

Living with sciatica can be frustrating and disruptive, especially when the pain interferes with walking, sitting, or sleeping comfortably. It’s natural to hope the pain will simply fade away on its own - but that’s not always the case. Recognizing when sciatica is improving and when it needs professional attention is key to protecting your mobility and overall health.
Sciatica isn’t a diagnosis by itself - it’s a symptom that occurs when the sciatic nerve becomes irritated or compressed. The sciatic nerve is the largest nerve in the body, running from the lower spine through the hips and down each leg. When something presses on or inflames this nerve, pain and other symptoms can appear along the nerve’s pathway.
Common causes include:
• Herniated or bulging disc
• Spinal joint irritation or inflammation
• Muscle tension (especially piriformis muscle tightness)
• Spinal degeneration or narrowing (stenosis)
• Poor posture or repetitive strain
Because sciatica has different causes, the path to relief isn’t one-size-fits-all.
While it’s possible for mild sciatica to feel better over time, relying on symptoms alone can be risky. Pain relief does not always mean the problem has healed. In many cases, nerve irritation continues beneath the surface, increasing the chance of flare-ups or progressive nerve damage.
Professional care plays a critical role in determining what’s causing sciatica and how to treat it safely. Early evaluation helps guide appropriate care, prevent compensation patterns, and support proper healing before the condition becomes more difficult to manage.
• Symptoms lasting more than 7-10 days without noticeable improvement, especially if daily activities remain limited.
• Pain that is worsening or traveling further down the leg, which may indicate increasing sciatic nerve irritation.
• Persistent numbness or tingling, particularly in the leg, foot, or toes, that does not resolve with rest.
• Muscle weakness, such as difficulty standing, walking, climbing stairs, or lifting the foot.
• Recurring episodes of sciatica, even if the pain temporarily subsides between flare-ups.
• Changes in posture or movement to avoid pain, including limping or favoring one side, which can lead to additional strain or injury.
• Severe or sudden symptoms, including loss of bowel or bladder control or numbness in the groin or inner thighs, which require immediate medical attention.
Chiropractic care focuses on improving how the spine and surrounding joints move, reducing stress on irritated nerves, and supporting the body’s natural healing process. At 22 Health, chiropractic care for sciatica may include a combination of:
• Chiropractic adjustments to improve spinal alignment and joint motion
• Soft tissue work to address muscle tension that may be aggravating the nerve
• Targeted mobility and stability exercises to support recovery
• Posture and movement guidance to reduce re-irritation
• Lifestyle recommendations to help prevent flare-ups (workstation habits, lifting mechanics, sleep positioning)
The goal is to address contributing factors so you can move better and feel more confident in your day-to-day life.
Ignoring nerve-related pain can allow the condition to progress, making recovery more challenging over time. Recognizing warning signs early and seeking professional care can help protect nerve health, restore mobility, and reduce the risk of chronic discomfort.
If you’re experiencing sciatica pain, schedule a consultation with 22 Health to get the guidance and care you need to address sciatica safely and effectively. Contact our office in Altamonte Springs, Florida, by calling (407) 951-8921 to book an appointment today.