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Understanding Sciatica

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.

Give us a call or schedule online for an appointment or free consultation:

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Comprehensive Specialties at Monmouth Pain and Rehabilitation: Achieving Success through Interventional Pain Management and Orthopedic Care

Comprehensive Specialties at Monmouth Pain and Rehabilitation: Achieving Success through Interventional Pain Management and Orthopedic Care

pain management


Monmouth Pain and Rehabilitation is dedicated to providing comprehensive, specialized care for individuals seeking effective pain management and improved overall well-being. With a team of highly skilled professionals, cutting-edge techniques, and a patient-centric approach, Monmouth Pain offers tailored solutions for a wide array of conditions. In this blog post, we will explore the various specialties offered at Monmouth Pain and Rehabilitation, focusing on the success achieved through a combination of interventional pain management with injection therapies and physical therapy.


Specialties Offered at Monmouth Pain and Rehabilitation:

  1. Interventional Pain Management: Monmouth Pain understands the impact of chronic pain on daily life and offers advanced interventional pain management techniques. Their team of specialists utilizes minimally invasive procedures to accurately diagnose and effectively treat various pain conditions. By utilizing fluoroscopic or ultrasound guidance, they deliver precise injections to target the source of pain, providing relief for conditions such as back pain, neck pain, joint pain, neuropathy, and more.
  2. Orthopedic Care: Monmouth Pain’s orthopedic care focuses on the diagnosis, treatment, and rehabilitation of musculoskeletal conditions. Their orthopedic specialists utilize a multidisciplinary approach to address injuries and degenerative conditions affecting bones, joints, tendons, ligaments, and muscles. Through a combination of surgical and non-surgical interventions, personalized treatment plans, and rehabilitation programs, they aim to improve functionality, reduce pain, and enhance overall quality of life.
  3. Physical Therapy: Monmouth Pain’s physical therapy services play a vital role in the recovery and rehabilitation process. Their team of highly trained therapists designs personalized programs that incorporate therapeutic exercises, manual techniques, and modalities to promote healing, restore mobility, and enhance strength and flexibility. Physical therapy is effective for post-surgical rehabilitation, sports injuries, work-related injuries, and other musculoskeletal conditions.
Pain Management

Success Story: Joanna’s Journey to Recovery: Joanna, a 35-year-old office worker, had been struggling with chronic neck and shoulder pain that severely impacted her daily activities and work productivity. After visiting Monmouth Pain and Rehabilitation, she underwent a comprehensive evaluation, which revealed muscular imbalances and a potential pinched nerve in her neck.

Based on her evaluation results, Joanna’s treatment plan consisted of a combination of interventional pain management and physical therapy. Interventional pain management specialists administered precise injections, such as nerve blocks or corticosteroids, to provide targeted pain relief and reduce inflammation in her affected areas.

Joanna concurrently engaged in a customized physical therapy program, guided by skilled therapists. Her program included therapeutic exercises, manual therapy techniques, and modalities such as heat therapy and ultrasound. These interventions helped improve her posture, increase muscle strength, and restore range of motion in her neck and shoulders.

Over several weeks, Joanna experienced remarkable progress. Her pain levels decreased significantly, allowing her to engage in work and daily activities with less discomfort. With improved functionality and decreased reliance on pain medication, Sarah’s overall quality of life improved substantially.

Conclusion: Monmouth Pain and Rehabilitation offers a comprehensive range of specialized services to address various pain conditions and musculoskeletal disorders. Through a combination of interventional pain management techniques, such as precise injections, and personalized physical therapy programs, patients like Joanna can experience significant improvements in pain reduction, functionality, and overall well-being. The dedicated team at Monmouth Pain is committed to providing individualized care to help patients achieve long-lasting relief and regain an active and fulfilling life.

Long days at the computer causing carpal tunnel pain in your wrists or hands?  

Long days at the computer causing carpal tunnel pain in your wrists or hands?  


Comprehensive Carpal Tunnel Syndrome Relief

Wrist pain can manifest in a variety of ways and can result in stiffness, hand numbness and even loss of motion. Because tendinitis, and Carpal Tunnel Syndrome (pressure on the median nerve) develops over a period of time, we are doing a lot of damage to the wrist area with everyday activities.  What we end up with is lots of tendon inflammation, muscle strains and Carpal bones mis-aligned.  The pain can be sharp, burning and constant. You literally feel “handcuffed” from the discomfort!  Fortunately at Monmouth Pain, we take a multi approach to fix your wrist problems and get you pain free!  

carpal tunnel


How can Monmouth Pain Help?

We use the latest technology with low level laser (cold laser) to remove the inflammation from the wrist joint.  Sometimes just the swelling is more painful than the condition.  We use Vibration therapy to get more blood circulation to the area to increase the rate of healing.  Acupuncture to push out the stagnant buildup to help decrease pain, and increase movement.  An Occupational therapist will work with you  to help open the channel that the median nerve travels through to decrease pain and tingling and will then work with you to increase range of motion and strength through stretching and exercises. And chiropractic adjustments to make sure your Carpal Tunnel nerves are free of bone pressure.  This recipe will get you typing away with, of course, the proper seating bio mechanics we’ll show you.  You’ll be so happy being pain free, you’ll want to shake our hand!

