Older woman on an exam table, holding her lower back while experiencing sciatica pain.

Sciatica Treatment for Nerve and Leg Pain Relief

Pain that shoots from the low back into the buttock and down the leg can make simple things feel risky, from sitting through a meeting to getting comfortable at night. At Midwest Pain Relief Center, sciatica treatment starts with clear findings and a plan built around what is driving your symptoms. If you are looking for non-surgical sciatica relief in Milton or Wichita, we will help you make sense of what is going on, what tends to set it off, and what is most likely to help you move more normally again.

What Is Sciatica?

Sciatica is not just “back pain.” It is a nerve pain pattern that follows the sciatic nerve, usually from the lower spine through the hip and down the leg. It often starts when a nerve root becomes irritated or compressed, which can lead to radiating pain, burning sensations, numbness, or tingling. Because leg symptoms can come from more than one source, sciatic nerve pain care works best when it is guided by a thorough evaluation and your real‒life triggers. Once we know what is driving your symptoms, we can build a plan that supports steadier movement, not constant guesswork.
Man grimacing, holding his lower back while dealing with sciatica pain

Common Causes of Sciatica

Elderly woman holding her lower back in pain dealing with sciatica.
Sciatica is a signal that something is bothering the nerve pathway. The “why” matters, because the best next step is different for a disc issue than it is for tight hip tissues or spinal narrowing.
Herniated Disc
A disc can bulge or herniate and irritate nearby nerve roots. This is a common reason pain travels into the buttock, thigh, or lower leg, especially when sitting, bending, or lifting brings symptoms on.
Spinal Stenosis
Spinal stenosis is narrowing around the spinal canal or nerve openings. In the lower back, this can contribute to nerve pressure that often feels worse with standing or walking for longer stretches and may ease with position changes.
Degenerative Disc Disease
As discs and joints change over time, the spine may become less tolerant to certain positions and repeated stress. For some people, that shows up as recurring flare-ups and a cycle where the area stays irritated.
Muscle Tightness and Irritation
Deep hip muscle tension can irritate the sciatic nerve and create a sciatica-like pattern. That is one reason symptoms are not always “just the back,” even when discomfort begins there.
Repetitive Strain
Long hours sitting, frequent twisting, or lifting with poor mechanics can keep tissues worked up. Over time, the nervous system can become more reactive, and symptoms may show up faster and last longer.

What Symptoms Does Sciatica Cause?

Sciatica often affects one side, but the intensity and location can vary. An evaluation is especially helpful if symptoms are worsening, not improving, or getting in the way of walking, sleep, or work. Common signs include:
  • Sharp or burning pain that travels into the buttock, thigh, calf, or foot.
  • Tingling or “pins and needles.”
  • Numbness in part of the leg or foot.
  • Weakness or a feeling that the leg is less reliable.
  • Symptoms that flare with sitting, bending, coughing, or lifting.
  • Pain that shifts with posture or certain movements.
Treatments

What Are the Treatment Options for Sciatica?

Woman enjoying freedom of movement after sciatica relief.
The right approach depends on what is irritating the nerve and how your body responds to movement and load. We aim for sciatic nerve pain relief that improves function and reduces flare-ups, without pushing you toward invasive steps too quickly.
Icon for Physical medicine.
Before choosing therapies, we start with targeted testing that helps clarify what is driving your symptoms. During a physical medicine visit, we look at how you move, what positions provoke pain, and what your body can and cannot do comfortably, then outline next steps.
Icon for physical rehab.
When irritation has changed how you move, rebuilding support matters. Physical rehab focuses on guided movement and progressive strengthening so your back and hips feel more stable and your progress holds between visits.
Icon for chiropractic care.
Chiropractor care may be included based on your exam findings and your comfort level, especially when the low back and hips are not moving well. If you are searching for a chiropractor for sciatica, we will explain what we think is driving your symptoms and how this treatment may fit into the bigger plan.
Icon for spinal decompression therapy.
Some sciatica patterns point to disc-related irritation or nerve compression. In those cases, spinal decompression therapy may be discussed as a non-surgical option designed to reduce pressure and support smoother motion over time, particularly when symptoms change with sitting, bending, or prolonged positions.
Icon for cold laser therapy.
When tissues are highly reactive, calming things down can make rehab easier. Cold laser therapy may be used to support the body’s natural recovery response and help reduce irritation, often alongside active care so movement feels more manageable.
Icon for trigger point injections.
If stubborn muscle tension is keeping you “stuck,” releasing those tight areas may help you move more comfortably. Trigger point injections can be considered when muscle guarding is a major contributor and you need help tolerating activity and strengthening work.
Icon for shockwave therapy.
Some cases involve persistent soft-tissue irritation that does not settle with basic steps alone. Shockwave therapy may be used to support circulation and tissue recovery, selected based on how your symptoms present and how you respond as care progresses.
Icon for platelet-rich plasma.
When tissue healing support is a priority, platelet‒rich plasma (PRP) may be discussed as part of a broader plan. We will walk you through what it is, who it may fit, and how it could complement rehab and recovery goals.
Icon for regenerative medicine.
Some patients need support beyond the usual options, especially when deeper tissue irritation is involved. Regenerative medicine can be considered for certain joint and soft-tissue concerns when your evaluation suggests it fits, always as part of a larger plan focused on stability, function, and long-term improvement.

Frequently Asked Questions

What causes sciatica?
Sciatica is most often caused by irritation or compression of a nerve root in the lower back, which can send pain into the hip and leg. Common contributors include disc issues, spinal narrowing, degenerative changes, or tight hip tissues that irritate the nerve pathway. A focused exam helps clarify which driver is most likely in your case.
Is sciatica treatment non-surgical?
Sciatica treatment is non-surgical in many cases, especially when symptoms respond to targeted rehab, movement changes, and conservative therapies. The key is matching care to the reason the nerve is irritated, rather than chasing random fixes.
How long does sciatica treatment take?
Sciatica treatment takes different amounts of time depending on how long symptoms have been present, what is driving the irritation, and how your body responds to care. Some people notice meaningful change within a few weeks, while others need a longer plan when flare-ups have been recurring or when strength and mechanics need rebuilding.
Can sciatica treatment help numbness or tingling?
Sciatica treatment can help numbness or tingling when those symptoms are tied to nerve irritation that improves as pressure and inflammation settle and mechanics improve. Nerve symptoms often change more gradually than pain, so progress may look like steadier function first, then sensation changes over time.
Woman performs chiropractic adjustment on a man lying on a bed.
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Your trusted Pain Management Physician in Wichita and Milton

Hours: Saturday: Closed Sunday: Closed Monday: 2–6 PM Tuesday: 7 AM–12 PM, 2–6 PM Wednesday: 9 AM–12 PM, 2–6 PM Thursday: 9 AM–12 PM, 2–6 PM Friday: 7 AM–12 PM
Serving Sumner County near the K-42 highway.
Hours: Saturday: Closed Sunday: Closed Monday: 9 AM–6 PM Tuesday: 9 AM–6 PM Wednesday: 9 AM–6 PM Thursday: 9 AM–6 PM Friday: 9 AM–12 PM
Located near the Ridge Road and Kellogg (US-54) intersection.