
Shooting Leg Pain? You Could Have Sciatica

Sciatica can affect anyone, but it’s most common after age 40 and typically only involves one leg. Causes of sciatica are most often related to conditions that involve the lumbar (lower) spine, such as herniated discs, bone spurs, or spinal stenosis.
Studies show that about 40% of the population will experience sciatica, likely more since some people try to tough it out with self-care and home remedies.
At ISP Health PLLC, award-winning pain management physician Dr. John S. Michels, based in Dallas, Texas, offers a different approach. His nonsurgical treatments for sciatica are aimed at relieving pain and addressing the underlying issue to prevent future episodes.
Let’s break down what sciatica is, what causes it, and most importantly, how we can help you find relief.
Not a condition but a symptom
Rather than a condition, sciatica is a symptom of irritation to the sciatic nerve, a bundle of nerves that originates in the lumbar spine and extends through the buttocks and legs.
Because the nerve controls sensation and movement in such a large area, when it becomes irritated or compressed, you can feel symptoms anywhere in the affected leg.
Common symptoms of sciatica include:
- Sharp or burning pain in the lower back, buttocks, or leg
- Numbness or tingling in a leg or foot
- Weakness in a leg or foot
- Pain that worsens with sitting, coughing, or sneezing
Sound familiar? These symptoms can range from mild to severe, and for some, they can be disabling.
What causes sciatica?
Usually the result of pressure on the sciatic nerve, the most common causes of sciatica include:
- Herniated disc
- Spinal stenosis
- Piriformis syndrome – when a muscle deep in the buttock irritates the sciatic nerve
- Degenerative disc disease
If your leg pain lasts more than a few days, keeps you from sleeping, or affects your ability to walk, it’s time to check in with a pain specialist.
Of note, if you ever experience loss of bowel or bladder control, or severe weakness, go to the ER, since these are signs of a medical emergency.
Treatment options
The good news? Most cases of sciatica improve with time and nonsurgical treatments. As a pain management physician, Dr. Michels offers options that may include:
Medications
Anti-inflammatory medications, muscle relaxers, or nerve pain medications can ease symptoms.
Physical therapy
Targeted stretches and exercises help reduce pressure on the nerve and prevent future flare-ups.
You’ll also receive guidelines for home care that may include:
- Applying ice or heat to the lower back
- Stretching hamstrings and lower back regularly
- Avoiding prolonged sitting
- Managing risk factors like excess weight
Many of our patients also benefit from guidance regarding proper posture when standing and sitting.
Epidural steroid injections
Targeted injections can provide fast, long-lasting relief by reducing inflammation around the nerve.
Minimally invasive procedures
In some cases, image-guided procedures or advanced nerve blocks can offer relief without the need for surgery.
You may also benefit from more advanced therapies, such as spinal cord stimulation, which can offer relief that lasts for years.
Dr. Michels tailors treatment strategies based on your evaluation results, the severity of your symptoms, and the underlying condition causing nerve irritation.
Ready to say goodbye to sciatica?
Pain doesn’t have to control your life. Schedule an evaluation with Dr. Michels at ISP Health PLLC today. With the right treatment plan, most people can get back to doing what they love without pain.
You Might Also Enjoy...


Bone vs. Nerve Pain: How to Tell the Difference

Is Facet Joint Pain Holding You Back? How Injections Can Relieve Pain and Improve Mobility

5 Practical Ways to Manage Osteoarthritis Pain

How Does Diabetes Cause Peripheral Neuropathy?
