Sciatica is not a “muscle” problem by itself. It is a nerve irritation pattern—often characterized by burning, aching, tingling, or sharp pain — that can radiate from the lower back into the buttocks, thigh, calf, and sometimes the foot. In many people, the sciatic nerve is irritated because nearby tissues are tight or inflamed, or because the piriformis and other deep hip muscles compress the nerve pathway. (Healthline, 2021; Dr. Alex Jimenez, n.d.).

Self-massage can help by relaxing the “pressure zones” around the nerve—especially the glutes, piriformis, hamstrings, and low back tissues—so the irritated system calms down. When performed correctly, it can reduce pain and improve motion without “digging into” the nerve itself. (Harley Street Specialist Hospital, 2023; Chicago Pain Control, n.d.).

The key rule: massage the muscles around the nerve, not the nerve

A common mistake is pushing hard directly on the spot that hurts the most. With sciatica, that can backfire. Instead:

• Work the glute muscles and piriformis (deep buttock muscle) to reduce local compression and trigger points. (Healthline, 2021).

• Use myofascial release concepts—slow pressure and slow rolling—so tissues “let go” over time rather than resisting. (Harley Street Specialist Hospital, 2023).

• If symptoms get sharp, electric, or quickly worse, stop immediately. (Spine-health, n.d.).

Pain scale guidance: “hurts good” only

Keep discomfort in a safe range:

• 0–3 out of 10: acceptable “hurts good” pressure

• 4–10 out of 10: too much—back off

This aligns with recommendations from many clinical massage educators for nerve-related pain: controlled pressure rather than aggressive force. (Chicago Pain Control, n.d.; Spine-health, n.d.).

Tools that work well at home

You do not need expensive equipment. The most helpful tools are simple:

• Tennis ball (or lacrosse ball if you want slightly firmer pressure later)

• Foam roller

• Two tennis balls taped together (or placed in a sock) for a safer “double-ball” low back technique

• Heat pack (before or after)

The double-ball method is popular because it can engage muscles adjacent to the spine while avoiding direct pressure on the spine itself. (Massage Chair Store, n.d.; Spine-health, n.d.).

Step-by-step self-massage routine for sciatica relief

Heat first (optional but helpful)

Use a heating pad on the glutes or lower back for 10–15 minutes to help tissues relax before you start. Heat is commonly recommended as a first-line intervention in sciatica care plans. (ChiroBoston, n.d.).

Glute + piriformis trigger point release (tennis ball)

Goal: Calm tight glute/piriformis trigger points that may irritate the sciatic pathway.

How:

• Sit on the floor and place the ball under one buttock.

• Lean slightly toward the tight side.

• Find a tender spot and hold pressure for 20–45 seconds.

• Breathe slowly until it softens, then move 1–2 inches and repeat.

Tips:

• Keep the pressure at 3/10 or less.

• If you experience numbness, burning, or shocking pain, stop and reposition. (Healthline, 2021).

Healthline notes that piriformis self-massage can reduce pressure on the sciatic nerve and should be performed gently, with treatment discontinued if symptoms worsen. (Healthline, 2021).

Low back muscle release (two tennis balls)

Goal: Release tight low back muscles without rolling on the spine.

How:

• Tape two tennis balls together or put them in a sock.

• Lie on your back with knees bent.

• Place the balls on either side of the spine (not on the spine).

• Slowly shift your body weight and pause on tight areas.

Safety reminders:

• Avoid rolling directly on the spine.

• Stop immediately if pain becomes sharp or sudden. (Spine-health, n.d.; Massage Chair Store, n.d.).

Myofascial release down the back of the leg (foam roller)

Goal: Reduce “referred tension” through the glutes/hamstrings that can keep sciatica symptoms active.

How:

• Place a foam roller under your hamstrings.

• Roll slowly from mid-thigh toward the glute area.

• Pause on tender spots for 20–30 seconds.

This slow, warming style aligns with common myofascial release approaches used for sciatica-related muscle guarding. (Harley Street Specialist Hospital, 2023).

Calf massage for referred pain

Some people with sciatica experience significant calf tightness or deep pain. Gentle calf work can help reduce guarding and improve comfort.

How:

• Use your hands or a massage tool.

• Work from the ankle toward the knee with slow strokes.

• Add small pauses on tender areas, but do not crush the tissue.

Targeted lower-leg massage is commonly included in lists of sciatica massage techniques to reduce referred pain patterns. (Active Posture, 2025).

What to avoid

To keep self-massage helpful (not irritating), avoid these mistakes:

• Heavy pressure directly where nerve pain shoots

• Fast rolling over painful areas

• Forcing numbness or tingling to “break through”

• Long sessions that leave you sore for 24–48 hours

A safe guideline: you should feel looser after the session, not flared up. If symptoms worsen, reduce pressure, shorten the session, or stop. (Spine-health, n.d.).

Why integrative chiropractic care can improve long-term results

Self-massage can alleviate symptoms, but it may not fully address the mechanical driver—such as joint restriction, disc irritation, or nerve root compression. That is where integrative chiropractic care often fits.

Common in-clinic approaches include:

• Targeted spinal adjustments to restore joint motion and reduce irritation patterns. (Fremont Spine + Wellness, 2025).

• Myofascial release/soft tissue therapy for glutes, low back, and hip stabilizers. (Bend Total Body Chiropractic, 2025).

• Spinal decompression therapy (when appropriate) to reduce pressure on irritated nerve roots and support disc space mechanics. (Dr. Alex Jimenez, n.d.).

Clinical observations from Dr. Alexander Jimenez, DC, APRN, FNP-BC

Dr. Jimenez commonly highlights a practical pattern observed in clinical practice: sciatica symptoms can arise from both local muscular entrapment (e.g., piriformis syndrome) and deeper spinal drivers (e.g., disc or joint irritation). In these cases, combining soft-tissue work with an appropriate plan—often including decompression strategies and targeted care—may help reduce nerve irritation, improve function, and reduce the risk of recurrence. (Dr. Alex Jimenez, n.d.).

When to stop self-massage and get checked right away

Seek urgent medical evaluation if you have:

• New or worsening leg weakness

• Loss of bowel or bladder control

• Numbness in the saddle area (groin/inner thighs)

• Fever, unexplained weight loss, or severe unrelenting pain

These may indicate a more serious condition requiring immediate care.

Sciatica Pain Treatment in El Paso, TX: Chiropractic Care

References

• A Guide to Massage for Sciatica (Massage Chair Store, n.d.).

• How to Massage Sciatica to Reduce Leg Pain Fast (Chicago Pain Control, n.d.).

• 10 Massage Techniques For Sciatica Pain Relief (Harley Street Specialist Hospital, 2023).

• Self-Massage and Stretches for Piriformis Syndrome (Healthline, 2021).

• How to Use Tennis Balls for DIY Lower Back Pain Massage (Spine-health, n.d.).

• How Massage Can Ease Sciatic Pain (ChiroBoston, n.d.).

• Relief From Sciatica Pain (Fremont Spine + Wellness, 2025).

• Massage Therapy Complements Chiropractic Care for Sciatica Relief (Bend Total Body Chiropractic, 2025).

• Unlock Sciatic Relief with Targeted Massage Techniques (Active Posture, 2025).

• Piriformis Syndrome & Spinal Decompression Therapy (Jimenez, A., n.d.).

• Sciatica Pain and Symptoms Improvement (Jimenez, A., n.d.).

Sciatica is a painful condition that affects the sciatic nerve, the largest nerve in the body. It often causes pain that travels from the lower back down the leg, along with numbness, tingling, or weakness. For years, treatment focused on pain medications, steroid injections, or surgery when symptoms became severe.

In 2026, sciatica care has changed in important ways. New treatments now focus on targeted nerve relief, tissue healing, and personalized care plans instead of simply masking pain. Many of these advances aim to reduce the need for surgery, shorten recovery time, and lower the need for long-term medication use (BioSpace, 2025).

This shift reflects a deeper understanding of how nerve pain works and how the spine, muscles, and nervous system interact.

Why Sciatica Treatment Needed to Evolve

Traditional sciatica care often relied on:

• Long-term pain medications

• Repeated steroid injections

• Surgical procedures like discectomy or spinal fusion

While these treatments help some people, they can also lead to:

• Medication side effects

• Risk of dependency on opioids

• Long recovery times after surgery

• Ongoing nerve irritation rather than true healing

Research now shows that addressing inflammation, nerve compression, movement dysfunction, and biomechanical stress together leads to better outcomes (Stanford Health Care, 2025).

Advanced Diagnostic Tools in 2026

One of the biggest improvements in sciatica care is better diagnosis. In 2026, clinicians rely on more detailed imaging and functional assessments to find the exact cause of nerve pain.

Key Diagnostic Advances

• High-resolution MRI scans that better show disc bulges, nerve root compression, and soft tissue inflammation

• Functional imaging to evaluate how the spine moves under load

• Improved nerve testing to distinguish sciatic pain from hip or muscle-related conditions

According to clinical observations from Dr. Alexander Jimenez, many patients previously labeled with “chronic sciatica” actually have combined disc, joint, and muscle dysfunction that requires integrated care rather than surgery alone (Jimenez, 2026).

Targeted Nerve Blocks and Advanced Injections

By 2026, nerve blocks have become more precise and effective.

How Modern Nerve Blocks Work

• Use imaging guidance to target the exact pain source

• Reduce inflammation around the nerve

• Calm overactive pain signals

Unlike older steroid injections, newer nerve blocks:

• Use lower medication doses

• Focus on short-term pain interruption

• Support rehabilitation rather than replacing it

These techniques are often used as a bridge to active care, such as chiropractic treatment and exercise (Apollo Spine & Pain, 2026).

Spinal Cord Stimulation: Smarter and Less Invasive

Spinal cord stimulation (SCS) has also improved significantly.

2026 Improvements in SCS

• Smaller implanted devices

• Better targeting of nerve pathways

• Adjustable stimulation based on daily activity

These systems work by modifying pain signals before they reach the brain, helping patients with chronic nerve pain who have not responded to conservative care (Pain & Spine Specialists, 2026).

Importantly, newer SCS systems are often considered before surgery, not after.

Radiofrequency Ablation for Sciatic Pain

Radiofrequency ablation (RFA) is gaining attention in 2026 as a minimally invasive option for persistent sciatica.

Benefits of RFA

• Disrupts pain-transmitting nerve fibers

• Reduces chronic inflammation

• Requires little downtime

RFA does not damage the entire nerve. Instead, it targets specific pain fibers, allowing normal movement while decreasing pain signals (Apollo Spine & Pain, 2026).

Regenerative Therapies: Healing Instead of Masking Pain

One of the most exciting advancements in sciatica treatment is the rise of regenerative medicine.

Platelet-Rich Plasma (PRP)

PRP uses the patient’s own blood components to:

• Reduce inflammation

• Support tissue repair

• Promote nerve healing

Studies show PRP may help with disc-related sciatica by improving the health of surrounding tissues (PMC, 2025).

Why Regenerative Care Matters

• Focuses on long-term healing

• Reduces reliance on repeated injections

• Supports the body’s natural repair process

Market research shows regenerative sciatica treatments are expanding rapidly due to patient demand for non-surgical options (Grand View Research, 2025).

Personalized Exercise Programs and Nerve Flossing

Exercise is no longer “one size fits all.” In 2026, programs are custom-built based on imaging, nerve sensitivity, and movement patterns.

Nerve Flossing

Nerve flossing involves gentle movements that:

• Improve nerve mobility

• Reduce adhesions

• Decrease nerve tension

This approach is especially helpful when guided by clinicians trained in neuromusculoskeletal care (Goodman Campbell, 2026).

Other Exercise Advances

• Core stabilization training

• Hip mobility correction

• Posture retraining

When combined with chiropractic care, these programs often lead to faster recovery and fewer flare-ups.

Shockwave, Laser, and Neuromodulation Therapies

Several non-surgical technologies are now commonly used in the treatment of sciatica.

Common Technologies in 2026

• Shockwave therapy to stimulate healing

• Low-level laser therapy for nerve repair

• Neuromodulation devices to calm pain pathways

These therapies are often used alongside manual care and rehabilitation rather than alone (Easy Reach Chiropractic, 2025).

The Shift Toward Integrated, Multidisciplinary Care

One of the most important changes in sciatica treatment is how care teams work together.

Integrated Care Model

• Chiropractors address spinal alignment and nerve compression

• Nurse practitioners manage diagnostics, medications, and inflammation

• Exercise specialists restore movement and strength

This approach treats both symptoms and underlying causes, rather than focusing only on pain relief.

Clinical experience shared by Dr. Jimenez highlights that patients in integrated care models often:

• Recover faster

• Use fewer pain medications

• Avoid surgery more often

Chiropractic Care’s Role in 2026 Sciatica Treatment

Chiropractic care remains a key non-invasive option.

Chiropractic Advances Include

• Gentle spinal decompression techniques

• Instrument-assisted adjustments

• Motion-based assessments

Research continues to show chiropractic care is associated with lower opioid use in sciatica patients (UH Hospitals, 2025; ReachMD, 2025).

Nurse Practitioners as Key Coordinators of Care

Nurse practitioners (NPs) are playing a growing role in the treatment of sciatica.

NP Contributions

• Ordering advanced imaging

• Monitoring neurological symptoms

• Managing inflammation safely

• Coordinating multidisciplinary care

Studies confirm that NP-led collaborative models improve outcomes while keeping care cost-effective (JAANP, 2022; ScienceDirect, 2012).

Reducing Opioid Dependence Through Modern Care

A major goal of 2026 sciatica treatment is reducing opioid exposure.

How New Approaches Help

• Address pain at its source

• Improve nerve function

• Encourage active recovery

Integrated chiropractic and NP care has been linked to lower opioid use and fewer long-term complications (UH Hospitals, 2025).

Faster Recovery and Long-Term Relief

Modern sciatica treatment focuses on:

• Shorter recovery times

• Fewer side effects

• Better long-term outcomes

Patients are no longer told to “just live with it.” Instead, care plans are designed to restore movement, reduce nerve irritation, and support overall spinal health.

Looking Ahead: The Future of Sciatica Care

In 2026, sciatica treatment has clearly shifted:

• From surgery to precision care

• From symptom management to nerve healing

• From isolated treatment to team-based care

According to Dr. Jimenez’s clinical insights, the future lies in early diagnosis, personalized treatment, and integrated care models that respect the complexity of nerve pain rather than oversimplifying it (Jimenez, 2026).

Conclusion

Advancements in sciatica treatment in 2026 reflect a smarter, safer, and more patient-centered approach. With better diagnostics, minimally invasive procedures, regenerative therapies, and collaborative care models, people with sciatica now have more effective options than ever before.

By addressing the true causes of nerve pain, these innovations offer hope for long-term relief without unnecessary surgery or prolonged medication use.

