What is sciatica?

At Dr. Steven Silverman’s chiropractic clinic in Delray Beach, sciatica care is provided with physical medicine. The sciatic nerve is located in the lumbar spine and reaches from the lower back down to the back of the leg, ankles and feet. Sciatica, or sciatic neuralgia, is a common condition that occurs after the roots of the sciatic nerve are pinched and irritated from compressing the vertebrae in the lower back. The resulting pain can provoke varying degrees of irritation when standing or sitting for prolonged periods of time. While it is a condition that often comes and goes gradually, the effects of sciatica can become far more severe if it is left untreated long enough for the nerve to receive a permanent injury.

What causes sciatica?

Sciatica is caused by posture issues that compress or damage on the sciatic nerve. Poor posture and lower back strain can agitate symptoms over time as they wear down on the vertebrae of the lower back. However, sciatica can be incited directly with injuries or accidents where a vertebrae disc or bulge is pressed against the sciatic nerve root. Misalignments in the spine are a common cause for sciatica as well with posture, pregnancy, weight gain or trauma provoking sciatica once the spinal column clashes with the nerve. The sciatic nerve itself can be aggravated by a number of conditions from strained back muscles and degenerating intervertebral discs to damage in ligaments, bones or joints near the lower back. In some cases, the piriformis muscle in the buttocks can also apply enough pressure on the sciatic nerve to cause the condition to manifest.


Symptoms of sciatica include soreness radiating from your lower spine to your buttock and down the back of your leg and a numbness, tingling or muscle weakness in the affected leg or foot. This is characterized by sudden and severe pain in your lower back or leg as well as a numb or weak feeling in the affected leg. Loss of feeling in your leg can occur in more serious cases. In some instances, there may be a lack of bowl or bladder function or signs of a fever. In situations where you are sitting and standing for long periods of time, the symptoms of sciatica will intensify and complicate the recovery process from your condition even further.


With Dr. Silverman of Delray Beach, chiropractic care is utilized to target the source of the pain and assist the patient in determining the best approach to treat their particular case. With the long list of treatments that are available for sciatica, Dr. Silverman can help personalize a care plan for you that combines chiropractic treatment with lifestyle modifications to reduce discomfort and improve the range of motion in your back and/or legs. After an in-depth consultation to analyze and resolve the circumstances behind the patient’s sciatica, adjustments to the patient’s daily activities will be made gently and gradually to allow their back to recover its natural alignment.


The duration of time it takes to recover from sciatica is dependent on the condition of the disc or joints that are impacting the sciatic nerve. Findings from most cases suggest that the longer the issue persists, the longer it will take for the sciatic nerve to fully recover with treatment. The causes of sciatica stem from long term affects on your spinal column, but having a chiropractic physician make the proper adjustments to realign your spine and discs can ease pressure on the sciatic nerve and resolve the pain at a far quicker pace. Patients who make proper corrections with a chiropractor and incorporate lifestyle changes to fix their posture have often reported improvements to their well-being.