Sciatica 101: What It Is and Why It Hurts

Sciatica is a term used to describe pain that radiates along the sciatic nerve, the largest nerve in the human body. This nerve runs from your lower back through your hips, glutes, and down each leg. Sciatica typically presents as sharp, shooting, or burning pain that may be accompanied by numbness, tingling, or muscle weakness.

Unlike generic low back pain, sciatica is a symptom of an underlying condition, not a condition itself. Understanding its root cause is essential to effective, lasting relief.

Common Causes of Sciatica Pain

At Evolve Chiropractic in Dripping Springs, we prioritize accurate diagnosis through orthopedic testing, patient history, and if needed, referral for imaging. The most common sources of sciatic nerve pain include:

1. Lumbar Disc Herniation or Bulge

A slipped or bulging disc can press on the sciatic nerve root, causing intense radiating pain. This is the most common form of true sciatica.

2. Piriformis Syndrome

The piriformis muscle, located deep in the glutes, can become tight or spasmed, compressing the sciatic nerve. Often confused with disc-related sciatica, it responds best to soft tissue release and corrective movement.

3. Spinal Degeneration or Arthritis

Degenerative disc disease, facet joint inflammation, or spinal stenosis can create chronic nerve irritation, especially in older adults. These forms of sciatica tend to develop gradually.

4. Nutritional Deficiencies & Inflammation

Deficiencies in B12, omega-3s, or chronic systemic inflammation may aggravate nerve tissue, contributing to burning or radiating sensations.

5. Pelvic and Hip Dysfunction

Instability or restricted movement in the pelvis or hips can shift loading patterns and irritate the sciatic nerve pathway indirectly.

Our Unique Approach to Sciatica at Evolve Chiropractic

Unlike generic chiropractic clinics, Evolve Chiropractic in Dripping Springs takes a comprehensive, phase-based approach to treating sciatica using our proven Relief, Recovery, and Rehabilitation protocol:

Relief Phase

We begin by reducing nerve irritation and inflammation using:

• Chiropractic Adjustments to relieve spinal pressure

• Soft Tissue Release (including CBD deep tissue, and manual therapy) to relax tight muscles like the piriformis

• E-stim, traction, and heat therapy for rapid comfort

Recovery Phase

We shift our focus to restoring movement and strengthening:

• Stabilizing exercises for hips, glutes, and core

• Targeted cupping and dry needling therapy

• Education on posture, lifting technique, and movement patterns

Rehabilitation Phase

Our goal is long-term resolution:

• Custom strength training to reduce recurrence

• Ongoing assessment of progress and risk factors

• Optional maintenance plans to stay ahead of flare-ups

This integrated care model ensures a customized path back to optimal function—whether the pain started last week or five years ago.

3 At-Home Tips for Sciatic Pain Relief

While professional care is key, certain lifestyle strategies can help reduce pain and inflammation between visits.

1. Anti-Inflammatory Nutrition

Cut back on processed foods and sugar. Incorporate:

• Omega-3 fatty acids (wild-caught fish, flaxseeds)

• Turmeric & ginger (natural anti-inflammatories)

• Leafy greens and berries

2. Gentle Movement: Sciatic Nerve Flossing

Nerve flossing exercises help mobilize the sciatic nerve:

• Sit on a firm chair

• Extend one leg straight, flex the foot, then point the toes—repeat 10x

• Alternate sides
  (Avoid if symptoms worsen)

3. Daily Hip & Glute Stretching

Tight hips can contribute to nerve tension:

• Piriformis stretch: Sit, cross one ankle over the opposite knee, gently lean forward

• Hold 30 seconds per side, repeat 2-3x daily

Why Locals Trust Evolve Chiropractic for Sciatica Pain Relief

Evolve Chiropractic is not your average back-cracking clinic. We combine clinical precision, cutting-edge therapies, and longer one-on-one sessions to ensure lasting relief—not temporary fixes.

Located in the heart of Dripping Springs, TX, we’re proud to serve athletes, busy professionals, and families across the Hill Country. Whether you’re training for a marathon or just trying to sit at your desk pain-free, we’ve helped hundreds reclaim their mobility.

Sciatica FAQs

Is a chiropractor good for sciatica?

Yes—chiropractors can help reduce pressure on the sciatic nerve through spinal adjustments, muscle work, and movement correction.

How is sciatica diagnosed?

Through clinical examination, orthopedic testing, and imaging (MRI or X-ray) when needed. At Evolve, we tailor each diagnosis to the individual.

Can sciatica go away on its own?

Mild cases may resolve, but recurring or severe symptoms often require professional treatment to prevent chronic issues.

When should I see a chiropractor for sciatica?

If your pain persists longer than a few days, radiates into the leg, or affects sleep or movement, it’s time to seek expert help.

Ready to Find Lasting Relief?

If you're dealing with sciatica pain in Dripping Springs, you're not alone—and you don’t have to push through it.

📍 Visit us at Evolve Chiropractic for a comprehensive evaluation and customized care plan. We’ll help you feel better, move better, and get back to the life you love.