Sciatica Explained | El Paso, Tx

References

BioSpace. (2025). Sciatica market outlook 2025–2035. https://www.biospace.com/press-releases/sciatica-market-size-to-reach-usd-3-4-billion-by-2035-impelled-by-advancements-in-regenerative-therapies

PMC. (2025). Emerging regenerative therapies for nerve pain. https://pmc.ncbi.nlm.nih.gov/articles/PMC12138371/

Apollo Spine & Pain. (2026). Pain management breakthroughs to watch. https://www.apollospineandpain.com/pain-management-breakthroughs-watch-2026

Goodman Campbell. (2026). Most successful treatments for sciatica. https://www.goodmancampbell.com/2026/01/what-is-the-most-successful-treatment-for-sciatica/

Stanford Health Care. (2025). Advanced sciatica treatment options. https://stanfordhealthcare.org/medical-conditions/back-neck-and-spine/sciatica.html

Grand View Research. (2025). Sciatica treatment market report. https://www.grandviewresearch.com/industry-analysis/sciatica-treatment-market-report

UH Hospitals. (2025). Chiropractic care associated with reduced opioid use. https://news.uhhospitals.org/news-releases/articles/2025/10/new-study-shows-chiropractic-care-associated-with-reduction-in-opioid-use-disorder

JAANP. (2022). Nurse practitioners in coordinated care models. https://journals.lww.com/jaanp/fulltext/2022/02000/introducing_the_american_society_for_bone_and.4.aspx

Jimenez, A. (2026). Clinical insights on sciatica care. https://dralexjimenez.com/
Jimenez, A. (2026). Professional insights. https://www.linkedin.com/in/dralexjimenez/

Key Takeaways

• A head injury can set off a chain reaction—from neck muscle guarding to spinal misalignment—that irritates the sciatic nerve and causes leg pain. It can also occur alongside a spine injury after trauma. (Paiva et al., 2011; Hlwatika et al., 2022). PMC+1

• Traumatic brain injury (TBI) ramps up inflammation and pain signaling pathways in the spinal cord, increasing the chance of ongoing low-back and sciatic pain even when imaging looks “normal.” (Liang et al., 2017; Sahbaie et al., 2019; Widerström-Noga et al., 2016). PMC+2Nature+2

• TBI can also lead to heterotopic ossification (new bone growth) around soft tissues. Rarely, this new bone can compress the sciatic nerve, causing sciatica. (Issack et al., 2008; Panagiotopoulos et al., 2008; Cleveland Clinic, n.d.). PMC+2PMC+2

• Integrative chiropractic care aims to realign the spine, calm the nervous system, and support recovery routines (sleep, nutrition, pacing). Some clinics suggest that improved spinal motion may help restore cerebrospinal fluid (CSF) circulation; this idea is emerging and requires further research. (Clinic sources listed; evidence caveats noted). PMC

What Is Sciatica?

Sciatica is a type of nerve pain that travels from the lower back through the buttocks and down the leg. It happens when the sciatic nerve or its roots in the lumbosacral spine are irritated or compressed. Symptoms include sharp or burning leg pain, tingling, numbness, or weakness (Davis, 2024). NCBI

How Can a Head Injury Lead to Sciatica?

1) Brain–to–Spine Control Problems After TBI

Your brain sets the tone for spinal muscles through descending motor pathways. After a head injury, those upper-motor-neuron controls can be disrupted, leading to abnormal muscle tone, spasms, and poor coordination of the deep stabilizers that protect your neck and back. That imbalance makes it easier for vertebrae to shift into stress patterns that irritate nerve roots feeding the sciatic nerve (Kandel et al., 2013). NCBI

What that feels like: tight hip flexors, a tilted pelvis, and a painful pull on the lumbar segments—especially with sitting, coughing, or bending.

2) The “Neck-First” Chain Reaction

Head and neck trauma often produces upper-cervical muscle guarding and joint dysfunction. The body compensates down the chain, resulting in thoracic stiffness, limited rib motion, and a pelvis that rotates or tilts on one side. Over time, this chain reaction increases pressure on the lower lumbar nerve roots, leading to sciatica symptoms. Clinical concussion resources describe how neck inflammation and proprioceptive changes can alter movement patterns and pain perception well beyond the head (Physio Pretoria; Broadview Health Centre). PMC

3) Co-Occurring Spine Injuries After Head Trauma

Trauma that is strong enough to cause TBI can also injure the spine. Studies show a meaningful rate of concomitant cervical or overall spinal injuries in TBI patients; certain intracranial injury patterns (e.g., diffuse axonal injury) raise that risk (Paiva et al., 2011; Hlwatika et al., 2022; Pandrich et al., 2018). If your neck or lower back was also injured, you may develop sciatica from a disk herniation, facet injury, or foraminal narrowing after the crash or fall. PMC+2PubMed+2

4) Inflammation and Pain Signaling After TBI

Even without obvious lumbar damage, TBI can sensitize pain pathways in the spinal cord. Experimental and translational studies have demonstrated that TBI can upregulate chemokine signaling (e.g., CXCR2), activate glial cells, and increase spinal inflammatory mediators, thereby amplifying pain signals from the back and legs (Liang et al., 2017; Sahbaie et al., 2019). Large clinical cohorts also link TBI with high rates of persistent pain (Widerström-Noga et al., 2016; NIDILRR/VA TBI Model Systems, 2025). This sensitization can make a minor lumbar strain feel like severe sciatica. PMC+3PMC+3Nature+3

5) Heterotopic Ossification (HO) After TBI

TBI increases the chance of heterotopic ossification—abnormal bone formation in soft tissue. When HO occurs near the hip or pelvis, it can encase or compress the sciatic nerve, creating progressive sciatica months after the original injury (Issack et al., 2008; Panagiotopoulos et al., 2008; Cleveland Clinic, n.d.). Clues include a gradually stiff hip, a hard mass, or worsening nerve pain despite typical care. PMC+2PMC+2

Signs Your Sciatica May Be Linked to a Head or Neck Injury

• Sciatica began weeks to months after a concussion or head/neck trauma

• Neck stiffness, headaches, dizziness, or visual strain came first, then low-back and leg pain

• Pain flares with long sitting, screen time, or head movement

• Leg symptoms shift sides depending on posture or neck position

• Slow, progressive leg pain after hip/pelvic trauma (possible HO)

Community and clinic resources also note back or leg pain flares after concussion—often tied to posture and neck mechanics (Ok Precision Chiro; Allied Performance Wellness). These are clinical perspectives rather than randomized trials, but they align with the neck-first chain-reaction idea. PubMed+1

Getting the Right Evaluation

A thorough exam should screen both the head/neck and the lumbar–pelvic region:

1. Neurological screen: reflexes, dermatomes, myotomes, straight-leg-raise, slump test, and upper-motor-neuron signs.

2. Cervical assessment: joint motion, muscle tone, proprioception, vestibular-ocular reflexes.

3. Lumbar–pelvic mechanics: sacroiliac symmetry, hip mobility, core stability, and gait.

4. Imaging when indicated: red flags (severe weakness, bowel/bladder changes, progressive deficits), suspected HO, or suspected fracture/dislocation (Issack et al., 2008). PMC

When to rule out HO: history of TBI with hip/pelvic trauma plus hard end-feel, palpable mass, and steadily worsening nerve pain—ask about X-ray or CT to look for extra bone (Cleveland Clinic, n.d.). Cleveland Clinic

How Integrative Chiropractic Care Can Help

Integrative chiropractic means blending evidence-informed spinal adjustments with soft-tissue therapy, vestibular/cervical rehab, graded activity, sleep/nutrition coaching, and care coordination with medical providers when needed.

1) Reduce Mechanical Pressure and Restore Alignment

• Gentle spinal and pelvic adjustments to improve motion and reduce joint irritation around lumbar nerve roots.

• Upper-cervical work to normalize neck mechanics that set the tone for the entire spine and pelvis.

• Hip mobility and rib-cage mechanics to unload the sciatic pathway during walking and sitting.

Educational resources emphasize that sciatica relief occurs when underlying mechanical causes are addressed, not just the symptoms (Arrowhead Clinic). This reflects standard musculoskeletal reasoning, though randomized trials specific to post-TBI sciatica are limited. PMC

2) Calm the Sensitized Nervous System

Post-TBI, the spinal cord may be “turned up.” Clinicians combine adjustments with graded sensory input, diaphragmatic breathing, and pacing strategies to reduce central sensitization. Experimental work supports the concept that TBI increases spinal inflammatory signaling (CXCR2) and that modulating nociceptive traffic could reduce pain (Liang et al., 2017; Sahbaie et al., 2019). PMC+1

3) Vestibular and Cervical Rehabilitation

When concussion symptoms persist, incorporating vestibular, oculomotor, and proprioceptive drills can enhance balance and neck control, ultimately improving lumbar mechanics during daily tasks. Clinical resources highlight this link (Physio Pretoria; Broadview Health Centre; Allied Performance). PMC

4) Functional Strength and Mobility

A plan that combines glute/hip strength, core endurance, and hamstring flexibility with walking intervals can help alleviate nerve root stress and build resilience. Start low, progress slowly, and avoid pain spikes greater than 2/10 during and after sessions.

5) Sleep, Nutrition, and Inflammation

TBI recovery benefits from regular sleep, anti-inflammatory foods (such as omega-3s and colorful produce), and adequate hydration. These choices can reduce systemic inflammation that worsens nerve pain. (General TBI pain evidence: Widerström-Noga et al., 2016; NIDILRR/VA 2025). PMC+1

6) CSF Circulation: An Emerging Idea

Some chiropractic clinics propose that restoring motion in the upper neck may improve cerebrospinal fluid (CSF) circulation following head/neck injury. This is a theoretical and evolving area with limited high-quality trials; if you explore this option, do so within an integrative plan that tracks objective outcomes (clinic sources provided by the user discuss this concept). PMC

Step-by-Step Recovery Plan (Sample)

1. Week 1–2: Settle the system

   • Short walks daily, diaphragmatic breathing 5×/day

   • Gentle cervical and lumbar mobility, no sustained flexed sitting

   • Chiropractic assessment: begin light adjustments as indicated

   • Sleep routine: same bed/wake times; limit screens before bed

2. Week 3–4: Re-build motion and control

   • Add vestibular/ocular drills if dizzy; cervical proprioception work

   • Hip openers, glute bridges, side planks, bird-dogs (pain-guided dosing)

   • Nerve mobility (sciatic sliders) if not irritable

3. Week 5–8: Strength and endurance

   • Progress to split squats, dead-bug variations, step-downs

   • Interval walking → brisk walking; monitor symptoms 24-hour response

   • Return-to-work or sport plan with pacing rules

4. Re-check milestones

   • Sitting tolerance 30→60 min, walking 10→30 min, sleep quality, leg strength symmetry

   • If regression or red flags occur, re-image or co-manage with neurology/PM&R

When Surgery or Injections Are Considered

• HO compressing the sciatic nerve that fails conservative care (Panagiotopoulos et al., 2008; Issack et al., 2008).

• Large disk herniation with progressive weakness, or cauda equina red flags (StatPearls sciatica review).

• Persistent radicular pain despite comprehensive non-operative care. PMC+2PMC+2

Clinical Perspective from Dr. Alexander Jimenez, DC, APRN, FNP-BC

In clinical practice, Dr. Jimenez emphasizes a whole-person approach for patients who develop sciatica after concussion or head/neck trauma. Care plans typically incorporate cervical and lumbopelvic adjustments, soft-tissue treatment, vestibular/ocular rehabilitation, and graded strength exercises, along with coaching on sleep and anti-inflammatory nutrition—often in coordination with imaging and medical partners when necessary (Jimenez, clinical web/LinkedIn profiles). These observations reflect practice patterns rather than randomized trials and should be integrated with your medical team’s recommendations. PMC

Practical Tips You Can Start Today

• Neutral posture rule: If sitting for more than 20–30 minutes increases symptoms, stand and walk for 2–3 minutes.

• Head first: Treat the neck and visual/vestibular issues early to reduce downstream lumbar strain.

• Gentle nerve sliders: Only when the leg isn’t highly irritable; stop if tingling grows.

• Anti-inflammatory basics: Fish, greens, berries, olive oil; hydrate; regular sleep.

• Track trends: A simple pain/sleep/activity log helps your team tailor care.

Red Flags—Get Immediate Care

• New or worsening leg weakness, foot drop, or loss of knee/ankle reflexes

• Bowel/bladder changes or saddle numbness

• Fever, unexplained weight loss, cancer history

• Hard mass and progressive hip stiffness after trauma (possible HO) (Cleveland Clinic, n.d.). Cleveland Clinic

References

Davis, D. (2024). Sciatica. StatPearls. National Center for Biotechnology Information. https://www.ncbi.nlm.nih.gov/books/NBK507908/ NCBI

Fidancı, H., et al. (2021). The relationship between nerve conduction studies and neuropathic pain scale in sciatic neuropathy. Journal of Clinical Medicine Research. https://pmc.ncbi.nlm.nih.gov/articles/PMC7783856/ PMC

Hlwatika, P., et al. (2022). Concurrent cranial and cervical spine injuries. SA Journal of Radiology. https://pmc.ncbi.nlm.nih.gov/articles/PMC8991192/ PMC

Issack, P. S., et al. (2008). Sciatic nerve injury associated with acetabular fractures. HSS Journal. https://pmc.ncbi.nlm.nih.gov/articles/PMC2642541/ PMC

Kandel, E. R., et al. (2013). The upper motor neuron syndrome. In Neuroscience (NCBI Bookshelf). https://www.ncbi.nlm.nih.gov/books/NBK10898/ NCBI

Liang, D.-Y., et al. (2017). The chemokine receptor CXCR2 supports nociceptive sensitization after TBI. Journal of Neurotrauma. https://pmc.ncbi.nlm.nih.gov/articles/PMC5593214/ PMC

Paiva, W. S., et al. (2011). Spinal cord injury and its association with blunt head trauma. Spinal Cord. https://pmc.ncbi.nlm.nih.gov/articles/PMC3177586/ PMC

Panagiotopoulos, E. C., et al. (2008). Sciatica due to extrapelvic heterotopic ossification: A case report. International Journal of General Medicine. https://pmc.ncbi.nlm.nih.gov/articles/PMC2556682/ PMC

Pandrich, M. J., et al. (2018). Prevalence of concomitant traumatic cranio-spinal injury. Journal of Clinical Neuroscience. https://pmc.ncbi.nlm.nih.gov/articles/PMC7010651/ PMC

Sahbaie, P., et al. (2019). Mild Traumatic Brain Injury causes nociceptive sensitization via spinal chemokines and 5-HT3. Scientific Reports. https://www.nature.com/articles/s41598-019-55739-x Nature

Widerström-Noga, E., et al. (2016). Subacute pain after TBI is associated with pain catastrophizing and fear of movement. Archives of Physical Medicine and Rehabilitation. https://pmc.ncbi.nlm.nih.gov/articles/PMC4931745/ PMC

Clinical & educational resources provided by the user (contextual perspectives):

• Broadview Health Centre. (n.d.). Back pain and the concussion connection. https://broadviewhealthcentre.com/back-pain-concussion-connection/

• Physio Pretoria. (n.d.). Neck pain after concussion. https://physiopretoria.co.za/pain/neck/concussion

• Ok Precision Chiropractic. (n.d.). Concussions and lower-back pain. https://www.okprecisionchiro.com/concussions-and-lower-back-pain/

• Chiropractic clinic posts on post-concussion care, CSF concepts, and sciatica care: Apex Chiropractic; Zaker Chiropractic; Allied Performance Wellness; Arrowhead Clinic; Calibration Mansfield; Addison Sports Clinic; Pinnacle Health Chiropractic; DrKal; NWHSU news; El Paso Chiropractic (user-provided URLs).

• NIDILRR/VA TBI Model Systems. (2025). Chronic pain and cognition after TBI. https://pmc.ncbi.nlm.nih.gov/articles/PMC12353080/ PMC

• Cleveland Clinic. (n.d.). Heterotopic ossification. https://my.clevelandclinic.org/health/diseases/22596-heterotopic-ossification Cleveland Clinic

Dr. Alexander Jimenez (clinical perspective links):
https://dralexjimenez.com/ | https://www.linkedin.com/in/dralexjimenez/

Video (education):
Sciatica explained (YouTube). https://www.youtube.com/watch?v=iBzwl9h5BUw

General Disclaimer *

The information herein is not intended to replace a one-on-one relationship with a qualified healthcare professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional. Our information scope is limited to chiropractic, musculoskeletal, and physical medicine, as well as wellness, sensitive health issues, and functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from various disciplines. Each specialist is governed by their professional scope of practice and the jurisdiction in which they are licensed to practice. We utilize functional health and wellness protocols to treat and support care for musculoskeletal injuries or disorders. Our videos, posts, topics, subjects, and insights cover clinical matters and issues that directly or indirectly support our clinical scope of practice. Our office has made a reasonable effort to provide supportive citations and to identify relevant research studies that support our posts. We provide copies of supporting research studies upon request to regulatory boards and the public.

We understand that we cover matters that require an additional explanation of how they may assist in a particular care plan or treatment protocol. To discuss the subject matter above further, please contact Dr. Alex Jimenez or us at 915-50-0900.

Dr. Alex Jimenez, DC, MSACP, CCST, IFMCP*, CIFM*, ATN*

Email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

Teaching is a calling—and it’s also a physically demanding job. Long hours on your feet, standing at the board, crouching to help students, carrying books and laptops, rushing between classes, and then sitting for grading and lesson planning can all strain your lower back and hips. Over time, these stresses can irritate the sciatic nerve, leading to sciatica—a pain that can radiate from the lower back into the buttock, thigh, and even the calf or foot.

