What Is Sciatica?
Sciatica is a condition caused by irritation or compression of the sciatic nerve, the largest nerve in the body. The sciatic nerve travels from the lower back through the hips and buttocks and down each leg. When the nerve becomes compressed, it can cause pain, numbness, tingling, or weakness along its path.
Sciatica is commonly associated with lower back conditions such as herniated discs, spinal stenosis, or degenerative spine changes. Symptoms may range from mild discomfort to severe radiating pain that interferes with walking, sitting, or daily activity.
At Delaware Orthopaedic Specialists, our fellowship-trained spine specialists provide advanced diagnosis and treatment options designed to relieve nerve pain, restore mobility, and improve quality of life.
Symptoms of Sciatica
- Radiating pain from the lower back into the leg
- Sharp, burning, or shooting nerve pain
- Numbness or tingling in the leg or foot
- Muscle weakness in the leg
- Pain that worsens with sitting or prolonged activity
- Difficulty standing or walking comfortably
- Discomfort affecting one side of the body
Causes & Risk Factors
Sciatica develops when the sciatic nerve becomes compressed or irritated.
- Herniated discs
- Spinal stenosis
- Degenerative disc disease
- Bone spurs or spinal arthritis
- Piriformis syndrome
- Repetitive strain or heavy lifting
- Prolonged sitting or poor posture
Diagnosis
At Delaware Orthopaedic Specialists, diagnosis begins with a detailed evaluation of the spine, nerves, and lower extremities.
- Physical examination and neurological assessment
- Evaluation of strength, sensation, and reflexes
- Review of symptoms and activity limitations
- X-rays to evaluate spinal alignment
- MRI or advanced imaging to identify nerve compression
Accurate diagnosis helps determine the source of nerve irritation and guides the most effective treatment plan.
Treatment Options for Sciatica
Non-Surgical Treatment
Most cases of sciatica improve with conservative treatment. Non-surgical treatment options may include:
- Activity modification and rest
- Anti-inflammatory medications
- Physical therapy and stretching exercises
- Core strengthening programs
- Epidural steroid injections
- Heat and ice therapy
- Pain management strategies
Surgical Treatment
Surgery may be recommended for severe nerve compression, progressive weakness, or symptoms that do not improve with conservative treatment. Surgical procedures may help relieve pressure on the sciatic nerve and restore spinal function. Our orthopedic spine specialists use advanced minimally invasive techniques whenever appropriate.
Recovery & Rehabilitation
Recovery timelines vary depending on the cause of sciatica and the treatment approach used.
- Many patients improve within weeks to months with conservative care
- Physical therapy is important for restoring mobility and spinal support
- Surgical recovery timelines vary depending on the procedure performed
- Proper posture and body mechanics help reduce reinjury risk
Our team works closely with patients throughout rehabilitation to help restore comfort, movement, and long-term spine health.
Why Choose Delaware Orthopaedic Specialists?
Local Care, Close to Home
We proudly serve patients throughout Delaware and nearby communities, including Wilmington, Newark, Middletown, Stanton, North Wilmington, and Chadds Ford. Our spine specialists provide advanced orthopedic care close to home.
At Delaware Orthopaedic Specialists, our fellowship-trained physicians provide comprehensive diagnosis and treatment for spinal conditions and nerve-related pain.
- Experienced spine and orthopedic specialists
- Advanced imaging and neurological evaluation
- Comprehensive non-surgical and surgical treatment options
- Minimally invasive spine treatment techniques
- Convenient locations throughout Delaware and nearby Pennsylvania
Schedule an Appointment
Schedule an appointment with Delaware Orthopaedic Specialists today to receive expert diagnosis and treatment for sciatica.
Frequently Asked Questions
What does sciatica feel like?
Sciatica commonly causes sharp, burning, or radiating pain that travels from the lower back into the buttock and leg.
Can sciatica go away on its own?
Many cases improve with conservative treatment, though persistent or severe symptoms may require medical evaluation.
What causes sciatica?
Sciatica is commonly caused by herniated discs, spinal stenosis, arthritis, or other conditions that compress the sciatic nerve.
When is surgery recommended for sciatica?
Surgery may be recommended for severe nerve compression, progressive weakness, or symptoms that do not improve with conservative treatment.
When should I see a specialist?
If radiating leg pain, numbness, weakness, or back pain interferes with daily activities or worsens over time, it is important to seek orthopedic evaluation.