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Understanding Sciatica


Sciatica is a condition that affects millions of people worldwide, causing pain and discomfort along the sciatic nerve, which runs from the lower back down the back of each leg.

The team at Monmouth Pain understands the impact that sciatica can have on daily life, and in this blog post, we will explore the causes, symptoms, and effective treatment options for this common condition.

Causes of Sciatica:

Sciatica is primarily caused by compression or irritation of the sciatic nerve. Some common underlying causes include:

  1. Herniated Disc: When a spinal disc in the lower back becomes herniated or ruptured, the displaced disc material can press against the sciatic nerve, leading to sciatica.
  2. Spinal Stenosis: This condition occurs when the spinal canal narrows, putting pressure on the nerves, including the sciatic nerve.
  3. Spinal Degeneration: Age-related wear and tear on the spine can lead to conditions like degenerative disc disease or osteoarthritis, which can cause sciatica symptoms.
  4. Piriformis Syndrome: The piriformis muscle, located deep in the buttocks, can sometimes tighten or spasm, irritating the sciatic nerve as it passes beneath or through the muscle.

Symptoms of Sciatica:

The hallmark symptom of sciatica is pain that radiates from the lower back down one leg. Other common symptoms include:

  1. Sharp or Burning Pain: Sciatica pain is often described as a sharp, shooting, or burning sensation that can range from mild to severe. It typically follows the path of the sciatic nerve, from the lower back through the buttock and down the back of the leg.
  2. Numbness or Tingling: Many individuals with sciatica experience numbness, tingling, or a pins-and-needles sensation in the leg or foot.
  3. Muscle Weakness: Weakness in the leg or foot muscles served by the sciatic nerve may occur, making it challenging to walk or perform daily activities.
  4. Worsening Symptoms: Symptoms of sciatica may worsen with prolonged sitting, standing, or certain movements that increase pressure on the sciatic nerve.

Effective Treatment Options for Sciatica:

Fortunately, there are several effective treatment options available to manage and alleviate sciatica pain:

  1. Physical Therapy: A personalized physical therapy program can help strengthen the core muscles, improve flexibility, and correct posture, relieving pressure on the sciatic nerve.
  2. Medications: Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) or prescribed medications may help reduce pain and inflammation associated with sciatica.
  3. Epidural Steroid Injections: In more severe cases, corticosteroid injections may be administered directly into the affected area to reduce inflammation and provide temporary pain relief.
  4. Chiropractic Care: Spinal adjustments performed by a qualified chiropractor can help restore proper alignment of the spine, alleviating pressure on the sciatic nerve.
  5. Decompression Therapy: Non-surgical spinal decompression therapy is a gentle, traction-based treatment that can create space between vertebrae, relieving pressure on the sciatic nerve and promoting healing.
  6. Lifestyle Modifications: Incorporating regular exercise, maintaining a healthy weight, practicing good posture, and avoiding prolonged sitting can help prevent and manage sciatica symptoms.


Sciatica can significantly impact an individual’s quality of life, but with the right approach to treatment, relief is possible. At Monmouth Pain, the dedicated team of healthcare professionals is committed to providing personalized care and effective treatment options for individuals suffering from sciatica. By understanding the causes, recognizing the symptoms, and exploring the available treatment options, individuals can take proactive steps toward managing their sciatica pain.

Case Study:

Meet Robert, a 55-year-old office worker who began experiencing persistent pain shooting down his right leg. The pain was accompanied by tingling sensations and weakness in his calf muscle, making it increasingly difficult for him to perform his daily activities. Frustrated and concerned, Robert sought help from the experienced team at Monmouth Pain to find relief from his debilitating symptoms.

During his initial consultation, Robert was met with empathy and expertise as the healthcare professionals at Monmouth Pain carefully listened to his concerns and conducted a thorough examination. Based on his symptoms and medical history, they diagnosed him with sciatica resulting from a herniated disc in his lumbar spine.

The team at Monmouth Pain recommended a comprehensive treatment plan tailored to Robert’s specific needs. This plan included a combination of physical therapy, chiropractic care, and non-surgical spinal decompression therapy to address the underlying cause of his sciatica and alleviate his pain.

Under the guidance of his dedicated physical therapist, Robert underwent a series of targeted exercises and stretches that focused on strengthening his core muscles, improving his posture, and reducing pressure on the sciatic nerve. Additionally, he received chiropractic adjustments to restore proper alignment in his spine and alleviate nerve compression.

To further promote his healing, Robert also underwent non-surgical spinal decompression therapy. This gentle, traction-based treatment created space between his vertebrae, relieving pressure on the herniated disc and reducing the irritation of the sciatic nerve.

Throughout his treatment journey, Robert experienced significant improvement in his symptoms. The sharp, shooting pain that once hindered his mobility gradually subsided, and the tingling sensations and muscle weakness in his calf began to diminish. With each session, Robert regained confidence in his ability to perform daily tasks without constant pain and discomfort.

The comprehensive and individualized care provided by the team at Monmouth Pain played a crucial role in Robert’s recovery. Their expertise, combined with their compassionate approach, empowered him to take an active role in managing his condition and reclaiming his quality of life.


Robert’s experience with sciatica showcases the dedication and effectiveness of the services offered at Monmouth Pain. Through a combination of physical therapy, chiropractic care, and non-surgical spinal decompression therapy, Robert was able to find relief from his debilitating sciatica symptoms. If you’re suffering from sciatica, the compassionate and experienced team at Monmouth Pain is ready to help you on your journey to recovery, providing personalized care and effective treatment options tailored to your specific needs. Don’t let sciatica hold you back—reach out to Monmouth Pain and take the first step towards a pain-free life.

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Monmouth Pain is a multi-specialty, all-under-one-roof orthopedic facility serving Monmouth & Ocean County NJ.

Services include orthopedics, neurosurgery, pain management, sports medicine, chiropractic, physical therapy, occupational therapy, and acupuncture.

Monmouth Pain combines expert collaborative care with 5-star service to provide you with the best results for your condition.

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