Sciatica

The distinctive sign of sciatica is pain that radiates into the side or back of your legs.  It may manifest itself as a mild ache, numbness, tingling or a sharp pain. Sciatica may also cause weakness of your leg or foot.

Sciatica is most commonly caused by a herniated disc in your lower back.  When the disc wears down due to acute injury or because of years of use, the center of the disc may push through the outer ring.  When this occurs it may cause pressure on the nerves around the disc which can cause sciatica.

Of course, there are various other conditions that may cause sciatica.  It is important to have the proper diagnosis that that treatment can be optimized to help eliminate your suffering.

Dr. Moscow will do a thorough history and examination to determine your diagnosis.  Depending on the severity of the injury Dr. Moscow may also order imaging such as x-rays, MRI, or CT in order to assist with making the proper diagnosis.

For patients suffering from a disc herniation a gentle technique- Cox decompression therapy (flexion-distraction) has been shown to be extremely effective in reducing the herniation and restoring normal function.  This may be done in conjunction with a variety of other chiropractic manipulative techniques.

Dr. Moscow may also utilize other treatment modalities such as electrical muscle stimulation, ultrasound, hot and cold packs, various methods of stretching, massage therapy, exercise and rehabilitation, nutrition counseling or may prescribe a brace or orthotic.  We also have a medical doctor on staff that can prescribe medication when needed.

Dr. Moscow is a highly respected member of the medical community and has a large referral network of physicians in the area such as orthopedic surgeons, neurologists and doctors that specialize in pain management that he utilizes when appropriate for a disc herniation.