#1 Truth Behind Sciatica Treatment: What Actually Works (And What Doesn’t)

Sciatica is a common but often misunderstood condition. While many people describe it as “back pain,” sciatica is actually nerve-related pain that can significantly affect daily function if not properly assessed and treated. However, to complicate things further, sciatica is a symptom only, not a diagnosis, therefore the root causes of it can be joint or even muscular in nature.

In our Richmond Hill, Ontario clinic, many patients delay care because they assume sciatica will resolve on its own or rely solely on medication. Understanding what sciatica is — and how it should be treated — is key to long-term recovery.

What Is Sciatica?

Sciatica refers to pain caused by irritation or compression of the sciatic nerve, the largest nerve in the body. This nerve originates in the lower spine and travels through the hips, buttocks, and down each leg.

Unlike simple muscle pain, sciatica often presents with radiating symptoms, which may include:

• Sharp or burning pain traveling down the leg

• Numbness or tingling in the buttock, thigh, calf, or foot

• Weakness in the leg or foot

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

Common Causes of Sciatica

Sciatica is a symptom, not a diagnosis. Identifying the underlying cause is essential for effective treatment.

Common causes include:

Lumbar Disc Bulge or Herniation

When a spinal disc presses on a nerve root, it can cause inflammation and radiating leg pain.

Joint Dysfunction in the Lower Spine or Pelvis

Restricted or irritated spinal or sacroiliac joints can contribute to nerve irritation and altered movement patterns.

Muscle-Related Compression

Tight or overactive muscles — such as the piriformis — can compress the sciatic nerve, especially in prolonged sitting or athletic populations.

Postural and Mechanical Stress

Poor posture, prolonged sitting, improper lifting, or repetitive strain can gradually overload spinal structures and lead to sciatica.

Why Painkillers and Rest Alone Often Fail

Many patients are initially advised to:

• Rest

• Take anti-inflammatory or pain medication

• “Wait it out”

While medication may temporarily reduce pain, it does not address the underlying mechanical or neurological cause. Prolonged rest can actually worsen stiffness, muscle weakness, and long-term recovery.

Effective sciatica treatment requires:

• Identifying the pain generator

• Restoring proper movement

• Reducing nerve irritation

• Improving strength and stability

How Sciatica Is Properly Assessed

At MYOMED Clinic in Richmond Hill, sciatica care begins with a comprehensive assessment, which may include:

• Detailed health history

• Orthopedic and neurological testing

• Spinal and postural evaluation

• Functional movement assessment

In Canada, chiropractors are regulated doctors who are trained to diagnose musculoskeletal and nerve-related conditions, allowing for appropriate treatment planning and referral if necessary.

Evidence-Based Treatment Options for Sciatica

Effective sciatica care is multimodal and individualized. Treatment may include:

Chiropractic Care

• Improves spinal and joint mobility

• Reduces mechanical stress on irritated nerves

• Restores proper movement patterns

Active Rehabilitation (Often by Physiotherapists)

• Strengthens core and stabilizing muscles

• Improves flexibility and movement control

• Reduces recurrence risk

Soft Tissue Therapy

• Addresses muscle tension contributing to nerve compression

• Improves circulation and tissue recovery

Advanced Modalities (When Appropriate)

• Laser therapy to reduce inflammation

• Shockwave therapy for chronic soft tissue involvement

• Spinal decompression in select disc-related cases

The goal is not just pain relief, but long-term resolution and prevention.

When Should You Seek Professional Care for Sciatica?

You should consider assessment if:

• Leg pain persists longer than a few days

• Pain is worsening or recurring

• Numbness, tingling, or weakness is present

• Pain interferes with work, sleep, or daily activity

Early intervention often leads to faster recovery and fewer complications.

Sciatica Treatment at MYOMED Clinic in Richmond Hill

At MYOMED Clinic, sciatica treatment is:

• Diagnosis-driven

• Evidence-based

• Personalized to your condition and goals

Our chiropractors, physiotherapists, and rehabilitation team work collaboratively to address pain, restore movement, and help you return to normal activity safely.

Not sure what’s causing your leg or back pain? A professional assessment can provide clarity and direction.

Book a comprehensive sciatica assessment at MYOMED Clinic in Richmond Hill and take the first step toward lasting relief.