The good news is that targeted chiropractic care, improved ergonomics, regular movement breaks, and simple exercises can help lower your risk and aid in recovery. Integrative care—combining chiropractic with physical therapy strategies, stress management, and healthy daily habits—often gives teachers the best results (Anchor to Health Chiropractic, 2021; Boyne Ergonomics, n.d.; East Bay Chiropractic, n.d.). In El Paso, Dr. Alexander Jimenez, DC, APRN, FNP-BC, and his team use a dual-scope approach (chiropractic + nurse practitioner) to connect symptoms with root causes, guide imaging when needed, and coordinate treatment and legal documentation for work injuries, personal injuries, sports injuries, and motor vehicle accidents (MVAs) (Jimenez, n.d.).

This guide explains why teachers are at risk, how to recognize sciatica, what chiropractic and integrative care can do to help, and how to set up your classroom and routine to protect your spine.

What Is Sciatica?

Sciatica describes irritation or compression of the sciatic nerve or its roots (usually L4–S3). You may feel:

• Sharp, burning, or shooting pain down one leg

• Numbness or tingling (paresthesia)

• Weakness with lifting the foot or standing from a chair

• Pain that worsens with prolonged sitting or standing, bending, or twisting

Common drivers include disc bulging or herniation, facet irritation, tight hip musculature, or poor lumbopelvic mechanics. Postural strain and repetitive loading—both common in teaching—can make symptoms flare (Scoliosis Center of Utah, n.d.; Active Health & Wellness Center, n.d.).

Why Teachers Are at Higher Risk

Teaching looks simple from the outside; in reality, it’s a full-body job. Several daily demands raise sciatica risk:

1. Prolonged Standing and Walking
   Hall duty, labs, assemblies, and lecturing keep you upright for hours. Static standing loads the lower back and hips. Without micro-breaks, tissues fatigue and joints stiffen (East Bay Chiropractic, n.d.).

2. Prolonged Sitting
   Lesson planning and grading often happen at the computer. Sitting in a flexed posture for an extended period can increase disc pressure and sensitize the nerve roots (Bomberg Chiropractic, n.d.).

3. Awkward Postures
   Bending to help students, leaning over desks, twisting to write on boards, or crouching by low tables all add repetitive strain (Boyne Ergonomics, n.d.).

4. Carrying Loads
   Laptops, stacks of papers, and classroom supplies create asymmetrical loading that can irritate the low back and gluteal muscles.

5. Stress and Time Pressure
   Stress increases muscle tension and pain sensitivity, which can amplify sciatica symptoms (Paragon Chiropractic, n.d.).

6. Mixed Movement Demands
   Teachers often cycle between long-standing and long sitting—the worst of both worlds for the spine if not balanced with targeted movement and support (Anchor to Health Chiropractic, 2021).

Chiropractic Care: How It Helps Teachers With Sciatica

Chiropractic care focuses on joint mechanics, spinal alignment, and the nervous system. For teachers, a plan may include:

1. Spinal and Pelvic Adjustments
   Gentle, precise adjustments aim to restore motion in restricted segments, optimize load sharing, and reduce local inflammation, which can lower nerve irritation and referred pain (Innervate Chiropractic, n.d.; AFCadence, n.d.).

2. Peripheral Joint Care
   The hips, sacroiliac joints, and ankles all contribute to the stability of the lumbar spine. Correcting mechanics below (feet/ankles) and above (hips/thoracic spine) can decrease strain on the low back.

3. Soft-Tissue Techniques
   Myofascial therapy, trigger point work, and guided stretching can help reduce tension in the gluteal and piriformis muscles, which can mimic or exacerbate sciatica (Artisan Chiro Clinic, n.d.).

4. Home Exercise and Mobility Plans
   Your chiropractor can prescribe daily mobility drills, hip and core activation exercises, and nerve-friendly stretching techniques that improve stability and reduce flare-ups (Active Health & Wellness Center, n.d.; Alliance Orthopedics, n.d.).

5. Ergonomic Coaching
   Personalized adjustments to your desk, chair, board height, and classroom layout help maintain healthy posture during teaching and prep (Scoliosis Center of Utah, n.d.; AFCadence, n.d.).

6. Prevention Strategy
   Periodic “tune-ups,” posture refreshers, and load-management teaching help keep symptoms from returning (Anchor to Health Chiropractic, 2021; East Bay Chiropractic, n.d.).

Teacher-specific benefit: Clinics that understand school schedules can plan short, focused visits that fit between classes and after school, while building realistic at-home routines for busy weeks (Total Health Chiropractic, n.d.; East Bay Chiropractic, n.d.).

Integrative Care: Better Together

While adjustments are powerful, teachers often do best with a multimodal plan:

• Physical Therapy Style Exercises
  Hip hinge practice, glute activation exercises (bridges, clams), core endurance training (bird-dogs, plank variations), and graded walking can help reduce strain and support nerve mobility (Alliance Orthopedics, n.d.). A short, teacher-friendly circuit done 4–6 days a week usually works best.

• Mobility + Stretching
  Carefully dosed hamstring, hip flexor, and piriformis stretching can improve comfort and reduce recurrence (Active Health & Wellness Center, n.d.). (Avoid aggressive end-range stretches during acute flares.)

• Movement Snacks
  1–2 minutes every 30–45 minutes: sit-to-stand, wall angels, hip shifts, ankle rocks. These “micro-breaks” lower tissue stress from static postures (Boyne Ergonomics, n.d.).

• Stress Management
  Breathing drills, brief mindfulness exercises, or short walks between classes can help reduce tension and pain sensitivity (Paragon Chiropractic, n.d.).

• Massage Therapy & Acupuncture
  These modalities can decrease muscle guarding and help calm nerve-related pain—especially when combined with alignment care and exercise (Jimenez, n.d.).

• Education & Load Management
  Learning safe bending, lifting, and carrying strategies for classroom tasks can prevent repetitive strain (Artisan Chiro Clinic, n.d.).

The Classroom & Desk Setup: Fast Wins

Board/Teaching Station

• Set the writing zone on the board at eye level to avoid repeated lumbar extension or twisting.

• Use a mobile board or projector to face students without rotating your spine for long periods.

Teacher Desk

• Chair: adjustable height to keep hips slightly above knees; backrest supports the natural lumbar curve.

• Desk height: forearms parallel to the floor when typing.

• Monitor: top third of screen at or slightly below eye level; screen at arm’s length.

• Keyboard/Mouse: keep elbows near sides; avoid reaching and shrugging.

• Foot support: If your feet dangle, use a footrest to maintain pelvic neutrality.

Classroom Flow

• Place frequently used items within arm’s reach to reduce the need for twisting.

• Use wheeled carts for heavy loads.

• Alternate tasks: rotate standing, walking, and sitting across the period (Boyne Ergonomics, n.d.).

Break Rules

• 30–45 minute rule: change position—even briefly—at least every 30–45 minutes (Bomberg Chiropractic, n.d.).

• Micro-drills: 10 wall slides, 10 hip hinges, 5 controlled squats, 30-second brisk walk down the hall.

• Standing cues: Distribute weight evenly, soften your knees, and stack your ribcage over your pelvis.

A 10-Minute Teacher Routine (Daily)

Always adapt to your comfort and provider guidance. Stop if pain worsens.

1. Cat-Camel (1 minute) – gentle spinal mobility.

2. Hip Hinge Practice (1 minute) – hands on hips; hinge at hips, neutral spine.

3. Glute Bridges (2 minutes) – 2 sets of 10–12.

4. Bird-Dog (2 minutes) – 2 sets of 6–8 per side, slow.

5. Standing Figure-4 Stretch (2 minutes) – light stretch for glutes/piriformis.

6. Nerve-Friendly Hamstring Floss (1–2 minutes) – small, comfortable range (Active Health & Wellness Center, n.d.; Top 5 Core Exercises, 2020).

On heavier teaching days, add 5 minutes of brisk walking at lunch or after school.

How Dr. Alex Jimenez’s Dual-Scope Approach Supports Teachers (El Paso)

Clinical correlation & root-cause mapping
Dr. Jimenez’s team connects your pain pattern with specific tasks (such as board writing, grading posture, and floor work) and movement findings (including hip control and trunk endurance). This helps match care to your teaching reality (Jimenez, n.d.).

Dual-scope diagnosis
As a chiropractor and nurse practitioner (DC, APRN, FNP-BC), Dr. Jimenez can evaluate neuromusculoskeletal causes, screen red flags, integrate medical considerations (e.g., medication effects, comorbidities), and coordinate care plans that include conservative care and medical referrals as needed (Jimenez, n.d.).

Advanced imaging when appropriate
If symptoms suggest a disc herniation, stenosis, or atypical pattern, the clinic coordinates advanced imaging (e.g., MRI) and reviews results in plain language. Imaging is used to guide, not replace, a functional exam (Jimenez, n.d.).

Integrated treatment
Care plans may combine spinal adjustments, soft-tissue therapy, exercise therapy, massage, acupuncture, and ergonomic coaching. For teachers injured in MVAs or workplace incidents, the clinic also assists with legal documentation, timelines, and interprofessional communication (Jimenez, n.d.).

Return-to-teach strategy
Plans are in place for school calendars, featuring short visits, home routines, and classroom-friendly movement snacks. Prevention steps are built in—so gains last.

Sample 6-Week Roadmap (Teacher Edition)

Weeks 0–2: Calm & Align

• Reduce painful loading (limit long static sitting/standing).

• Chiropractic adjustments to restore spinal/pelvic motion.

• Gentle mobility and core activation; posture cues in class.

• Pain-tolerant walking and short heat/ice as advised (Anchor to Health Chiropractic, 2021; Active Health & Wellness Center, n.d.).

Weeks 3–4: Rebuild & Balance

• Progress core endurance (bird-dog, side bridge regressions).

• Hip strength (glute bridges, clamshells, step-ups).

• Ergonomic fine-tuning of desk/board; scheduled movement breaks.

• Soft-tissue work for gluteal and piriformis tension.

Weeks 5–6: Resilience & Prevention

• Lift mechanics (hip hinge, box lift practice).

• Graded standing tolerance (alternate stances, footrests).

• “Teacher circuit” 10–15 minutes daily; weekly check-ins or tune-ups.

• Stress-reduction micro-routines between periods (Paragon Chiropractic, n.d.).

Red Flags: When to Seek Immediate Care

• Progressive leg weakness or foot drop

• New bowel or bladder changes

• Fever, unexplained weight loss, or a history of cancer

• Severe night pain unrelieved by rest

If these occur, seek urgent medical evaluation.

Frequently Asked Questions

1) Do I have to stop teaching to get better?
Usually not. With load management, movement snacks, and an individualized plan, most teachers can keep working while they heal (East Bay Chiropractic, n.d.; Total Health Chiropractic, n.d.).

2) Will adjustments hurt?
Most adjustments are gentle and feel relieving. Your chiropractor will match techniques to your comfort and presentation (Innervate Chiropractic, n.d.).

3) Are stretches enough?
Stretches help, but the best results come from combining mobility, strength, posture coaching, and ergonomics (Active Health & Wellness Center, n.d.; Alliance Orthopedics, n.d.).

4) What if my pain keeps returning?
Recurring sciatica often reflects unaddressed daily factors—such as desk height, board placement, load carriage, or stress. A targeted prevention plan, combined with periodic tune-ups, is key (Scoliosis Center of Utah, n.d.; AFCadence, n.d.).

Quick Teacher Checklist

• □ Board at shoulder-to-eye level

• □ Adjustable chair; hips slightly above knees

• □ Screen at arm’s length; top third near eye level

• □ Keyboard/mouse close; elbows by sides

• □ Movement snack every 30–45 minutes

• □ Short daily core/hip routine (10 minutes)

• □ Balanced bag or wheeled cart for supplies

• □ Stress-calming breath break 2–3×/day

Putting It All Together

Teachers face a perfect storm of risk factors for sciatica, including prolonged sitting, awkward postures, and time pressure. Chiropractic care can reduce nerve irritation and improve alignment. When you pair adjustments with smart ergonomics, targeted exercise, stress management, and regular movement breaks, you build a classroom routine that protects your back and your career. In El Paso, Dr. Alex Jimenez’s dual-scope clinic integrates chiropractic, nurse practitioner assessment, advanced imaging when indicated, and complementary therapies—plus the documentation support teachers may need after workplace incidents or MVAs—so you can teach with confidence and less pain (Jimenez, n.d.).

Understanding Academic Low Back Pain: Impact and Chiropractic Solutions

References

Anchor Health Chiropractic. (2021, August 20). How chiropractic care can help teachers. Anchor Health Chiropractic. (anchortohealth.com)

Bomberg Chiropractic. (n.d.). Sedentary job? Here’s how to keep your body healthy while you sit. Bomberg Chiropractic. (bombergchiropractic.com)

Boyne Ergonomics. (2025, September 14). Reducing classroom risk among teachers. Boyne Ergonomics. (Boyne Ergonomics)

East Bay Chiropractic (M. Marmorale, DC). (2023, December 28). Benefits of chiropractic care for teachers. East Bay Chiropractic. (East Bay Chiropractic Wellness P.C.)

Scoliosis Center of Utah (K. Dean, DC). (2025, May 13). How posture and sciatica are connected: A comprehensive guide to relief. Scoliosis Center of Utah. (scoliosiscenterofutah.com)

Tone and Tighten. (n.d.). Top 5 core exercises for sciatica pain relief [Video]. YouTube. (YouTube)

Active Health Center. (2024, September 9). Sciatica and chiropractic care: Natural solutions for nerve pain. Active Health Center.

Paragon Chiropractic and Wellness Center. (n.d.). What lifestyle changes are most effective in preventing sciatica?. Paragon Chiropractic. (Paragon Chiropractic & Wellness Center)

Innervate Chiropractic. (2024, July 31). The top 10 benefits of chiropractic care for teachers: A detailed guide. Innervate Chiropractic. (Innervate Chiropractic)

Abundant Life Chiropractic Health Center. (2025, August 11). Back-to-school spine health: Understanding sciatica and how to prevent it. Abundant Life Chiropractic. (Abundant Life Chiropractic Health Center)

Alliance Orthopedics. (n.d.). Do I need a chiropractor or physical therapy for sciatica relief?. Alliance Orthopedics. (Alliance Orthopedics)

Total Health Chiropractic. (2021, July 10). Can chiropractic care help teachers?. Total Health Chiropractic. (Total Health Chiropractic)

Cadence Chiropractic. (2025). Chiropractor-recommended exercises for sciatica relief. Cadence Chiropractic. (afcadence.com)

Artisan Chiropractic Clinic. (n.d.). Managing sciatica pain: Chiropractic approaches to consider. Artisan Chiropractic Clinic. (artisanchiroclinic.com)

Jimenez, A. (2025, April 17). El Paso, TX doctor of chiropractic. Injury Medical & Chiropractic Center. (El Paso, TX Doctor Of Chiropractic)

Jimenez, A. (2025, September 17). Chiropractic care for healing from chronic inflammation. Injury Medical & Chiropractic Center. (El Paso, TX Doctor Of Chiropractic)

Jimenez, A. (2025, September 24). Chiropractic and integrative care for drivers in El Paso. Injury Medical & Chiropractic Center. (El Paso, TX Doctor Of Chiropractic)

Jimenez, A. (2025, September). Safe chiropractic care in El Paso: What to expect. Injury Medical & Chiropractic Center. (El Paso, TX Doctor Of Chiropractic)

General Disclaimer *

The information herein is not intended to replace a one-on-one relationship with a qualified healthcare professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional. Our information scope is limited to chiropractic, musculoskeletal, and physical medicine, as well as wellness, sensitive health issues, and functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from various disciplines. Each specialist is governed by their professional scope of practice and the jurisdiction in which they are licensed to practice. We utilize functional health and wellness protocols to treat and support care for injuries or disorders affecting the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters and issues that relate to and directly or indirectly support our clinical scope of practice. Our office has made a reasonable attempt to provide supportive citations and identified relevant research studies that support our posts. We provide copies of supporting research studies upon request to regulatory boards and the public.

