Sciatica Treatment in New Braunfels, TX
What Is Sciatica?
Sciatica is a term used to describe symptoms—most commonly pain, tingling, numbness, or weakness. These symptoms are caused from compression or irritation of the sciatic nerve.
The sciatic nerve is the longest and thickest nerve in the human body. It is formed by the spinal nerve roots L4 to S3 in the lower spine (lumbar and sacral regions), and it travels from the lower spine → through the pelvis and buttocks (under the piriformis muscle) → down the back of the thigh → into the lower leg and foot.
Sciatic Nerve Compression: Where & Why It Happens
Herniated or Bulging Disc (Most Common Cause): When a spinal disc protrudes, it can compress nearby spinal nerves, often at L4-L5 or L5-S1.
Spinal Stenosis: Narrowing of the spinal canal compresses the nerves, especially in older adults.
Piriformis Syndrome: The piriformis muscle, located deep in the buttock, can irritate or compress the sciatic nerve as it passes underneath (or sometimes through) it.
Degenerative Disc Disease: Breakdown of spinal discs over time can lead to nerve root irritation and instability.
Spondylolisthesis: One vertebra slips forward over another, pinching the nerve.
Trauma, Tumors, or Infections: Less common, but serious causes of nerve impingement.
Symptoms of Sciatica
Sharp, burning, or shooting pain down the back of one leg
Numbness, tingling, or "pins and needles" in the leg or foot
Muscle weakness in the leg
Pain that worsens when sitting, bending, or coughing
Difficulty walking or standing due to nerve irritation
These symptoms typically appear on one side of the body and can vary from mild to debilitating.
Frequently Asked Questions: Sciatica & Physical Therapy
Q: How long does physical therapy take for sciatica?
A: Many patients feel relief within 4–6 weeks. Chronic cases may take longer, depending on the severity and cause.
Q: Can sciatica heal without surgery?
A: Yes. Most cases respond well to conservative care like physical therapy, especially when started early.
Q: Will sciatica go away on its own?
A: In some cases, mild sciatica can resolve, but it often returns without correcting the root cause. PT can reduce recurrence and improve long-term outcomes.