If you are experiencing wrist pain and are looking to find relief, don’t hesitate. Call 732-345-1377 for help now.

Monmouth Pain ★ Move ► Forward


Low Level Light Laser (cold laser therapy) for Back and Neck Pain

Low Level Light Laser (cold laser therapy) for Back and Neck Pain


At Monmouth Pain one of the many tools that we utilize to accelerate the body’s natural healing process is a low level light laser (cold laser therapy).

The MLS Therapy Laser is the most advanced laser available to the medical profession.  It uses concentrated light energy to stimulate the body’s own healing process to minimize pain, inflammation and arthritis and reduce recovery times.

Along with reducing inflammation and decreasing pain, cold laser therapy stimulates blood flow, and promotes tissue regeneration. Many people find that they experience immediate results after a short session. In fact, 85-90% of all patients will experience significant relief of their pain and inflammation. 

Laser therapy eliminates risk from surgery and prescription pain killers, has no negative side effects, and restores patients’ lives.

How it Works

The cold laser utilizes a pencil-like beam of electromagnetic waves which you cannot see or feel, to reduce symptoms associated with your back pain. The anti-inflammatory effects of the laser work at the cellular level to promote healing.

Laser Therapy


In addition to helping with back pain, laser therapy effectively treats pain and inflammation associated with the following conditions:

  • Plantar Fasciitis
  • Neuromas
  • Neuropathies
  • Arthritis
  • Sports injuries
  • Tendon & ligament injuries
  • Back & joint pain
  • Muscle sprains & strains
  • Tendonitis
  • Wounds
  • Post-surgical swelling
  • Disc disease

To learn more about the potential relief it can provide to your specific back or neck problems, contact us today. We are here to help!

We accept most insurances!

Monmouth Pain ★ Move ► Forward

Schedule Online:

(732) 345-1377


Sports Medicine and Rehabilitation in Monmouth and Ocean County NJ

Sports Medicine and Rehabilitation in Monmouth and Ocean County NJ

Sports Medicine


Here at Monmouth Pain, we offer Sports Medicine and Rehabilitation designed specifically to get our athletes back to the top of their game and even increasing athletic potential.

We understand the importance of feeling your best on and off the field. While some injuries may appear to be minor or temporary, they can lead to much bigger issues if left untreated. Our expert practitioners work as a team to provide the care necessary to keep athletes moving onwards and upwards in their sports careers. 

Our orthopedic doctors, pain management doctors, and physical therapists will evaluate your condition and come up with the proper diagnosis. Treatment for sports injuries at Monmouth Pain utilizes a comprehensive approach. We start with conservative treatment if possible with our rehab specialists.  A full team of sports certified physical therapists, chiropractors, acupuncturists and occupation therapists get most people back to their full activity level in a short period of time.

When more interventional attention is needed, our team of sports medicine doctors can provide injections to reduce pain and inflammation and restore function. Our orthopedic surgeons are here for those cases that might require surgery. 

While we do treat various conditions such as back pain, sciatica, neck pain, sprains, and other joint pain, our goal is to create a biomechanical advantage for our athletes. This will allow them to increase speed, muscle development, and the ability to support your teammates and get the win!


sports medicine


Conditions / Common Injuries Treated at Monmouth Pain

  • Back and Neck Injuries
  • Biceps Tendon Tear
  • Ligament Tears
  • Meniscus Tear
  • Rotator Cuff Tear
  • Sprains, Strains, and Fractures
  • Tendon Tears & Ruptures
  • Tennis Elbow

Let’s restore your body to allow you to compete to your full potential! Call Monmouth Pain for your consultation today. Let us help you on your way to physical and athletic success!

We accept most insurances!

Monmouth Pain ★ Move ► Forward

Schedule Online:

(732) 345-1377


If you suffer from eye strain related headaches or peripheral vision issues, we can help.

If you suffer from eye strain related headaches or peripheral vision issues, we can help.



The patient is participating in the Brock String exercise.  This exercise is used to work on convergence/divergence of the eyes, eye strain related headaches as well as improving the focusing ability. 

This exercise is an example of vision therapy which is designed to aide in a multitude of ocular motility disorders. These disorders include trouble with eye convergence/divergence, peripheral vision issues, eye strain related syndromes,  and eye strain related headaches to name a few. Dysfunction in ocular motility (movement of the eyes) can occur for many reasons including:

Whiplash associated syndromes found with many motor vehicle accidents
Brain injuries whether traumatic or atraumatic
Spinal cord injuries
Strokes of the occipital lobe
Acute concussions
Chronic concussion symptoms
Too much screen time
Cervical soft tissue dysfunction

Patients can achieve good results with decreasing eye strain with functional activities such as driving, reading, working on the computer as well as improving overall focus and eye motility with vision therapy.

Monmouth Pain ★ Move ► Forward

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