Sciatica Treatment Texas

Sciatica is a common condition characterized by pain that radiates along the path of the sciatic nerve, which is the largest nerve in the body. Explore Sciatica Treatment in Texas for relief and get back to living your life.


Where is the sciatic nerve?

The sciatic nerve starts in the lower back and runs through the hips, buttocks, and down each leg. The pain associated with sciatica is typically felt in the lower back, buttocks, and legs, and can vary in intensity from a mild ache to a sharp, burning sensation. There are other nerves in the spine that become compressed or pinched and can cause back pain that radiates down the leg. This can feel very similar to sciatica.

Most common causes of sciatica

Vertebrogenic pain is felt in the low back and often worsens when sitting for prolonged periods of time, bending forward, or with intense or repeated physical activity. Pain is often described as deep burning or aching in the low back or middle of the back, with a chance of pain being felt in other areas of the body as well. 

Due to the fact that vertebrogenic pain is caused by use – and overuse – of the vertebral endplates, it’s difficult to prevent. This is why it’s so important to seek the help of a trained pain management specialist who can properly diagnose and treat the source of pain so that you can experience pain relief. 

Risk factors for developing sciatica include being overweight, having a sedentary lifestyle, genetics, and having a job that requires prolonged sitting or heavy lifting.

Determining the cause of sciatica often requires specialized imaging such as X-Rays, MRIs, and CT scans.

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What are the Treatment Options for Sciatica?


Treatment for sciatica typically involves a combination of self-care measures, such as rest, hot or cold packs, and over-the-counter pain medications.

Physical therapy

Physical therapy and stretching exercises may also be helpful in relieving pain and improving mobility. Our practice can prescribe physical therapy specifically designed to help with sciatica pain.


In more significant cases, lumbar epidural steroid injections (of which there are three types – interlaminar, transforaminal, and caudal), nerve pain medications (including pregabalin (Lyrica), gabapentin (Neurontin), duloxetine (Cymbalta), and others), minimally invasive spinal spacers (such as Vertiflex), or surgery may be necessary to alleviate pressure on the sciatic nerve and reduce pain.

Spinal Cord Neuromodulation

If you have already had multiple treatments and surgery but continue to have low back pain, spinal cord neuromodulation is a non surgical treatment that provides an 80% success rate in alleviating pain and improving function. Dr. Peccora is an expert in spinal cord stimulation.

It’s important to seek medical attention if you are experiencing sciatic pain that is severe, lasts longer than a week, or is accompanied by other symptoms such as numbness or weakness in the legs. Dr. Peccora can help diagnose the underlying cause of your sciatica and develop a treatment plan that is appropriate for your specific needs.


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