We understand that we cover matters that require an additional explanation of how they may assist in a particular care plan or treatment protocol. To discuss the subject matter above further, please contact Dr. Alex Jimenez or us at 915-50-0900.

Dr. Alex Jimenez, DC, MSACP, CCST, IFMCP*, CIFM*, ATN*

Email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

Sports injuries and sciatica can disrupt your life. Uncover how chiropractic care can aid in your recovery and well-being.

Introduction

Sciatica pain can feel like an uninvited guest who overstays their welcome, zapping your energy and making every step a challenge. Imagine trying to enjoy a sunny day in El Paso, Texas, but instead, you’re wincing with every move because of a sharp, shooting pain down your leg. Whether you’re an athlete sidelined by a sports injury, a desk warrior battling the effects of a sedentary lifestyle, or someone recovering from a personal injury like a car accident, sciatica can turn your daily routine into a painful ordeal. But here’s the good news: chiropractic care, combined with non-surgical treatments, offers a beacon of hope to kick that pain to the curb. Led by experts like Dr. Alexander Jimenez, DC, APRN, FNP-BC, in El Paso, chiropractic care provides a holistic, evidence-based approach to relieve sciatica and restore your quality of life.

In this comprehensive guide (we’re talking over 5,000 words of pure knowledge!), we’ll dive into the nitty-gritty of sciatica—what it is, why it happens, and how it ties into your musculoskeletal system, especially when sports injuries or personal injuries come into play. We’ll explore how chiropractic care, backed by advanced diagnostics and non-surgical treatments, can reduce sciatica pain and its overlapping symptoms. Plus, we’ll share practical tips from Dr. Jimenez’s clinical insights to help you make small changes to your routine for lasting relief. And because we know pain is no laughing matter, we’ll sprinkle in a bit of humor to keep things light—like imagining your sciatic nerve as a grumpy electrician sending out distress signals. Let’s get started and help you say goodbye to sciatica pain!

What Is Sciatica and Why Does It Hurt So Much?

Sciatica isn’t just a fancy term for back pain; it’s a specific condition caused by irritation or compression of the sciatic nerve, the longest nerve in your body. This nerve runs from your lower back, through your hips and buttocks, and down each leg. When it’s pinched or inflamed, it sends out signals that can feel like a bolt of lightning zapping through your leg. Symptoms vary but often include:

• Sharp, shooting pain that radiates from the lower back to the foot.
• Numbness or tingling in the leg or foot, like pins and needles on steroids.
• Weakness in the leg, making it hard to move or stand.
• Burning sensation that feels like your leg is auditioning for a spicy food commercial.

Sciatica is more common than you might think, affecting over 3 million people annually in the United States (El Paso Back Clinic, 2018). It typically strikes folks between 30 and 50 years old, but anyone can fall victim if the conditions are right. The pain can range from a mild annoyance to a debilitating force that makes you want to trade your active lifestyle for a permanent spot on the couch.

Causes of Sciatica: The Usual Suspects

Sciatica isn’t a condition that shows up out of nowhere—it’s usually triggered by something pressing on or irritating the sciatic nerve. Here are the main culprits:

1. Herniated or Bulging Discs: The spinal discs act like cushions between your vertebrae, but when they bulge or herniate, they can press on the sciatic nerve roots in the lumbar spine, causing pain. Think of it like a jelly donut squishing out its filling and pinching a nerve in the process.
2. Piriformis Syndrome: The piriformis muscle, a small muscle in your buttocks, can sometimes cramp or spasm, squeezing the sciatic nerve that runs beneath it. This is a common cause of “nondiscogenic” sciatica (Boyajian-O’Neill et al., 2008).
3. Spinal Stenosis: This is when the spinal canal narrows, putting pressure on the nerves, including the sciatic nerve. It’s like trying to squeeze through a crowded hallway with no room to move.
4. Spondylolisthesis: When a vertebra slips out of alignment, it can compress the sciatic nerve, leading to pain and discomfort.
5. Sports Injuries: Athletes, especially those in high-impact sports like football, basketball, or running, can injure their lower back or pelvis, leading to sciatica. A broken pelvis, for example, can misalign the spine or pelvis, irritating the sciatic nerve (El Paso Back Clinic, n.d.-a).
6. Non-Spinal Causes: Things like pregnancy, obesity, or even sitting on a thick wallet (yep, “wallet sciatica” is a real thing!) can irritate the sciatic nerve (Hicks et al., 2021).

Sports Injuries and Sciatica: A Painful Connection

Sports injuries are a significant contributor to sciatica, especially for active folks in El Paso who love their outdoor adventures or competitive sports. High-impact activities can strain the musculoskeletal system, leading to issues like:

• Pelvic Fractures: A broken pelvis, as noted in cases treated at El Paso Back Clinic, can disrupt the alignment of the spine and pelvis, putting pressure on the sciatic nerve (El Paso Back Clinic, n.d.-a). Imagine your pelvis as the foundation of a house—if it’s cracked, the whole structure feels off.
• Muscle Strains: Overuse or sudden movements in sports like soccer or tennis can strain the piriformis or other gluteal muscles, leading to nerve compression.
• Disc Injuries: Repetitive stress from activities like weightlifting or gymnastics can cause disc herniations, a leading cause of sciatica.

These injuries disrupt the musculoskeletal system’s balance, which includes bones, muscles, ligaments, and tendons working together to keep you moving. When one part is injured, it can throw everything out of whack, leading to nerve irritation and sciatica pain.

References:

• El Paso Back Clinic. (n.d.-a). Low back pain & sciatica caused by a broken pelvis. https://elpasobackclinic.com/low-back-pain-sciatica-caused-broken-pelvis/
• Boyajian-O’Neill, L. A., et al. (2008). Piriformis syndrome: A cause of nondiscogenic sciatica. Current Sports Medicine Reports, 7(5), 278–283. https://pubmed.ncbi.nlm.nih.gov/18772682/
• Hicks, B. L., et al. (2021). Extra-spinal sciatica and sciatica mimics: A scoping review. The Korean Journal of Pain, 34(3), 305–317. https://pubmed.ncbi.nlm.nih.gov/34289262/
• El Paso Back Clinic. (2018). Sciatica pain treatment in El Paso, TX, chiropractic care | Video. https://elpasobackclinic.com/sciatica-pain-treatment-el-paso-tx-chiropractor-dr-alex-jimenez/

The Musculoskeletal System: The Body’s Framework

Your musculoskeletal system is like the scaffolding of a building—it provides structure, support, and the ability to move. It includes:

• Bones: The framework that holds you upright.
• Muscles: The engines that power movement.
• Ligaments and Tendons: The connectors that keep everything in place.
• Joints: The hinges that allow flexibility.

When sciatica strikes, it’s often because something in this system is out of alignment or injured. For example, a herniated disc can press on nerve roots, or a tight piriformis muscle can pinch the sciatic nerve. Sports injuries, like a broken pelvis or a strained muscle, can disrupt this delicate balance, leading to pain that radiates down the leg.

General Disclaimer *

The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

Uncover the benefits of chiropractic care for better spinal health and sciatica pain management strategies with various poses.

Introduction

Sciatica pain can feel like an uninvited guest who overstays their welcome, radiating discomfort from your lower back down to your legs, making even simple tasks like sitting or walking feel like a Herculean effort. If you have ever experienced a sharp, shooting pain or that annoying tingling sensation, you know it is no laughing matter—though we will sprinkle in a small quantity of humor to keep things light. This blog post explores the clinical rationale behind why chiropractic care can be a game-changer for reducing sciatica pain associated with low back pain. We will explore the musculoskeletal system’s role, how sciatica impacts daily life, and why Dr. Alexander Jimenez, a distinguished chiropractor in El Paso, TX, is a go-to expert for personal injury cases. We will also weave in evidence-based insights, some yoga-inspired poses, and a touch of wit to make this journey through sciatica both informative and engaging.

What Is Sciatica, and Why Does It Hurt So Much?

Sciatica is not a condition but a symptom of an underlying issue affecting the sciatic nerve, the longest nerve in the human body, stretching from the lower back through the hips, past the buttocks, and down each leg. When this nerve gets irritated or compressed, it can cause pain, numbness, tingling, or weakness, typically radiating from the lower back to the leg or foot. Imagine your sciatic nerve as a superhighway for signals between your brain and legs—when there is a traffic jam (compression), chaos ensues, and your body lets you know with a vengeance.

The pain can range from a mild, irritating ache to a sharp, electric-shock-like sensation. For some, it is like a cranky pirate jabbing you with a dull sword; for others, it is a constant burning that makes you want to negotiate a truce with your own body. Sciatica often stems from conditions like a herniated disc, spinal stenosis, piriformis syndrome, or even pregnancy, which can press on the nerve roots or the sciatic nerve itself (Fernandez et al., 2016).

The Musculoskeletal System and the Sciatic Nerve

The musculoskeletal system—your body’s framework of bones, muscles, ligaments, and tendons—plays a starring role in sciatica. The sciatic nerve exits through the spine through the lumbar and sacral regions, passing through or near muscles like the piriformis in the buttocks. When the spine is misaligned (a subluxation), a disc bulges, or a muscle tightens excessively, it can pinch and entrap the sciatic nerve, leading to pain and dysfunction. For example, a herniated disc might act like a bully, shoving the nerve against nearby structures, while a tight piriformis muscle can squeeze the nerve like an overzealous hug.

This disruption affects not just the nerve but also the surrounding muscles and joints, leading to compensatory movements that can worsen pain or cause additional strain. For instance, if your lower back is out of alignment, you might limp or shift your weight, which throws off your posture and stresses other parts of your body, like a domino effect in a poorly planned game of Jenga.

How Sciatica Impacts Daily Life

Sciatica can turn routine activities into Olympic-level challenges. Sitting for long periods, like during a Netflix binge or a work-from-home marathon, can intensify the pain. Standing up might feel like you are auditioning for a role as a wobbly giraffe. Walking, bending, or even sneezing can trigger a flare-up, leaving you feeling like you have angered an invisible sciatic gremlin. According to a systematic review, sciatica affects 2-5% of the general population, with up to 43% prevalence in certain working groups, significantly impacting productivity and quality of life (Ropper & Zafonte, 2015).

The emotional toll is no joke either. Chronic pain can lead to various emotions of frustration, anxiety, or even depression, especially when it lingers beyond the typical two-week recovery period, as seen in about 30% of cases (Ropper & Zafonte, 2015). Missing out on family outings, struggling at work, or avoiding hobbies can make you feel like sciatica is stealing your joy faster than a seagull snatching your beachside fries.

References

• Fernandez, M., Hartvigsen, J., Ferreira, M. L., Refshauge, K. M., Machado, A. F., Lemes, Í. R., Maher, C. G., & Ferreira, P. H. (2016). Advice to stay active or structured exercise in the management of sciatica: A systematic review and meta-analysis. Spine, 41(18), 1457-1466. https://pubmed.ncbi.nlm.nih.gov/26926164/
• Ropper, A. H., & Zafonte, R. D. (2015). Sciatica. New England Journal of Medicine, 372(13), 1240-1248. https://pubmed.ncbi.nlm.nih.gov/25806916/

Why Chiropractic Care? The Clinical Rationale

Chiropractic care, particularly as practiced by experts like Dr. Alexander Jimenez, DC, APRN, FNP-BC, offers a non-invasive, evidence-based approach to managing sciatica pain. Unlike popping painkillers like candy (which only mask the problem and come with side effects), chiropractic care targets the root cause—whether it is a misaligned spine, a herniated disc, or muscle tension. Here is why it works, backed by clinical insights and a sprinkle of humor to keep you from dozing off.

Restoring Spinal Alignment

Chiropractic adjustments focus on correcting spinal misalignments (subluxations) that may compress the sciatic nerve or its roots. By using precise, controlled force, chiropractors like Dr. Jimenez realign the spine, reducing pressure on the nerve and restoring proper function. Think of it like untangling a knot in your earbuds—once the kink is gone, the music (or in this case, nerve signals) flows smoothly again. A 2020 study found that spinal manipulative therapy can significantly reduce chronic pain and disability in patients with chronic low back pain, which often accompanies sciatica (Rubinstein et al., 2020).

Reducing Inflammation and Muscle Tension

Sciatica often comes with inflammation and muscle spasms, like your body’s attempt to throw a tantrum. Chiropractic care incorporates techniques like deep-tissue massage and trigger point therapy to relax tight muscles, such as the piriformis, which can compress the sciatic nerve. Dr. Jimenez’s integrative approach also includes lifestyle and nutritional counseling to reduce systemic inflammation, helping your body calm down without resorting to a pharmacy’s worth of drugs (Jimenez, 2024).

General Disclaimer *

The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

Car accidents can cause more than just bruises or broken bones. Even a minor collision can lead to serious damage inside the body, especially in the back and spine. One of the most painful and long-lasting conditions people may experience after an accident is sciatica.

Sciatica is a condition in which the sciatic nerve—the largest nerve in the body—becomes pinched or inflamed. This nerve originates from the lower back and extends down through the hips, buttocks, and legs. After a crash, the force can cause a herniated disc, spinal misalignment, or inflammation, which puts pressure on this nerve, causing sharp pain, numbness, or tingling that radiates down the leg.

Research confirms that motor vehicle accidents (MVAs) are a common cause of sciatica due to the high impact they create on the spine and surrounding structures. If left untreated, sciatica can lead to long-term disability and chronic pain (Portland Urgent Care, n.d.).

A team-based approach to care—combining chiropractic therapy and nurse practitioner management—can be a game changer. Chiropractors focus on restoring spinal alignment and reducing pressure on nerves, while nurse practitioners manage pain, order diagnostic tests, and coordinate care. Working together, they provide a complete and personalized recovery plan for people dealing with sciatica after a car crash. In this article, we’ll explore:

• How MVAs cause sciatica

• What symptoms to watch for

• How chiropractic and integrative medicine can help

• The role of nurse practitioners

• Why Dr. Alexander Jimenez’s dual-scope care in El Paso is uniquely effective

Let’s dive into the details of this powerful healthcare partnership.

Versus Texas, n.d.

How Motor Vehicle Accidents Cause Sciatica

A car crash may only last a few seconds, but the damage it causes can last for months—or even years. When the body is jolted during a collision, especially from behind (as in a rear-end accident), it can cause sudden movement of the spine. This often results in spinal misalignments, herniated discs, or joint inflammation, all of which can press on the sciatic nerve and trigger intense pain.

Common Spinal Injuries Leading to Sciatica After a Crash:

• Herniated or Bulging Discs: The jelly-like cushions between the bones of the spine can rupture or slip out of place. This can pinch or compress the sciatic nerve.

• Spinal Misalignment: Even a slight shift in the vertebrae can cause nerve irritation or swelling around the sciatic nerve.

• Pelvic or Lower Back Trauma: Any impact to the pelvis or sacroiliac joint can put extra stress on the sciatic nerve’s pathway.

After a motor vehicle accident, some injuries exhibit symptoms immediately. Others develop more slowly, especially those involving nerve compression. People may not notice sciatica until days or even weeks later, when they begin to feel tingling, burning, or shooting pain down one leg. This is why early assessment by a chiropractor or nurse practitioner is so important (Team Allied, n.d.).

Symptoms of Post-Accident Sciatica

• Sharp, burning, or stabbing pain in the lower back or buttocks

• Pain radiating down the back of one leg.

• Numbness, tingling, or weakness in the leg or foot

• Increased pain with sitting, standing, or certain movements

• Limited mobility or inability to walk comfortably

If any of these symptoms appear after a car accident, it’s critical to seek medical attention right away to avoid long-term damage. Chiropractic care and integrative health management can help reduce inflammation, restore mobility, and support the body's natural healing process.

HM Attorneys, n.d.

The Role of Chiropractic Care in Treating Sciatica

Chiropractic care focuses on the musculoskeletal system, especially the spine and nervous system. When someone experiences sciatica after a car accident, chiropractors aim to relieve pressure on the sciatic nerve by correcting spinal misalignments, improving posture, and restoring natural movement.

