause of the condition. Consulting a pain specialist helps determine which treatment is right for you. Here are some available treatment options:

Physical Therapy

Physical therapy is a non-invasive approach that focuses on relieving sciatic nerve pain and improving mobility. A medical professional may guide individuals through targeted exercises designed to strengthen the muscles in the lower back and improve posture. Stretching routines are also incorporated to reduce nerve tension.

Chiropractic Care

Chiropractic care often involves spinal adjustments to address alignment issues and relieve pressure on the sciatic nerve. Chiropractors use hands-on techniques to manipulate the spine, which can alleviate discomfort and improve overall spinal health. Chiropractic care is a valuable complement to other treatment methods.

Platelet-Rich Plasma Therapy

Platelet-rich plasma (PRP) therapy uses a person’s own blood to promote healing and reduce inflammation. By injecting concentrated platelets into the affected area, tissues surrounding the sciatic nerve may repair more efficiently. PRP therapy is an effective, minimally invasive option.

Find Relief Today

Understanding sciatica and its symptoms is the first step toward finding relief. Whether through physical therapy, chiropractic care, or innovative options like PRP therapy, there are solutions that can address both pain and its causes. Take action today to explore professional treatment options and regain functionality in your daily life. For personalized guidance and care tailored to your needs, connect with a specialist today.

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