Sciatica Treatment in New Braunfels, TX

Sciatica, that sharp, burning, or shooting pain that travels from your lower back down through the hip and leg — is one of the more disruptive conditions we treat, because it affects how you sit, stand, sleep, and move through an entire day. We focus on relieving the nerve compression at its source.

What Causes Sciatica?

Sciatic nerve irritation can stem from several different points along the lower spine and hip:

Herniated or bulging discs pressing on the nerve root
Spinal stenosis narrowing the space around the nerve
Piriformis syndrome, where a tight hip muscle compresses the nerve
Degenerative disc changes affecting nerve space over time
Pelvic misalignment altering how the nerve pathway is loaded

The exact source matters, sciatica caused by a disc issue is treated differently than sciatica caused by a tight piriformis muscle, even though the symptoms can feel identical.

How We Approach Treatment

Determining where the compression originates is the first priority. From there, care typically includes:

Spinal and pelvic adjustments to relieve pressure at the source of nerve irritation
Soft tissue therapy, particularly for the piriformis and surrounding hip musculature when that's a contributing factor
Nerve flossing and mobility work to reduce irritation along the nerve's path
Strengthening exercises for the core and hip stabilizers that support long-term spinal health

Most patients experience meaningful relief within the first several visits, with continued improvement as the underlying mechanical issue resolves.

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