How Chiropractors Help with Sciatica:

1. Spinal Adjustments
   These hands-on manipulations help realign the vertebrae. When the spine is properly aligned, the pressure on the sciatic nerve can be reduced, easing pain and inflammation.

2. Spinal Decompression Therapy
   This non-surgical treatment gently stretches the spine to create space between vertebrae. It’s often used to relieve pressure caused by herniated or bulging discs, a common cause of sciatica after accidents (OC Spinal Care, n.d.).

3. Therapeutic Exercises and Posture Correction
   Chiropractors often teach stretching and strengthening exercises to reduce pressure on the lower back and improve muscle support. Correcting posture also helps prevent future flare-ups.

4. Soft Tissue Therapy
   Massage techniques and myofascial release help relieve muscle tension around the sciatic nerve and reduce inflammation caused by trauma.

According to The Neck and Back Clinics, integrating chiropractic care after an auto accident can improve patient outcomes by accelerating recovery and helping prevent further injury. Chiropractors assess the entire body to identify imbalances, rather than just treating pain symptoms. (The Neck and Back Clinics, n.d.).

Why It Matters After a Car Accident:

• Reduces pain without medication

• Restores function naturally

• Prevents long-term damage

• Improves nerve communication and body healing

Chiropractic care is most effective when started early after an accident. It's also especially powerful when combined with support from a nurse practitioner and an integrative care team.

Charleston Chiro Studio, n.d.

The Nurse Practitioner’s Role in Sciatica Care After a Car Accident

While chiropractors focus on spinal alignment and nerve function, nurse practitioners (NPs) play a crucial role in addressing the overall medical needs of patients with post-accident sciatica. Their advanced training enables them to evaluate injuries, prescribe treatments, and coordinate care with other specialists to ensure patients receive well-rounded, timely support.

What Nurse Practitioners Do for MVA-Related Sciatica:

1. Comprehensive Medical Evaluation
   NPs take a detailed history, perform physical examinations, and assess neurological symptoms, such as weakness or numbness. They evaluate not only the back injury but also check for other trauma sustained in the crash.

2. Ordering Diagnostic Imaging
   To properly assess damage to the spine or discs, NPs can order X-rays, MRIs, or CT scans. These images help pinpoint nerve compression or disc herniation contributing to sciatica.

3. Pain Management
   Nurse practitioners can prescribe anti-inflammatories, muscle relaxants, or pain relievers. They also use non-drug techniques, such as heat, cold, or physical therapy referrals. Their approach balances relief with safety, especially for patients who want to avoid long-term medication use.

4. Coordinating Specialist Referrals
   If a case is complex, NPs help connect patients to orthopedic surgeons, neurologists, or physical therapists. They often act as the care manager, making sure everyone is working together on the patient’s recovery plan.

5. Supporting Lifestyle and Nutrition
   Nurse practitioners often recommend changes in diet, supplements, hydration, and sleep to promote nerve healing. These supportive strategies are vital for long-term improvement.

As described by the Physicians Group, nurse practitioners are essential in helping auto-injury patients avoid complications by managing symptoms early, reducing the risk of chronic pain, and improving overall outcomes. (Physicians Group LLC, n.d.).

Why Integrating Nurse Practitioners Improves Outcomes:

• Medical oversight of complex symptoms

• Timely diagnosis through imaging

• Safer and more personalized treatment

• Seamless coordination with chiropractic care

Together, chiropractors and NPs form a comprehensive team that covers every aspect of healing, from spinal adjustments to medical diagnostics and pain control.

LinkedIn: Dr. Alexander Jimenez, n.d.

Dual-Scope Healing: Dr. Alexander Jimenez’s Approach to Sciatica and Injury Recovery

In El Paso, Dr. Alexander Jimenez stands out as a healthcare provider who bridges the gap between chiropractic care and medical management. As a Doctor of Chiropractic (DC) and Advanced Practice Registered Nurse (APRN, FNP-BC), he provides a unique “dual-scope” approach that benefits patients recovering from motor vehicle accidents, especially those with sciatica.

Dr. Jimenez’s approach doesn’t just treat the pain—it addresses the cause, manages the full picture of injury, and prepares documentation for legal claims when needed.

Why Dr. Jimenez’s Dual Role Matters:

1. Chiropractic Precision + Medical Oversight
   He combines spinal adjustments with evidence-based medical care to treat the mechanical and neurological aspects of sciatica. His care helps relieve nerve compression while addressing inflammation and tissue damage.

2. Enhanced Imaging and Diagnostics
   Using advanced diagnostic tools, such as MRI and digital motion X-rays, Dr. Jimenez can pinpoint spinal injuries with precision. This is especially helpful for uncovering subtle causes of nerve pain that might otherwise be missed.

3. Integrated Legal-Medical Documentation
   For personal injury cases, accurate records are essential. Dr. Jimenez creates detailed evaluations, injury causation reports, and functional assessments that support patients in both their recovery and legal process.

4. Nutritional and Functional Medicine Support
   Recovery isn’t just about the spine. Dr. Jimenez includes personalized nutrition plans, gut health protocols, and fitness recommendations to reduce inflammation, boost energy, and strengthen recovery from the inside out.

5. Collaboration with Legal Teams
   He understands how to interface with attorneys handling personal injury cases. His reports meet legal standards and support the documentation needed for compensation claims related to pain and suffering, lost work time, or long-term injury.

According to his clinical observations, many post-accident patients suffer from undiagnosed spinal trauma that leads to nerve entrapment and chronic conditions like sciatica. His dual-scope practice fills this gap, offering both chiropractic relief and medical guidance under one roof (Dr. Alexander Jimenez, n.d.).

What Patients Can Expect:

• A full diagnostic workup

• Hands-on chiropractic adjustments

• Nurse practitioner-led care plans.

• Health coaching for long-term healing

• Coordination with legal and insurance needs

Dr. Jimenez’s clinic in El Paso represents the future of integrative post-accident care—efficient, accurate, and deeply supportive for patients in pain who need answers.

LinkedIn: Dr. Jimenez, n.d.

The Benefits of Integrative Medicine for Sciatica After Car Accidents

When it comes to recovering from sciatica caused by a motor vehicle accident, using a combination of therapies—known as integrative medicine—can provide faster, more complete healing. This approach doesn’t rely on just one type of care. Instead, it combines the best of chiropractic treatment, medical support, nutrition, physical therapy, and lifestyle coaching to treat the whole person.

What Is Integrative Medicine?

Integrative medicine focuses on healing the root cause of pain while also improving overall health and function. It often includes:

• Chiropractic adjustments

• Nurse practitioner medical evaluations

• Nutritional therapy

• Physical therapy and movement-based rehab

• Stress management and sleep hygiene

• Functional medicine approaches to inflammation and gut health

This team-based strategy is especially helpful for sciatica, which can involve both mechanical pressure on the nerve and systemic issues, such as inflammation or muscle imbalance.

Benefits of a Whole-Person Approach:

1. Addresses Multiple Causes of Pain
   Nerve pain can be caused by a herniated disc, inflammation, poor posture, or muscle weakness. Integrative care addresses all of these simultaneously.

2. Reduces Reliance on Pain Medications
   Through adjustments, nutrition, decompression, and guided movement, patients can find relief naturally, often avoiding long-term use of prescription drugs.

3. Improves Recovery Speed and Function
   Research indicates that combining chiropractic care with physical therapy and lifestyle coaching facilitates faster recovery, with fewer complications. (Thrive VB, n.d.).

4. Promotes Long-Term Wellness
   Integrative care doesn’t just treat the accident injury—it sets patients up with tools for lifelong health, such as healthy eating, proper posture, and stress reduction.

5. Improves Communication Among Providers
   When chiropractors, nurse practitioners, and health coaches collaborate, patients receive personalized, efficient, and well-coordinated care.

Mission Village Chiropractic emphasizes that this type of care facilitates improved patient education and more effective recovery plans. Chiropractors not only treat pain but also provide coaching on lifestyle changes, posture, and exercise that can prevent future flare-ups. (Mission Village Chiropractic, n.d.).

A Unified Path to Healing

In El Paso and similar communities, dual-scope providers like Dr. Alexander Jimenez are leading the way in this kind of comprehensive, patient-centered care. His clinic combines chiropractic work with nurse practitioner expertise, nutritional coaching, and legal-medical documentation—all under one roof.

When care is coordinated, personalized, and integrative, patients recovering from sciatica after a car accident are more likely to return to their normal lives with less pain and more confidence.

Step-by-Step: What to Do If You Think You Have Sciatica After a Car Accident

If you’ve been in a car accident and start feeling pain in your lower back, buttocks, or leg, it could be a sign of sciatica. Acting quickly can make a big difference in your recovery. Here’s a simple step-by-step guide to help you take the right actions.

1. Pay Attention to Your Symptoms

Look for signs like:

• Sharp or burning pain in the leg

• Numbness or tingling in the foot

• Pain that worsens when sitting or bending

• Weakness in the leg or difficulty walking

If these symptoms show up within days or weeks of your accident, don’t ignore them.

2. See a Dual-Scope Provider

Choose a clinic that offers both chiropractic and nurse practitioner care, like Dr. Alexander Jimenez’s team in El Paso. This allows you to receive spinal assessments, imaging, and medical care all in one place. The team will:

• Perform a physical exam

• Order imaging (like MRI or X-ray)

• Begin pain management and spinal treatments

• Coordinate any additional care you might need

Portland Urgent Care, n.d.

3. Start Chiropractic and Medical Treatment

Early intervention is key. Chiropractors can relieve pressure on the sciatic nerve through gentle adjustments and decompression techniques. Nurse practitioners may prescribe medication or refer you for additional testing or therapies if needed.

OC Spinal Care, n.d.

4. Follow Up with Lifestyle Support

This may include:

• Physical therapy

• Nutritional changes

• Supplements to reduce inflammation

• Posture improvement exercises

• Stress management and sleep tips

A well-rounded care plan enhances healing and helps prevent chronic sciatica from developing.

(Thrive VB, n.d.)

5. Document Everything for Legal Purposes

In personal injury cases, proper documentation is essential. Dr. Jimenez and providers like him supply:

• Medical records

• Injury causation reports

• Functional evaluations

• Legal communication support

This can help protect your rights and ensure that you receive compensation for your injuries and care.

Dr. Alexander Jimenez, n.d.

Conclusion: Finding the Right Care for Sciatica After an Accident

Recovering from a car accident is hard enough—dealing with sciatica makes it even harder. The pain, weakness, and limited movement caused by pressure on the sciatic nerve can interfere with your daily life, job, and overall well-being. But with the right team by your side, healing is not only possible—it’s personalized and powerful.

Why Choose a Dual Chiropractic and Nurse Practitioner Approach?

Sciatica is not just a bone or nerve problem—it’s a complex condition involving spinal misalignment, inflammation, muscle strain, and sometimes systemic imbalances. That’s why combining chiropractic care with nurse practitioner management creates the best outcomes.

Chiropractors address the structure of the spine and relieve pressure on the nerve. Nurse practitioners address the function of the body, order tests, and manage medications or other therapies. Together, they treat the whole person—not just the symptoms.

This approach works best when it’s backed by:

• Advanced diagnostics and imaging

• Hands-on spinal therapy

• Pain management and inflammation control

• Nutritional support and lifestyle coaching

• Detailed documentation for legal and insurance needs

Dr. Alexander Jimenez and his team in El Paso are leaders in this kind of integrated care. With his dual-scope background as both a Doctor of Chiropractic and a Family Nurse Practitioner, Dr. Jimenez brings unmatched depth and expertise to every case, particularly in complex sciatica cases resulting from car accidents.

His clinic provides:

• A one-stop shop for medical and chiropractic care

• Imaging, therapy, and nutritional services

• Legal-medical documentation support

• Personalized recovery plans that treat the root cause

Whether you're experiencing pain now or suspect a hidden injury from a past accident, don’t wait. Early care leads to better outcomes, reduced pain, and a return to the things you love.

Reclaim Your Mobility: Chiropractic Care for Sciatica Recovery

References

• Can a Car Accident Cause Sciatica Pain? (n.d.). Portland Urgent Care.

• Why Spinal Misalignments After an Auto Accident Shouldn't Be Ignored (n.d.). Allied Physical Therapy Wellness.

• Can a Car Accident Cause Sciatica? What to Look For (n.d.). H&M Attorneys.

• How Chiropractic Care May Alleviate Neck and Back Pain from Auto and Work-Related Accidents (n.d.). The Neck and Back Clinics.

• Strategies for Pain Management Following a Motor Vehicle Accident (n.d.). Dr. Alexander Jimenez on LinkedIn.

• The Role of Nurse Practitioners in Managing Auto Injuries (n.d.). Physicians Group.

• Back Pain After a Car Accident in Texas (n.d.). Versus Texas.

• Diagnosis, Chiropractic, and Pain: A Natural Road to Recovery (n.d.). Charleston Chiropractic Studio.

• [How Chiropractors and Physical Therapists Work Together](https://thrivevb.com/how-chiropractors-and-physical-therapists-work-together-for-the-good-of-your-health/#:~:text=By%20combining%20their%20(%20Chiropractors%20and%20physical,diagnosis%20and%20a%20more%20effective%20treatment%20plan) (n.d.). ThriveVB.

• Combining Spinal Decompression with Chiropractic Adjustments: A Comprehensive Approach to Pain Relief (n.d.). OC Spinal Care.

• How Chiropractors Work with Auto Injury Patients (n.d.). Mission Village Chiropractic.

• Clinical Reports and Articles by Dr. Alexander Jimenez (n.d.). Dr. Alexander Jimenez.

• Dr. Alexander Jimenez LinkedIn Profile (n.d.).

General Disclaimer *

The information herein is not intended to replace a one-on-one relationship with a qualified healthcare professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional. Our information scope is limited to chiropractic, musculoskeletal, and physical medicine, as well as wellness, sensitive health issues, and functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from various disciplines. Each specialist is governed by their professional scope of practice and the jurisdiction in which they are licensed to practice. We utilize functional health and wellness protocols to treat and support care for injuries or disorders affecting the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and directly or indirectly support our clinical scope of practice. Our office has made a reasonable attempt to provide supportive citations and identified relevant research studies that support our posts. We provide copies of supporting research studies upon request to regulatory boards and the public.

We understand that we cover matters that require an additional explanation of how they may assist in a particular care plan or treatment protocol. To discuss the subject matter above further, please contact Dr. Alex Jimenez or us at 915-50-0900.

Dr. Alex Jimenez, DC, MSACP, CCST, IFMCP*, CIFM*, ATN*

Email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

Can a paraspinal muscle spasm in the lower back create a chain reaction leading to hamstring spasms and potential sciatic nerve entrapment?

Paraspinal Muscle Spasm Chain Reaction

A paraspinal muscle spasm in the lower back can cause a cascade of events, including: (Cedars-Sinai, 2025)

• Spasms in other lower back muscles
• Hamstring spasms
• Potential entrapment of the sciatic nerve

Leading to symptoms similar to sciatica: 

• Pain
• Sore, achy muscles
• Weak muscles
• Numbness
• Tingling along the back of the leg

Possible Mechanisms

Triggering Muscle Spasms in the Lower Back

• Paraspinal muscles are located along the spine and help to stabilize and support the lower back.
• When these muscles spasm, they can become tense and painful, causing a chain reaction.
• This tension can radiate down and affect other muscles in the lower back. (Noonan A. M., & Brown S. H. M., 2021)

Can Affect Lower Back Muscles and Cause Hamstring Spasms

• Lower back muscles, including those like the quadratus lumborum, can be affected by paraspinal spasms. (Hospital for Special Surgery, 2024)
• The spasms can cause these muscles to tighten or spasm, potentially pulling on the hamstring muscles.
• This can lead to hamstring spasms and tightness, further contributing to pain and potential nerve irritation.

