Sciatica Treatment in San Antonio
Sciatica refers to pain that travels along the path of the sciatic nerve, typically starting in the lower back and extending into the buttock and leg. It occurs when a spinal nerve becomes compressed or irritated, often due to a herniated disc, spinal stenosis, or other lumbar spine condition. Patients experiencing sciatica may feel sharp pain, numbness, tingling, or weakness in the leg. At MD Spine Care in San Antonio, we evaluate the underlying cause of sciatic nerve pain and help patients understand appropriate treatment options.
Sciatica Explained by Dr. Kuwamura
Common Symptoms of Sciatica
Sciatica symptoms can vary depending on the severity and location of nerve compression.
Some of the most common symptoms include:
- Pain that radiates from the lower back into the buttock or leg
- Sharp or burning pain in the leg
- Numbness or tingling in the leg or foot
- Muscle weakness in the leg
- Pain that worsens when sitting, coughing, or sneezing
In some cases, symptoms may affect only one side of the body.
What Causes Sciatica?
Sciatica occurs when the sciatic nerve becomes compressed or irritated within the lumbar spine.
Several spine conditions may lead to this nerve compression, including:
Herniated Disc
A herniated disc can press on nearby nerves and cause pain that radiates down the leg.
Spinal Stenosis
Narrowing of the spinal canal may place pressure on the nerves that form the sciatic nerve.
Bone Spurs
Arthritic changes in the spine may cause bony growths that compress nearby nerves.
How Is Sciatica Diagnosed?
Diagnosing sciatica begins with a thorough medical evaluation and review of symptoms. A spine specialist may perform a physical examination to assess nerve function, strength, and mobility.
Imaging studies such as
MRI or CT scans may be recommended to evaluate the spine and identify conditions such as herniated discs or spinal stenosis that may be compressing the sciatic nerve.
Treatment Options for Sciatica
Many patients with sciatica improve with conservative treatment.
Depending on the underlying cause, treatment options may include:
- Physical therapy to improve mobility and strengthen supporting muscles
- Anti-inflammatory medications
- Activity modification
- Image-guided injections to reduce nerve inflammation
When symptoms persist or neurological deficits worsen, surgical treatment may be considered to relieve pressure on the affected nerve.
When to See a Spine Specialist for Sciatica
You should consider evaluation by a spine specialist if you experience:
- Sciatic nerve pain lasting more than several weeks
- Progressive numbness or weakness in the leg
- Difficulty walking or standing
- Symptoms that interfere with daily activities
Early evaluation can help identify the cause of nerve compression and guide appropriate treatment.
Schedule a Sciatica Evaluation in San Antonio
If you are experiencing persistent leg pain, numbness, or symptoms consistent with sciatica, a spine evaluation can help determine the underlying cause and appropriate treatment options.
Schedule a consultation with MD Spine Care in San Antonio to learn more about your spine care options.
What is the most common cause of sciatica?
The most common cause of sciatica is a herniated disc that compresses the sciatic nerve in the lower spine.
Does sciatica go away on its own?
Many cases of sciatica improve with conservative treatments such as physical therapy and activity modification, but persistent symptoms should be evaluated.
When should I see a doctor for sciatica?
You should consider seeing a spine specialist if symptoms last more than several weeks or include numbness, weakness, or difficulty walking.
This information is reviewed by
Dr. Frank Kuwamura, Board-Certified Orthopedic Spine Surgeon, and the spine specialists at MD Spine Care.


