Sciatica is pain that radiates along the sciatic nerve from the lower back through the buttock and down the leg. It is usually caused by a herniated disc, spinal stenosis, or another source of nerve root compression in the lumbar spine.
Most sciatica improves within weeks, but pain that persists, keeps returning, or comes with numbness or weakness warrants a specialist evaluation to protect the nerve and restore function.
Common symptoms
- Shooting pain that runs down the leg
- Numbness or tingling in the foot or toes
- Pain that worsens with sitting
- Weakness that affects walking or standing
How interventional pain physicians treat it
Interventional pain physicians typically confirm which nerve root is involved and reduce the inflammation and compression around it. Care may include:
- Physical therapy
- Epidural steroid injections
- Selective nerve root blocks
- Minimally invasive decompression
Treatment is always determined by a physician based on individual evaluation. This page is general information, not medical advice.
Frequently asked questions
How long does sciatica usually last?
Many episodes settle within four to six weeks. Sciatica lasting beyond that, recurring frequently, or accompanied by weakness or numbness should be evaluated, since targeted treatment can shorten the course.
Is walking good for sciatica?
Generally yes. Gentle movement usually beats bed rest, which can worsen stiffness. A specialist or physical therapist can guide which movements help and which to avoid during a flare.
What if injections don’t work?
Options remain. Depending on the cause, specialists may consider different injection targets, minimally invasive decompression procedures, or neuromodulation. Surgery is reserved for specific structural problems or progressive weakness.
Independent, physician-owned practices in the DxTx network provide this kind of care across 11 states. One call connects you to the practice closest to you.