Entrapment of the Sciatic Nerve

• Piriformis syndrome is a common condition where the piriformis muscle (located in the buttock) spasms and compresses the sciatic nerve. (Cedars-Sinai, 2025)
• The sciatic nerve runs from the lower back down the back of the thigh and into the leg, making it vulnerable to compression by surrounding muscles.
• If the paraspinal and hamstring spasms create enough tension on the piriformis muscle or surrounding tissues, it can lead to sciatic nerve entrapment. (Hospital for Special Surgery, 2024)

How acupuncture helps relieve sciatica

Acupuncture can help relieve sciatica pain by stimulating specific points on the body, which can trigger the release of endorphins, reduce inflammation, improve blood flow, and relax tight muscles that could be compressing the sciatic nerve. By modulating the nervous system and promoting the body's natural healing processes, acupuncture can help alleviate pain and improve overall function. (Qin, Z. et al., 2015)

Releases endorphins

• Acupuncture stimulates the nervous system, triggering the release of endorphins, the body's natural painkillers.

Reduces inflammation

• Acupuncture can help reduce inflammation in the area surrounding the sciatic nerve, which can contribute to pain and nerve irritation. (Natural Care Chiropractic, 2022)

Improves circulation

• By increasing blood flow to the affected area, acupuncture can help deliver nutrients and oxygen to the sciatic nerve and surrounding tissues, promoting faster healing.

Relaxes tight muscles

• Sciatica pain can be exacerbated by tight muscles compressing the nerve. Acupuncture can help relax these muscles, reducing pressure on the sciatic nerve and alleviating pain.

Regulates the nervous system

• Acupuncture can help regulate the nervous system, positively impacting pain perception and overall well-being. (Qin, Z. et al., 2015)

Promotes regeneration

• Some evidence suggests that acupuncture can promote sciatic nerve regeneration, potentially leading to long-term pain relief. (Natural Care Chiropractic, 2022)

Needling Types

Distal needling

• Acupuncture can also involve using points that are further away from the site of pain, which can also help to reduce pain and inflammation. 

Local needling

• Points are also selected on or near the sciatic nerve's path, which can help directly address the source of pain and inflammation. (Qin, Z. et al., 2015)

Holistic approach

• Acupuncture is often viewed as a holistic approach to pain management, addressing the symptoms of sciatica and the underlying causes and imbalances in the body.

Injury Medical Chiropractic and Functional Medicine Clinic

As a Family Practice Nurse Practitioner, Dr. Jimenez combines advanced medical expertise with chiropractic care to address various conditions. Our clinic integrates Functional Medicine, Acupuncture, Electro-Acupuncture, and Sports Medicine to create customized care plans that promote natural healing, mobility, and long-term wellness. By focusing on flexibility, agility, and strength, we empower patients to thrive, regardless of age or health challenges. At El Paso’s Chiropractic Rehabilitation Clinic & Integrated Medicine Center, we passionately focus on treating patients after injuries and chronic pain syndromes. We focus on improving your ability through flexibility, mobility, and agility programs tailored for all age groups and disabilities. We use in-person and virtual health coaching and comprehensive care plans to ensure every patient’s personalized care and wellness outcomes.

Chiropractic and Integrative Healthcare

General Disclaimer *

The information herein is not intended to replace a one-on-one relationship with a qualified healthcare professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional. Our information scope is limited to chiropractic, musculoskeletal, and physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from various disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and directly or indirectly support our clinical scope of practice. Our office has reasonably attempted to provide supportive citations and identified the relevant research studies or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request.

We understand that we cover matters that require an additional explanation of how they may assist in a particular care plan or treatment protocol. To discuss the subject matter above further, please contact Dr. Alex Jimenez or us at 915-50-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Cedars Sinai. (2025). Piriformis Syndrome. https://www.cedars-sinai.org/health-library/diseases-and-conditions/p/piriformis-syndrome.html#:~:text=Overview,can%20run%20through%20the%20muscle)

Noonan, A. M., & Brown, S. H. M. (2021). Paraspinal muscle pathophysiology associated with low back pain and spine degenerative disorders. JOR spine, 4(3), e1171. https://doi.org/10.1002/jsp2.1171

Hospital for Special Surgery. (2024). Sciatica. https://www.hss.edu/condition-list_sciatica.asp

Qin, Z., Liu, X., Wu, J., Zhai, Y., & Liu, Z. (2015). Effectiveness of Acupuncture for Treating Sciatica: A Systematic Review and Meta-Analysis. Evidence-based complementary and alternative medicine: eCAM, 2015, 425108. https://doi.org/10.1155/2015/425108

Natural Care Chiropractic, D. M. F. (2022). Acupuncture for Sciatica Pain Relief. https://www.naturalcarechiropractic.com/post/acupuncture-for-sciatica-pain-relief

For individuals experiencing lower back pain and sciatica symptoms, can using a lidocaine patch help?

Lidocaine Patch

Lidocaine patches are in a drug class called local anesthetics (MedlinePlus, 2025) (Food and Drug Administration, 2022). They relieve pain in small body areas by blocking the nerves from sending pain signals. The Food and Drug Administration approved lidocaine 5% or 1.8% patches for relieving postherpetic neuralgia (PHN) pain. These lidocaine patches are prescription-only (Food and Drug Administration, 2022). They are available either by prescription or over the counter and are commonly used for back pain and other areas. Over-the-counter lidocaine, 4% patches, can be used to relieve minor aches and pains, including back pain. However, further research is needed to recommend the use of lidocaine patches as an effective method of pain relief. (Department of Veterans Affairs/Department of Defense, 2022) (North American Spine Society, 2020)

The Patch

They are available in prescription and over-the-counter forms. Over-the-counter forms come as a 4% patch in various brands, such as (MedlinePlus, 2025)

• Aspercreme
• Lidocare
• Salonpas

Prescription-only patches come in 5% or 1.8% patches and are approved to relieve long-term nerve pain from shingles in adults. Zlido is a brand name for a 1.8% lidocaine patch. Five percent lidocaine patches are available generically. (DailyMed, 2018) (Food and Drug Administration, 2021) The safety and effectiveness in children are unknown. (Food and Drug Administration, 2022)

Other Lidocaine Forms

As a local anesthetic, it is available in several other forms, including:

• Spray
• Topical cream
• Lotion
• Liquid
• Ear drops
• Eye gel
• Injection
• It is also available as a short-term intravenous infusion for abnormal heart rhythm. (DailyMed, 2025)

Effectiveness

Clinical trials have shown that the patches effectively relieve chronic low back pain. However, these studies were nonrandomized and did not include a control group to compare against the treatment group. (Santana J. A., Klass S., & Felix E. R. 2020) The results may be subject to potential biases. For this reason, further evidence is needed to support lidocaine patches' effectiveness in reducing low back pain. (North American Spine Society, 2020) High-quality randomized and controlled clinical trials are necessary to study the effectiveness. (North American Spine Society, 2020) (Santana J. A., Klass S., & Felix E. R. 2020)

How to Use Safely

In general, keep the following in mind (MedlinePlus, 2025)

• Use according to the directions on the box and the healthcare provider's recommendations.
• Do not use on broken or inflamed, swollen skin.
• Do not apply heat like heating pads or electric blankets over patches.
• Avoid getting water on or around the patch.
• Avoid letting a patch near your eyes to limit eye irritation.
• Fold the sticky sides of the used lidocaine patches together and safely throw them away, keeping them away from children and pets.

How to use (MedlinePlus, 2025)

• Clean and dry the affected area before placing the patch.
• Apply to the affected body area as directed.
• Wash your hands after touching the patch.
• Remove the patch after what is usually recommended after eight hours.

How Quickly Does It Work?

The amount of medication absorbed into the blood depends on how long the patch is placed on the body and how much is covered with the patch. In a study, healthy participants wore three lidocaine patches on their backs for 12 hours on and 12 hours off during 24 hours. Lidocaine levels were highest at 11 hours. At the end of the 24 hours, there was still some lidocaine left in the bloodstream. (Food and Drug Administration, 2022)

Individuals with PHN may notice a difference in pain intensity after four hours of using the patch. (Rowbotham, M. C. et al., 1996) (Food and Drug Administration, 2022) Experts may suggest using patches for four weeks for those who experience pain after their shingles rash disappears. However, if there is still pain after these four weeks, it is recommended to see a pain specialist. (Gross, G. E. et al., 2020)

Side Effects

Common side effects are typically mild skin reactions where the patch is. These reactions are usually temporary and will disappear within a few minutes or hours. Examples include: (Food and Drug Administration, 2022)

• Irritation
• Itchiness
• Abnormal or burning sensation
• Redness
• Swelling
• Blisters
• Bruises
• Skin bumps
• Skin color changes
• Skin peeling

Potentially serious side effects include: (Food and Drug Administration, 2022)

Serious Allergic Reaction

• Severe allergic reactions are rare, but it is possible.
• Symptoms include breathing problems, itchiness, and rash.

Methemoglobinemia

• Methemoglobinemia is a condition that makes it hard for red blood cells to carry oxygen.
• Individuals may experience symptoms of blue-looking skin, headache, lightheadedness, shortness of breath, abnormal heart rhythm, or seizures.

Using too many lidocaine patches to cover large parts of the body or using the patches longer than 12 hours within 24 hours may cause side effects that may include heart-related effects, such as a slow heart rate and low blood pressure. Individuals may also experience the following side effects (Food and Drug Administration, 2022)

• Hot or cold sensation
• Numbness
• Dizziness
• Ringing ears
• Lightheadedness
• Mood changes
• Drowsiness to unconsciousness
• Vision changes
• Seizures
• Tremors
• Vomiting

Injury Medical Chiropractic & Functional Medicine Clinic

Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to develop an optimal health and wellness solution. We focus on what works for you to relieve pain, restore function, and prevent injury. Regarding musculoskeletal pain, specialists like chiropractors, acupuncturists, and massage therapists can help mitigate the pain through spinal adjustments that help the body realign itself. They can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal issues.

Sciatica Causes and Treatments

General Disclaimer *

The information herein is not intended to replace a one-on-one relationship with a qualified healthcare professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional.  Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from various disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and directly or indirectly support our clinical scope of practice. Our office has reasonably attempted to provide supportive citations and identified the relevant research studies or studies supporting our posts.  We provide copies of supporting research studies that are available to regulatory boards and the public upon request.

We understand that we cover matters that require an additional explanation of how they may assist in a particular care plan or treatment protocol. To discuss the subject matter above further, please contact Dr. Alex Jimenez or us at 915-50-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

National Library of Medicine. MedlinePlus. (2025). Lidocaine transdermal patch. Retrieved from https://medlineplus.gov/druginfo/meds/a603026.html

Food and Drug Administration. (2022). Lidoderm label. Retrieved from https://www.accessdata.fda.gov/spl/data/eedfe43b-1019-19a0-e053-2995a90a7696/eedfe43b-1019-19a0-e053-2995a90a7696.xml

Department of Veterans Affairs/Department of Defense. (2022). VA/DoD clinical practice guideline for the diagnosis and treatment of low back pain. Retrieved from https://www.healthquality.va.gov/guidelines/Pain/lbp/VADoDLBPCPGFinal508.pdf

North American Spine Society. (2020). Evidence-based clinical guidelines for multidisciplinary spine care: diagnosis and treatment of low back pain. https://www.spine.org/Portals/0/assets/downloads/ResearchClinicalCare/Guidelines/LowBackPain.pdf

National Library of Medicine. DailyMed. (2018). Label: lidocaine patch. Retrieved from https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=5c66f3b9-6e04-47ab-8d94-21e89ceec154

Food and Drug Administration. (2021). Ztlido label. Retrieved from https://www.ztlido.com/wp-content/uploads/2022/12/ZTlido-LABEL.pdf

National Library of Medicine. DailyMed. (2025). Lidocaine-lidocaine hydrochloride injection, solution. Retrieved from https://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=f1b26274-a55e-4321-b96c-ce0df830f205

Santana, J. A., Klass, S., & Felix, E. R. (2020). The Efficacy, Effectiveness and Safety of 5% Transdermal Lidocaine Patch for Chronic Low Back Pain: A Narrative Review. PM & R: the journal of injury, function, and rehabilitation, 12(12), 1260–1267. https://doi.org/10.1002/pmrj.12366

Rowbotham, M. C., Davies, P. S., Verkempinck, C., & Galer, B. S. (1996). Lidocaine patch: double-blind controlled study of a new treatment method for post-herpetic neuralgia. Pain, 65(1), 39–44. https://doi.org/10.1016/0304-3959(95)00146-8

Gross, G. E., Eisert, L., Doerr, H. W., Fickenscher, H., Knuf, M., Maier, P., Maschke, M., Müller, R., Pleyer, U., Schäfer, M., Sunderkötter, C., Werner, R. N., Wutzler, P., & Nast, A. (2020). S2k guidelines for the diagnosis and treatment of herpes zoster and postherpetic neuralgia. Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology: JDDG, 18(1), 55–78. https://doi.org/10.1111/ddg.14013

Cauda equina syndrome/CES is a rare condition in which the nerves in the lower back are compressed. It can include sciatica as one of its symptoms. Individuals presenting with symptoms that could be CES are advised to see a healthcare provider as soon as possible, as delaying treatment can lead to permanent damage.

Cauda Equina Syndrome

A cluster of nerve roots called the cauda equina, Latin for horse's tail, sends and receives messages to the legs, bladder, and other body parts. Cauda equina syndrome is a rare condition in which nerve roots in the lower spinal cord are compressed. This compresses the nerves and disrupts motor and sensory function in the bladder and lower extremities. The most common cause is a ruptured or herniated disc in the lumbar area. This usually occurs when a severe disc herniation compresses the nerve bundle at the base of the spinal cord, causing significant neurological dysfunction like bladder/bowel issues and numbness in the saddle area. If found early, it is treated with surgery within 24 to 48 hours of symptom onset.

Initial Signs

Symptoms can occur acutely, in hours, or gradually over weeks or months. One of the first signs and most common symptoms is urinary retention, where the bladder fills, but there is no normal sensation or urge to urinate. (American Association of Neurological Surgeons, 2024) Other symptoms include: (Gardner A., Gardner E., & Morley T. 2011)

• Severe low back pain
• Sciatica
• Pain, numbness, or weakness in one or both legs
• Saddle anesthesia, which is numbness or other nerve sensations around the anus and the area that sits.
• A loss of reflexes in the extremities
• Sexual dysfunction that comes suddenly
• Loss of bowel control
• Overflow urination

There are two stages based on urinary symptoms (Fairbank J., & Mallen C. 2014)

CES-Incomplete CES-I

• This is characterized by symptoms that include unusual urinary sensation, loss of desire to urinate, poor urinary stream, and having to strain to urinate. (Gardner A., Gardner E., & Morley T. 2011)

CES-Retention CES-R

• Bladder control is completely lost.

Causes

The most common cause is a ruptured or herniated disc in the lumbar area. Other possible causes may include: (American Association of Neurological Surgeons, 2024)

Trauma or injury to the spine

• that leads to fractures or dislocations (gunshots, falls, auto accidents)

Tumors or Infections

• It can compress the cauda equina nerve bundle.

Spinal Stenosis

• Narrowing of the spinal column can be either congenital or acquired.

Bone Spurs

• Spurs in the spinal canal can compress the nerves. (American Association of Neurological Surgeons, 2024)

Tuberculosis or Pott's Paralysis

• Pott's paralysis is a neurological complication of tuberculosis (TB) of the spine.

• TB is a bacterial infection that usually affects the lungs but can spread to the spine.

Iatrogenic Side Effects

• Injuries or illnesses that result from medical or surgical treatment

Spinal Lesions or Malignant Tumors

• A spinal lesion refers to any abnormal growth or damage within the spine.
• It can include benign (noncancerous) and malignant (cancerous) tumors.
• A malignant tumor is a cancerous growth within the spine; essentially, a malignant tumor is a type of spinal lesion with the potential to spread to other parts of the body.

Spinal Infection, Inflammation, Hemorrhage, or Fracture

• A spinal infection refers to a bacterial, fungal, or viral infection that occurs within the bones of the spine (vertebrae) or the surrounding tissues, potentially causing pain, inflammation, and, in severe cases, neurological complications like weakness or paralysis;
• Spinal inflammation is a general term for swelling or irritation within the spinal column.
• Spinal hemorrhage" indicates bleeding within the spinal canal.

• A spinal fracture refers to a break in one or more of the vertebrae in the spine.

