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Conditions Treated

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Dr. Wayne Winnick and Associates Upper East Side Chiropractic and Sports Medicine

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159 East 74th Street
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New York, NY 10021

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Home | Conditions Treated | Lower Back Pain | Sciatica/Pinched Nerve

Sciatica/Pinched Nerve

Sciatica TreatmentA pinched nerve, or sciatica, is characterized by pain down the leg and can continue below the knee. Sciatic pain can be caused by a disc herniation, a slipped disc or muscle spasms of the hip and lower extremity.

Tingling, numbness, or pain in the buttocks and thigh is often misdiagnosed as sciatica. The sciatic nerve originates from a group of nerves in the lumbar spine that pass through the buttock, down the back of the thigh (between the hamstrings), and down the back of the leg to the foot.

The sciatic nerve gets “pinched” or compressed from direct pressure such as sitting on your buttocks and thighs for prolonged periods, or it can occur from overstretching your hamstrings in the gym.

Once injury to sciatic nerve occurs, it loses its blood supply (ischemia) and leads to a hypoxic state. Fibrosis sets in (scar tissue) around the injured area, preventing the normal sliding of the nerve between the muscles (like cars passing through a tunnel).

These common nerve entrapment sites occur in the deep lateral rotators of the spine (piriformis), thigh (hamstrings), and leg (calf muscles). Sciatica pain is usually worse in the morning and after prolonged sitting. Bending with twisting and coughing can also trigger sciatica pain.

Our Approach

Strategies to protect your spine will be encouraged while non-surgical interventions such as spinal manipulation, Cox decompression therapy, and electrotherapeutics to facilitate reduction of pain.

Because sciatica does not only occur at the site of pain, our doctors will evaluate you joint by joint and muscle by muscle from the lumbar spine down to your feet.

We will distinguish the cause of your sciatica as acute inflammation or nerve compression and design a treatment plan to reduce pressure on the affected nerve or muscle.

Our unique application of soft tissue therapies includes Active Release Technique®, Graston Technique®, Transverse Cross Friction Massage, Fascial Manipulation, Cold Laser, and Trigger Point Therapy to reduce direct compression of the sciatic nerve.

Once the direct pressure is diminished we will use a proven spinal stabilization program to improve your spinal stability and ensure your complete recovery.

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