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Sciatica: Discovering Relief and Regaining Your Mobility

Sciatica pain is a common condition that affects millions of people around the world. It is characterized by pain that radiates along the sciatic nerve, which is the longest nerve in the body, running from the lower back down to the legs. This pain can range from mild to severe and can be accompanied by other symptoms. 

Here are some signs and symptoms of sciatica: 

  • Pain: The most common symptom of sciatica is pain that can range from a mild ache to a sharp, burning sensation. The pain typically runs down the back of one leg. 
  • Numbness and tingling: Sciatica can also cause numbness and tingling in the affected leg or foot. This can feel like a pins-and-needles sensation or a loss of sensation. 
  • Weakness: In some cases, sciatica can cause weakness in the affected leg. 
  • Difficulty standing or sitting: Sitting or standing for long periods of time can exacerbate sciatica pain. People with sciatica may find it difficult to maintain a seated or standing position for an extended period of time. 
  • Lower back pain: Sciatica can also cause pain in the lower back, which may be a dull ache or a sharp, stabbing pain. 


The pain of sciatica can be severe and can make it difficult for patients to carry out their daily activities. We understand how debilitating sciatica can be and want to help you find relief. 

Causes of Sciatica Pain

The most common cause of sciatica is a herniated disc in the lower back. This occurs when the soft inner material of the disc protrudes through a tear in the outer layer, pressing on the sciatic nerve. 

Other causes of sciatica may include: 

  • Spinal stenosis: A narrowing of the spinal canal that can put pressure on the nerves. 
  • Degenerative disc disease: As people age, the discs in their spines can dry out and shrink, leading to herniation or other problems that can cause sciatica. 
  • Piriformis syndrome: This occurs when the piriformis muscle in the buttocks spasms and compresses the sciatic nerve. 
  • Spondylolisthesis: A condition where a vertebra slips forward over the vertebra below it, causing pressure on the nerve roots. 
  • Trauma or injury: Injuries to the spine or buttocks can damage the sciatic nerve, leading to sciatica. 
  • Tumors or cysts: Rarely, tumors or cysts can grow in or around the spine, compressing the sciatic nerve. 


If you are experiencing sciatica pain it is important to schedule a consultation with a Forum Health provider for an accurate diagnosis and appropriate treatment. 

Forum Health’s Approach

As a functional and integrative medicine provider, we have seen many patients suffering from sciatica pain, and understand how debilitating and frustrating this condition can be. The pain can be severe and can make it difficult for you to carry out your daily activities. 

Our providers truly care about their patients, their first priority is to help patients find relief from sciatica pain. We believe in taking a holistic approach to healthcare, which means looking beyond just the symptoms of a condition and addressing the root causes of the problem. 

One of the key factors that can contribute to sciatica pain is poor posture and alignment. Many people spend long hours sitting at a desk or in front of a computer, which can cause imbalances in the muscles and joints of the spine. Over time, these imbalances can lead to inflammation and compression of the sciatic nerve. 

To address this issue, our providers work with you to identify any postural imbalances or muscular weaknesses that may be contributing to your sciatica pain. We may recommend exercises and stretches to help strengthen the muscles of the back and legs, as well as strategies for improving posture and alignment including chiropractic adjustments. 

Forum Health believes that the best way to help you find relief from sciatica pain is to take a comprehensive approach that addresses the underlying causes of the problem. By focusing on posture, alignment, inflammation, and overall health, we can help you not only manage their pain but also improve their quality of life and prevent future recurrences of this condition. 


 The four types of sciatica are: 


  1. Acute sciatica: This is the most common type of sciatica and is characterized by sudden, severe pain that usually lasts for a few days to a few weeks. It is often caused by a herniated disc or spinal stenosis. 
  2. Subacute sciatica: This type of sciatica lasts longer than acute sciatica, usually between 4-12 weeks. The pain is less severe than acute sciatica, but can still be quite debilitating. 
  3. Chronic sciatica: This type of sciatica lasts longer than 12 weeks and is often caused by a degenerative disc disease or spinal stenosis. The pain is often less severe than acute or subacute sciatica, but can be constant and may require long-term management. 
  4. Bilateral sciatica: This type of sciatica affects both legs and is often caused by spinal stenosis or a herniated disc. The pain may be severe and may require immediate medical attention. 

There are several things that can trigger sciatica, including: 


  • Herniated or Bulging Discs: When the soft cushioning material between the vertebrae in the spine pushes out of place and irritates the nerve roots, it can cause sciatica. 
  • Spinal Stenosis: This condition occurs when the spinal canal narrows, putting pressure on the nerves, including the sciatic nerve. 
  • Degenerative Disc Disease: As we age, the discs in our spine can become less flexible, which can lead to herniated or bulging discs. 
  • Spondylolisthesis: This condition occurs when a vertebra in the spine slips out of place, causing pressure on the nerves. 
  • Piriformis Syndrome: The piriformis muscle, located in the buttocks, can sometimes tighten and compress the sciatic nerve. 
  • Trauma: Any injury to the lower back or buttocks, such as a fall or car accident, can damage the sciatic nerve. 
  • Obesity: Excess weight can put pressure on the lower back and hips, which can lead to sciatica. 

Yes, a chiropractor can help with sciatica. Chiropractors are trained to diagnose and treat musculoskeletal disorders, including sciatica. They use a variety of non-invasive techniques, such as spinal adjustments, stretching, and exercises, to alleviate the compression on the sciatic nerve and reduce the associated pain and discomfort. 

While there is no one "best" sleeping position for sciatica that works for everyone, there are some general guidelines that may be helpful: 


  • Sleeping on your back with a pillow under your knees: This position can help to relieve pressure on the sciatic nerve and align your spine. 
  • Sleeping on your side with a pillow between your knees: This position can also help to align your spine and relieve pressure on the sciatic nerve. 
  • Avoid sleeping on your stomach: This position can cause your spine to arch and put pressure on the sciatic nerve. 


It is important to find a sleeping position that is comfortable for you and does not aggravate your symptoms.  


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