Spinal Arteriovenous Malformations (AVMs)

• A spinal arteriovenous malformation (AVM) is a rare condition in which the arteries and veins in the spinal cord tangle abnormally.
• This can damage the spinal cord over time.

Complications from Lumbar Surgery

Spinal Anesthesia

• Spinal anesthesia is a regional anesthesia that blocks pain and sensation in the lower body.
• It involves injecting a local anesthetic medication into the subarachnoid space surrounding the spinal cord.
• The exact cause is not fully understood, but it can involve direct nerve root injury from the needle, inflammation caused by the anesthetic, or a spinal hematoma compressing the nerve roots.

Spinal Birth Defects

• Birth defects of the spinal cord, such as spina bifida. (American Association of Neurological Surgeons, 2024)
• Infection of the tissues (meninges) that cover the cauda equina and spinal cord.
• An abscess pressing on the cauda equina. 

Diagnosis

Diagnosis requires a medical history of symptoms, general health, activity level, and a physical exam to assess strength, reflexes, sensation, stability, alignment, and motion. (​American Association of Neurological Surgeons, 2024) Testing includes: 

Blood Tests

• These test for infections.

MRI

• These yield three-dimensional images of the spinal cord, nerve roots, and surrounding areas.

Myelography

• X-ray or computerized tomography (CT) imaging is enhanced by injecting contrast material into the cerebrospinal fluid spaces, which can show spinal cord displacement or spinal nerves.

Specialized Nerve Testing

• This could be nerve conduction velocity tests and testing electrical activity in muscles or electromyography.

Treatment

The extent of urinary problems can determine treatment protocols. A CES diagnosis is usually followed by emergency surgery within 24 to 48 hours to relieve compression of the nerves. Moving quickly is essential to prevent permanent complications such as nerve damage, incontinence, or leg paralysis. (American Association of Neurological Surgeons, 2024)

• Depending on the cause, corticosteroids also may be prescribed to reduce swelling.
• Antibiotics may be needed if an infection is responsible for CES.
• For situations in which a tumor is the cause, surgery to remove it may be necessary, followed by chemotherapy and/or radiation.
• The outcome with CES-I during surgery is generally favorable.
• Those whose CES has deteriorated to CES-R tend to have a less favorable prognosis.

Post Surgery Therapy

After surgery, CES can be challenging to deal with. If bladder function has been impaired, recovery of control can take time.

• It may be necessary to use a catheter or to wear disposable underwear. (American Association of Neurological Surgeons, 2024)
• Frequent urinary infections are also a potential complication.
• Loss of bladder or bowel control can be psychologically distressing, impacting social life, work, and relationships.
• Sexual dysfunction can also occur, contributing to relationship difficulties or depression.

Therapy with a mental health professional may be recommended. When damage is permanent, it will be important to include family and friends in the adjustment to living with a chronic condition. Psychological counseling and/or a support group can be helpful. Other specialists who can help include: (American Academy of Orthopaedic Surgeons, 2024)

• Occupational therapist
• Physical therapist
• Physiotherapist
• Sex therapist
• Social worker

Injury Medical Chiropractic and Functional Medicine Clinic

Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to build optimal health and wellness solutions. We focus on what works for you to relieve pain, restore function, prevent injury, and mitigate issues through adjustments that help the body realign itself. The clinic can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal problems.

Disc Herniation

General Disclaimer *

The information herein is not intended to replace a one-on-one relationship with a qualified healthcare professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from various disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and directly or indirectly support our clinical scope of practice.* Our office has reasonably attempted to provide supportive citations and identified the relevant research studies or studies supporting our posts. We provide copies of supporting research studies that are available to regulatory boards and the public upon request.

We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please contact Dr. Alex Jimenez or contact us at 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

American Association of Neurological Surgeons. (2024). Cauda Equina Syndrome. https://www.aans.org/patients/conditions-treatments/cauda-equina-syndrome/

Gardner, A., Gardner, E., & Morley, T. (2011). Cauda equina syndrome: a review of the current clinical and medico-legal position. European Spine Journal: official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 20(5), 690–697. https://doi.org/10.1007/s00586-010-1668-3

Fairbank, J., & Mallen, C. (2014). Cauda equina syndrome: implications for primary care. The British journal of general practice: the journal of the Royal College of General Practitioners, 64(619), 67–68. https://doi.org/10.3399/bjgp14X676988

American Academy of Orthopaedic Surgeons. (2024). Cauda equina syndrome. https://orthoinfo.aaos.org/en/diseases--conditions/cauda-equina-syndrome

For individuals who injure their neck or back, the muscles may spasm or seize up, making it difficult to get through the day, exercises, physical activities, etc. Can skeletal muscle relaxers help relieve pain and reduce frequency?

Back Spasms Muscle Relaxers

Back muscle spasms are common back pain that feels like a sudden tightness or contraction in the back muscles. They can range from minor twinges to severe pain.

Causes

• Poor posture: Sitting or standing with bad posture can strain the back muscles.
• Overuse: Picking something up, bending, or lifting can cause a spasm.
• Dehydration: Not drinking enough water can cause electrolyte imbalances, leading to spasms.
• Underlying conditions: A herniated disc or degenerative disc disease can cause back spasms.
• Muscle imbalances: Weak muscles or muscles that are too tight can cause spasms.

Skeletal Muscle Relaxers

A healthcare provider may prescribe skeletal muscle relaxers. These medications are not available over the counter and must be prescribed by a healthcare provider.

• Skeletal muscle relaxers will probably cause drowsiness.
• Individuals should not drive, operate heavy machinery, or engage in other physical activities when taking back spasm muscle relaxers.
• Skeletal muscle relaxers are not recommended for 65 or older because safer, effective alternatives exist.
• Also, women who are pregnant or breastfeeding should not take these medications.
• Discuss these issues with your healthcare provider.

Carisoprodol 

Carisoprodol is available generically and as Soma and Vanadom brands. It works by suppressing nerve impulses located in the brain and spinal cord. Healthcare providers prescribe this medication in combination with physical therapy for the healing release of any muscle spasm and management of musculoskeletal injuries and/or pain. (Witenko C. et al., 2014) It's not about having to continue taking the medication to feel better but more as a jump start to help with the physical therapy program.

• Back muscle spasms are a perfect example of a condition that may benefit from carisoprodol in the short term.
• Carisoprodol can be habit-forming.
• Be sure to talk to a healthcare provider before suddenly going off this medication.
• Carisoprodol can cause side effects that may impair thinking or reactions.
• Avoid drinking alcohol as it may increase drowsiness and dizziness that are often caused by carisoprodol. (Zacny J. P., Paice J. A., & Coalson D. W. 2012)
• Inform your healthcare provider of any drug allergies, kidney disease, or liver disease, or if you get seizures.

Cyclobenzaprine

Cyclobenzaprine is available as Amrix and in generic form. Like other muscle relaxers, cyclobenzaprine may cause dizziness or drowsiness. The sedation effects are how it works on painful, tension-filled muscles. Cyclobenzaprine is used together with physical therapy to treat skeletal muscle-related conditions and/or injuries, especially when pain or spasm is involved. When used in conjunction with physical therapy, it can help expedite recovery.

• Cyclobenzaprine is chemically related to tricyclic antidepressants.
• Although it is considered a derivative of the tricyclic antidepressant class, it does not pose the same risk to liver health.
• According to the National Institutes of Health, reasons not to take this medication include having a thyroid disorder, heart block, congestive heart failure, a heart rhythm disorder, or having recently had a heart attack. (Witenko C. et al., 2014)

Metaxalone

Skelaxin is the brand name for metaxalone. As with the other muscle relaxers, metaxalone is used in combination with physical therapy and rest when muscles get too tight. (Witenko C. et al., 2014) It works by suppressing nerve impulses in the brain and spinal cord. In addition to older individuals and pregnant women, metaxalone is usually not prescribed for those with kidney disease, liver disease, seizures, or blood disorders.

Injury Medical Chiropractic and Functional Medicine Clinic

Back spasms, muscle relaxers, and a personalized physical therapy treatment program could help individuals. Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to build optimal health and wellness solutions. We focus on what works for you to relieve pain, restore function, prevent injury, and help mitigate issues through adjustments that help the body realign itself. They can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal problems.

Thoracic Spine Pain

General Disclaimer *

The information herein is not intended to replace a one-on-one relationship with a qualified healthcare professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from various disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and directly or indirectly support our clinical scope of practice.* Our office has reasonably attempted to provide supportive citations and identified the relevant research studies or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request.

We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, don't hesitate to contact Dr. Alex Jimenez or contact us at 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Witenko, C., Moorman-Li, R., Motycka, C., Duane, K., Hincapie-Castillo, J., Leonard, P., & Valaer, C. (2014). Considerations for the appropriate use of skeletal muscle relaxants for the management of acute low back pain. P & T: a peer-reviewed journal for formulary management, 39(6), 427–435.

Zacny, J. P., Paice, J. A., & Coalson, D. W. (2012). Subjective and psychomotor effects of carisoprodol in combination with oxycodone in healthy volunteers. Drug and alcohol dependence, 120(1-3), 229–232. https://doi.org/10.1016/j.drugalcdep.2011.07.006

Sleeping with lower back pain and sciatica can be difficult and frustrating. What are ways to get more comfortable sleep?

Sleeping With Lower Back Pain and Sciatica

Various factors can affect sleeping with lower back pain and sciatica, including age, injury and medical history, the mattress (e.g., soft vs. firm mattress), and sleep positions. Unfortunately, there's no one-cure-all solution for this problem, and depending on the underlying cause/s, they can worsen the pain and cause sleep problems. For example, if a herniated disc places added pressure on the nerves in the lower back, twisting the spine can worsen the lower back pain, and sleeping in a fetal position can exacerbate the nerve pain. (UCF Health, N.D.)

Lower-Back Pain

Low-back pain can be activity-related, intermittent, or constant. (American Association of Neurological Surgeons, 2024) For some, it only occurs occasionally, such as when performing specific movements. For others, it can be excruciating, chronic, and disabling. Low-back pain is unique for everybody and can differ depending on the cause. Some low-back pain symptom descriptions include (Förster M. et al., 2013)

• Aching pain deep in the back
• Shooting pain flare-ups
• Pain caused by slight pressure
• Burning
• Tingling

Sciatica Not Present

For some, low-back pain may be confined to a specific area known as axial back pain. (Förster M. et al., 2013) The pain may be felt in a band along the lower back and does not radiate down the legs or anywhere else.

Sciatica Present

Low-back pain with sciatica pain that radiates from the lower back or hip down the leg is the most common symptom of lumbar radiculopathy (compression of spinal nerve roots). (North American Spine Society, 2020) Sciatica symptoms include:(American Academy of Orthopaedic Surgeons, 2021)

• Shooting pain from the lower back down the leg
• Feeling like a bad leg cramp
• Leg weakness
• Sensory changes radiating down the leg - numbness, burning, and or tingling

Sleep Tools

Consider changing the mattress to improve sleeping with lower back pain and sciatica. For the best spinal support, choose a medium to firm mattress. Pillows, wedges, and other tools can also help improve sleep. (UCF Health, N.D.) It is recommended that individuals who sleep on their backs place a small pillow under their knees to reduce pressure on their lower backs. For those who sleep on their side, placing a pillow between the knees can keep the spine in a neutral/straight position. To relieve lower back pain, consider sleeping in a reclined, angled position with the head and shoulders higher than the hips. This can be accomplished with an adjustable bed or a wedge to prop the body in a regular bed.

Back Sleeping

Easing back pain while sleeping involves maintaining the body in a neutral or straight position. Extending the muscles, tendons, and ligaments too far in any one direction while sleeping with lower back pain and sciatica can cause stiffness, muscle spasms, and pain. Sleeping on the back puts the spine in neutral alignment with the least stress on the neck and back. It evenly distributes body weight to avoid exerting pressure on the joints and prevent backaches. In addition, a supine position allows outstretched ligaments to shrink and recover to their normal positions. (Keck Medicine of USC, 2019)

Chiropractic Assessment

Chiropractic care aims to help individuals improve movement with less pain due to condition, after injury, or surgery. A chiropractic physical therapy team may be best for individuals with acute back, neck, and musculoskeletal pain and discomfort symptoms. A chiropractor can quickly assess your condition and develop a customized treatment plan to expedite pain relief and improve mobility. Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to build optimal health and wellness solutions. We focus on what works for you to relieve pain, restore function, prevent injury, and help mitigate issues through adjustments that help the body realign itself. They can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal problems.

Sciatica, Causes, Symptoms and Tips

General Disclaimer *

The information herein is not intended to replace a one-on-one relationship with a qualified healthcare professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from various disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and directly or indirectly support our clinical scope of practice.* Our office has reasonably attempted to provide supportive citations and identified the relevant research studies or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request.

We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, don't hesitate to contact Dr. Alex Jimenez or contact us at 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

UCF Health. (N.D.). The best sleeping position for lower back pain (and the worst). https://ucfhealth.com/our-services/lifestyle-medicine/best-sleeping-position-for-lower-back-pain/

American Association of Neurological Surgeons. (2024). Low back pain. https://www.aans.org/patients/conditions-treatments/low-back-pain/

Förster, M., Mahn, F., Gockel, U., Brosz, M., Freynhagen, R., Tölle, T. R., & Baron, R. (2013). Axial low back pain: one painful area--many perceptions and mechanisms. PloS one, 8(7), e68273. https://doi.org/10.1371/journal.pone.0068273

North American Spine Society. (2020). Evidence-based clinical guidelines for multidisciplinary spine care: Diagnosis and treatment of low back pain. North American Spine Society. https://www.spine.org/Portals/0/assets/downloads/ResearchClinicalCare/Guidelines/LowBackPain.pdf

American Academy of Orthopaedic Surgeons. (2021). Sciatica. https://orthoinfo.aaos.org/en/diseases--conditions/sciatica

Keck Medicine of USC. (2019). The best -and worst - sleep positions for back pain. Keck Medicine of USC Blog. https://www.keckmedicine.org/blog/the-best-and-worst-sleep-positions-for-back-pain/

The iliacus muscle is a triangle-shaped muscle in the pelvic bone that flexes and rotates the thigh bone. It works with the other muscles in the hip and thigh to help bend, run, walk, sit, and maintain correct posture. Injuries and common medical conditions can affect its function, causing pain and stiffness. Can physical therapy help?

The Iliacus Muscle

The iliacus is one of the body's most important hip flexor muscles. The iliacus and surrounding muscles work together to produce the stability and range of motion required for bending, dancing, sitting, and walking.

Anatomy

The iliacus muscle is part of a complex muscle system in the hip and pelvis. Two iliacus muscles on each side of the pelvic bone enable the thigh to flex and rotate. They are innervated by the femoral nerve, which provides movement and sensation to the lower limbs. (Bordoni B. and Varacallo M. 2023) The iliacus muscle sits on the wing-shaped ilium and fits into the curved surface of the ilium, called the iliac fossa. The top of the muscle is attached to the upper wings of the ilium or iliac crest. It extends past the hip joint, which connects to the upper thigh bone/femur at the lesser trochanter protrusion. The iliacus is part of a major trio of muscles called the iliopsoas, including the major psoas and minor psoas muscles. These muscles are also attached to the upper femur but extend upward, connecting to the lumbar/lower spine at several attachment points. The iliopsoas also interact with the quadratus lumborum muscle, the deepest muscle of the lower back that starts at the iliac crest and attaches to the lumbar spine at several points. The quadratus lumborum enables flexion and elevation of the spine, while the iliopsoas enable the flexion and rotation of the hip and thigh.

Functions

The iliacus muscle has many functions that include: (Physiopedia, 2024)

• Flexing and rotating the femur.
• Helps maintain proper body posture while standing and sitting.
• Produces hip movement that enables walking, running, and climbing stairs.
• Provides hip flexion - bringing the knee to the chest.
• Enables the forward tilt of the pelvis and side-bending.

Conditions

Several conditions can affect the iliacus muscle, specifically from under and/or overuse injuries. These conditions, collectively known as Iliopsoas syndrome, are typically the result of overuse/repetitive strain or injuries. These include:

• Iliopsoas tendinopathy - which affects tendons.
• Iliopsoas bursitis - which affects cushioning sacs known as bursae.

