Sciatica is pain that travels along the sciatic nerve from the lower back through the buttock and down the leg, usually caused by compression or irritation of the nerve where it exits the spine. Kroner Chiropractic treats sciatica in Yakima, Washington with adjustments, soft tissue therapy, and targeted rehabilitation, without surgery or injections.

Sciatica is a symptom, not a diagnosis

Sciatica describes pain traveling along the sciatic nerve, the largest nerve in your body, running from your lower back through your buttock and down the back of your leg. Classic sciatica is sharp or electric, affects one leg, and can be accompanied by numbness, tingling, or weakness.

The important distinction is that sciatica is a description of symptoms rather than a cause. Several different problems produce it: a disc pressing on the nerve root, a restricted or arthritic joint narrowing the space the nerve passes through, or the piriformis muscle in the buttock compressing the nerve directly.

Those causes require different treatment. That is why the examination comes before the plan.

What it feels like

  • Sharp, burning, or electric pain from the lower back into the buttock and leg
  • Pain usually on one side only
  • Numbness or tingling in the leg or foot
  • Weakness in the leg
  • Pain that worsens with sitting, coughing, or sneezing
  • Difficulty finding a comfortable position

The pain is often worse in the leg than in the back, which is why patients sometimes do not connect it to a spinal problem at all.

How we treat sciatica

After examining you and imaging on site when indicated, your plan may include:

  • Adjustments to restore motion to the involved lumbar and pelvic joints
  • Soft tissue therapy, including the piriformis and surrounding muscles
  • Therapeutic modalities to reduce inflammation around the nerve
  • Specific rehabilitation exercises based on which cause we identify
  • Guidance on positions and activities to modify during the acute phase

Exercise selection matters here more than in most conditions. Movements that help disc-related sciatica can aggravate the piriformis-related kind, which is another reason the diagnosis has to come first.

When to seek medical care immediately

Certain symptoms with sciatica require emergency medical evaluation rather than chiropractic care: loss of bowel or bladder control, numbness in the groin or inner thighs, or rapidly progressing weakness in the leg.

These are uncommon but serious. If you have any of them, go to an emergency department. If we identify them during your examination, we will refer you immediately.

Common Questions

How long does sciatica last?

Many cases improve within several weeks with appropriate treatment, though it depends on what is causing the nerve irritation and how long it has been present. We give you a realistic estimate after determining the cause.

Can a chiropractor fix sciatica?

Chiropractic care addresses several of the common causes of sciatica, including joint restriction, disc involvement, and muscular compression. Whether it is the right approach for you depends on what your examination shows, and we will tell you if it is not.

What is the difference between sciatica and regular back pain?

Sciatica involves the sciatic nerve, so pain travels down the leg and may include numbness, tingling, or weakness. General back pain stays in the back. Sciatica is often worse in the leg than in the back.

Should I rest or stay active with sciatica?

Extended bed rest generally is not recommended and can slow recovery. Gentle movement within tolerance is usually better, though which movements help depends on the cause. We give you specific guidance rather than general advice.

Can sciatica go away on its own?

Some cases do resolve without treatment. The concern with waiting is that the underlying cause remains, and recurring episodes are common. Persistent nerve compression can also produce lasting changes.

When is sciatica an emergency?

Seek emergency care immediately for loss of bowel or bladder control, numbness in the groin or inner thighs, or rapidly worsening leg weakness. These are uncommon but require urgent medical evaluation.