Iliopsoas syndrome can affect anyone but is common in:

• Individuals and athletes who repeatedly use movements that flex the hips.
• Track-and-field athletes
• Gymnasts
• Dancers

Iliopsoas Bursitis

This is the inflammation of the cushioning sac or bursa under the iliacus muscle, which helps the muscle slide over the pelvic bone. Symptoms can range from mild discomfort to pain that radiates through parts of the leg and hips. Runners, skiers, and swimmers are commonly affected, and individuals who regularly have tight hips and individuals with different forms of arthritis can also be affected. Early treatment can prevent the symptoms from worsening. Mild cases can be treated with self-care and stretching to help relieve tightness, rest, ice application, and over-the-counter nonsteroidal anti-inflammatory drugs. In severe cases, treatment options that may be recommended include: (Physiopedia, 2024)

• Physical therapy
• Assistant walking devices to relieve pressure - for example, a cane.
• Corticosteroid steroid injections
• Prescription anti-inflammatory medications

Iliopsoas Tendinopathy

Another condition affecting the iliacus muscles is iliopsoas tendinopathy, sometimes called snapping hip syndrome, because individuals can hear an audible snapping sound (Davenport KL. 2019). The condition is often experienced by dancers who repeatedly flex and hyperextend their hips and can result in hip and groin pain that gets worse with kicking or rotation. Treatment of iliopsoas tendinopathy can include:

• Retraining muscle imbalances with strengthening and stretching exercises.
• If these fail to provide relief, corticosteroid injections may be used. A saline hydro dissection can relieve stress around the tendon by injecting fluids that cushion and release trapped tissues.
• Tendon release surgery may be recommended when all other options have failed. The surgical release involves severing the tendon to reduce pain and improve the range of motion.

Rehabilitation

Core muscle strengthening is essential to the rehabilitation of iliacus muscle injuries. The iliopsoas is an integral component of the core group and can benefit from stretching and strengthening exercises (Yogateket, 2019)

• Lunge stretches
• Straight leg raises
• Knee-to-chest stretches
• Standing hip flexion with resistance bands
• Certain yoga poses can also help and include variations on the bridge pose that encourage hip flexion. (Yoga International, 2024)

Injury Medical Chiropractic and Functional Medicine Clinic

Iliopsoas pain is often felt at the front of the hips, thigh, mid-back, and lower back. Chiropractic care can help with iliacus muscle injuries through:

Evaluation

• A chiropractor can evaluate the condition and determine if the iliacus muscle is causing pain.

Treatment plan

• A chiropractor can create a personalized treatment plan that may include exercise instructions, manipulation, and other therapies.

Rehabilitation

• A chiropractor can create a rehabilitation program to expedite healing.

Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to develop an optimal health and wellness solution. We focus on what works for you to relieve pain, restore function, and prevent injury. Regarding musculoskeletal pain, specialists like chiropractors, acupuncturists, and massage therapists can help mitigate the pain through spinal adjustments that help the body realign itself. They can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal issues.

Hip Labral Tear and Chiropractic Care 

General Disclaimer *

The information herein is not intended to replace a one-on-one relationship with a qualified healthcare professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from various disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and directly or indirectly support our clinical scope of practice.* Our office has reasonably attempted to provide supportive citations and identified the relevant research studies or studies supporting our posts. We provide copies of supporting research studies that are available to regulatory boards and the public upon request.

We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, don't hesitate to contact Dr. Alex Jimenez or contact us at 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Bordoni, B., & Varacallo, M. (2024). Anatomy, Bony Pelvis, and Lower Limb, Iliopsoas Muscle. In StatPearls. https://www.ncbi.nlm.nih.gov/pubmed/30285403

Physiopedia. (2024). Iliacus. https://www.physio-pedia.com/Iliacus

Physiopedia. (2024). Iliopsoas bursitis. https://www.physio-pedia.com/Iliopsoas_Bursitis

Davenport KL. (2019). The professional dancer’s hip. Performing Arts Medicine, 77-87. https://doi.org/https://doi.org/10.1016/B978-0-323-58182-0.00009-2

Yogateket. Lizette Pompa. (2019). Essential yoga body parts. Hip flexor/psoas and yoga. Yogateket. https://www.yogateket.com/blog/hip-flexor-psoas-and-yoga

Yoga International. Amber Burke. (2024). 8 poses for iliopsoas release. https://yogainternational.com/article/view/8-poses-for-iliopsoas-release/

Many people think sciatica must include low back pain. But sciatica can show up in a different way—like numbness in the hamstring, calf, or foot—even when the low back feels “fine.” This can be confusing and, honestly, a little scary. Here’s the simple idea:

• Sciatica is not one disease.

• Sciatica is a pattern of symptoms caused by irritation or compression of nerve tissue that eventually feeds into the sciatic nerve.

• That irritation can happen in the low back, pelvis, hip/buttock region, or even farther down the leg, so symptoms may not always start with back pain. (Penn Medicine, n.d.; Yale Medicine, n.d.; HSS, 2024)

This article explains why numbness can show up in the hamstring and foot, how to tell it apart from a hamstring strain, what “red flags” matter, and how integrative chiropractic care (with medical evaluation when needed) can help you recover safely.

What Sciatica Can Feel Like When the Back Doesn’t Hurt

Sciatica is often described as pain that travels from the buttocks down the leg, but it can also feel like:

• Numbness in the hamstring, calf, heel, or toes

• Tingling (“pins and needles”)

• Burning or electric sensations

• A foot that feels “asleep,” heavy, or clumsy

• Weakness (in more serious cases) (HSS, 2024; Mayo Clinic, 2025; Yale Medicine, n.d.)

Some people feel mostly numbness and tingling, with very little pain. That can still be a nerve problem and deserves attention—especially if it lasts or worsens. (Mayo Clinic, 2025; Penn Medicine, n.d.)

Why You Can Have Hamstring and Foot Numbness Without Low Back Pain

The nerve can be irritated “upstream,” but you feel it “downstream”

Nerves are like electrical cables. If the cable is irritated near the spine, you might feel symptoms farther down the line, such as the hamstring or the foot. This is why sciatica can feel like a leg problem even when the back does not hurt. (Mayo Clinic, 2025; Penn Medicine, n.d.)

The irritation may be in the buttock/hip area, not the spine

A well-known example is piriformis syndrome, where a deep buttock muscle can irritate or compress the sciatic nerve. This may cause leg numbness, tingling, or pain—sometimes with little or no back pain. (Total Ortho Sports Med, 2025; Jimenez, n.d.-a)

Dr. Alexander Jimenez, DC, APRN, FNP-BC, often emphasizes that the biomechanics of the pelvis, sacroiliac region, and hip rotators can contribute to sciatic-type symptoms, especially when movement patterns and soft-tissue tension repeatedly stress the nerve. (Jimenez, n.d.-a)

The nerve can be irritated near the hamstring itself

Sometimes symptoms that feel like sciatica may relate to hamstring syndrome, where the sciatic nerve is irritated near its origin at the sit bone area. This can create buttock/back-of-thigh pain and may include tingling or numbness down the leg. (Jimenez, 2025)

Spinal causes can still exist even if the back doesn’t hurt

Even without back pain, symptoms can still come from spinal issues such as:

• Disc bulge or herniation

• Spinal stenosis (narrowing around nerves)

• Other causes that irritate nerve roots (HSS, 2024; Penn Medicine, n.d.)

And yes, one part of the leg can hurt while another part feels numb, depending on which nerve fibers are irritated. (Mayo Clinic, 2025)

Common Questions People Ask When Sciatica Feels Like Hamstring + Foot Numbness

“Is this sciatica or a hamstring strain?”

This is one of the most important questions because treatment choices can differ. Hamstring strain is usually a muscle/tendon injury. It often comes with a clear moment of injury (sprint, slip, deadlift, kick), plus local tenderness and pain with hamstring stretching or contraction.

Sciatica-type nerve symptoms are more likely when you notice:

• Tingling, burning, or numbness

• Symptoms traveling below the knee into the foot

• Symptoms worsen with long sitting, coughing/sneezing, or certain spine/hip positions (Ducker Physio, 2025; HSS, 2024)

A simple comparison:

• More like hamstring strain: localized back-of-thigh pain, pulling sensation, pain with hamstring stretch, bruising/tenderness after activity (Ducker Physio, 2025)

• More like nerve irritation: numbness/tingling, “electric” sensations, symptoms in the calf/foot, symptoms that change with posture or prolonged sitting (HSS, 2024; Mayo Clinic, 2025)

“Why would my foot be numb if my hamstring is the problem?”

Because numbness is usually a nerve signal issue, not a muscle issue. A strained muscle can hurt a lot, but it typically does not cause true pins-and-needles or foot numbness unless something else is affecting nerve tissue. (Ducker Physio, 2025; HSS, 2024)

“Can sciatica happen with no back pain at all?”

Yes. It can happen when the nerve is irritated in the buttock/hip region (piriformis-related irritation) or when nerve root symptoms are mostly in the leg. (Total Ortho Sports Med, 2025; Mayo Clinic, 2025)

Why “Numbness” Matters More Than People Think

Pain gets attention fast. Numbness can be quieter, but it can be a bigger warning sign—especially if it’s worsening or paired with weakness. The American Medical Association notes that numbness or weakness in the legs (and bowel/bladder changes) should be evaluated, as these may be signs of something more serious.

Red Flags: When You Should Seek Care Quickly

If you have hamstring/foot numbness, don’t panic—but do take these seriously. Seek urgent evaluation if you have:

• New or worsening leg weakness

• Trouble lifting the foot (foot drop) or frequent tripping

• Loss of bowel or bladder control

• Numbness in the “saddle area” (inner thighs/groin region)

• Severe symptoms that rapidly escalate

Even without emergency signs, it’s smart to get checked if:

• Numbness lasts more than 1–2 weeks

• Symptoms keep returning

• Symptoms spread farther down the leg

• You can’t train, work, or sleep normally (Penn Medicine, n.d.; HSS, 2024)

How Clinicians Typically Figure Out What’s Going On

A good evaluation usually includes:

• A symptom history: where it starts, where it travels, what triggers it

• Neuro checks: sensation, strength, reflexes

• Motion testing: spine + hip movement

• Special tests (like nerve tension tests)

• Imaging if needed (especially if symptoms persist, worsen, or show red flags) (HSS, 2024; Penn Medicine, n.d.)

A key point from the clinical literature: musculoskeletal problems can mimic radiculopathy, so careful testing is essential.

Integrative Chiropractic Care for Hamstring/Foot Numbness: What It Tries To Fix

When integrative chiropractic care is appropriate, the goal is not to “chase symptoms.” The goal is to address likely drivers:

• Nerve irritation (spinal or peripheral)

• Joint mechanics (lumbar spine, pelvis, SI region, hip)

• Soft tissue tension (piriformis, glutes, hamstrings)

• Movement patterns that keep re-irritating the nerve

Dr. Alexander Jimenez often emphasizes that sciatic-type symptoms can be influenced by biomechanical dysfunction in the low back and pelvis, and that combining joint care with soft-tissue work and functional correction can help restore normal movement and reduce nerve stress. (Jimenez, n.d.-a)

Common integrative components may include:

Spinal and pelvic adjustments (when appropriate)

• Aimed at improving joint motion and reducing mechanical stress that may contribute to nerve irritation

• Often paired with exercise and education (Auburn Hills Chiropractic, n.d.; Jimenez, n.d.-b)

Soft-tissue therapies

These may target areas that commonly irritate the sciatic nerve pathway:

• Piriformis and deep hip rotators

• Glutes and lateral hip

• Hamstrings (especially near the upper attachment)

• Thoracolumbar fascia and related tissues (Total Ortho Sports Med, 2025; Jimenez, 2025)

Corrective exercises and movement retraining

This is the “keep it from coming back” part.

Often includes:

• Hip mobility drills

• Glute activation and endurance work

• Core stability and trunk control

• Gradual nerve “glide” or mobility strategies (as directed)

• Return-to-sport progressions (HSS, 2024; Jimenez, n.d.-a)

Co-management with medical care when needed

Sciatica is commonly treated first with conservative care, and many cases improve over time. (AMA, 2024; IASP, n.d.)
But persistent numbness, weakness, or severe symptoms may need medical diagnostics and a broader plan. (Penn Medicine, n.d.; Mayo Clinic, 2025) Clinical practice guidelines often support combinations like:

• Education

• Exercise-based rehab

• Manual therapy as part of a broader plan (Zaina et al., 2023)

Practical Self-Check Tips (Not a Diagnosis)

These are not perfect, but they can guide your next step.

Signs it may be nerve-related:

• Numbness/tingling that travels below the knee

• Symptoms change with posture (long sitting, bending, coughing/sneezing)

• Symptoms feel electric, burning, or “deep” rather than sore/tight (HSS, 2024; Mayo Clinic, 2025)

Signs it may be more muscle/tendon-related:

• Pain stays mostly in the back of the thigh

• Clear injury moment

• Pain increases with hamstring stretch or contraction

• Tenderness along the hamstring muscle belly or tendon (Ducker Physio, 2025)

When in doubt, get evaluated—because the best plan depends on the true source.

What Recovery Often Looks Like (A Realistic Timeline)

Many sciatica cases improve over weeks to a few months, especially with a conservative plan and good movement habits.

A practical, safe progression often looks like:

• Phase 1 (calm it down): reduce triggers, restore gentle motion, improve sleep positioning, light walking

• Phase 2 (restore movement): mobility + stability, targeted soft tissue work, controlled strengthening

• Phase 3 (build resilience): strength endurance, sport/work conditioning, long-term prevention habits

If numbness worsens or strength declines, that’s a sign to re-evaluate the plan and consider more advanced diagnostics. (AMA, 2024; Penn Medicine, n.d.)

Key Takeaways

• Sciatica can present as hamstring and foot numbness, even without back pain. (Mayo Clinic, 2025; Total Ortho Sports Med, 2025)

• Causes can include piriformis/hip-region compression, spinal nerve root irritation, or hamstring-area nerve irritation. (HSS, 2024; Jimenez, 2025; Penn Medicine, n.d.)

• Numbness and weakness matter—especially if worsening or paired with red flags.

• Integrative chiropractic care often combines manual care, soft tissue work, and corrective exercise, and may coordinate with medical evaluation when needed. (Zaina et al., 2023; Jimenez, n.d.-a)

What's Causing Your Sciatica? Tests and Treatments at Home

References

American Medical Association. (2024, November 15). What doctors wish patients knew about sciatica. https://www.ama-assn.org/public-health/prevention-wellness/what-doctors-wish-patients-knew-about-sciatica

Auburn Hills Chiropractic and Rehabilitation. (n.d.). How chiropractic adjustments can treat sciatica. https://auburnhillschiro.com/how-chiropractic-adjustments-can-treat-sciatica/

Bateman, E. A., et al. (2024). Musculoskeletal mimics of lumbosacral radiculopathy. PM&R. https://pmc.ncbi.nlm.nih.gov/articles/PMC11998970/

Ducker Physio. (2025, April 8). Tell the difference between sciatica & hamstring pain. https://www.duckerphysio.com.au/blog/difference-sciatica-and-hamstring-pain

Hospital for Special Surgery. (2024, May 24). Sciatica: Simple symptoms, complex causes. https://www.hss.edu/health-library/conditions-and-treatments/list/sciatica

International Association for the Study of Pain. (n.d.). Surgical or non-surgical management for sciatica. https://www.iasp-pain.org/publications/relief-news/article/management-for-sciatica/

Jimenez, A. (n.d.-a). Sciatica vs piriformis syndrome explained. https://dralexjimenez.com/sciatica-el-paso-chiropractor/sciatica-vs-piriformis-syndrome-explained/

Jimenez, A. (n.d.-b). Sciatica nerve pain treatment (El Paso, TX). https://dralexjimenez.com/sciatica-el-paso-chiropractor/

Jimenez, A. (2025). Hamstring syndrome relief and muscle recovery. https://dralexjimenez.com/hamstring-syndrome-relief-and-muscle-recovery/

Mayo Clinic. (2025, December 23). Sciatica: Symptoms and causes. https://www.mayoclinic.org/diseases-conditions/sciatica/symptoms-causes/syc-20377435