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The sciatic nerve is the largest nerve in the human body, with its roots emerging from the lower spinal vertebrae L4 to S3, and merging to form a single nerve that runs down the leg, all the way to your feet. While sciatic nerve pain is most commonly felt on one side of your lower back, compression or entrapment of the sciatic nerve can cause pain, numbness and tingling anywhere along its path. Chronic sciatic nerve pain is not normal, and it can be completely eliminated with sciatica physical therapy.
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Clinical director & DC RMSK
NYDNRehab clinical director Dr. Lev Kalika has devoted his life’s work to finding new and innovative ways to relieve human pain and dysfunction. As a board certified and licensed chiropractor, Dr. Kalika fully understands the mechanisms of pain affecting the spine and nervous system. His world-renowned expertise in musculoskeletal ultrasonography and dry needling make him a best-rated doctor for sciatica treatment in NYC.
The NYDNRehab clinic is one of the best equipped private physical therapy clinics in the world, featuring cutting edge technologies that change the game for sciatica treatment and rehabilitation. Dr. Kalika’s services are sought by runners, athletes, dancers and physically active people across the USA.
Due to the length of its pathway as it glides among the body’s structures, the sciatic nerve can be irritated by a broad range of mechanisms. Conventional medical practitioners are trained to treat the locus of pain, often managing sciatica with drugs and surgery, without diving deep into its underlying causes. Even chiropractors and physical therapists often take a cookie cutter approach to sciatica treatment, despite vast differences in patient profiles.
The sciatica specialists at NYDNRehab know that human anatomy varies immensely from one patient to the next, and that sciatica can have multiple causes that require specific treatment approaches. We never take a one-size-fits-all approach to patient care. Our one-on-one personalized treatment protocols are based on each patient’s specific diagnostic results, ensuring successful treatment that eradicates sciatic nerve pain.
Low back pain on one side of your spine
Pain and tingling in the buttocks, legs or feet
Pain that gets worse during physical activity
Numbness in the lower extremities
Loss of bowel or bladder control
Reduced range of motion in the lumbopelvic region
Poor static and dynamic posture
Repetitive overuse from occupation, sports or exercise
Weak core and pelvic musculatur
Degeneration of the lower vertebrae
Poor lifting technique
Sciatic nerve compression or entrapment
Sedentary lifestyle
Being overweight or obese
Excessive sitting for extending periods
Occupations that require driving or lifting
Pregnancy
Smoking cigarettes
During your preliminary exam, we will ask about your symptoms and health history, but it doesn’t stop there. We use the highest resolution diagnostic ultrasonography to visualize the sciatic nerve in motion along its entire length, in real time. This allows us to pinpoint the exact location and mechanism by which the sciatic nerve is impinged or entrapped.
Once we fully understand the precise mechanisms underlying your sciatic nerve pain, we design a personalized treatment plan, to restore uninhibited gliding of the sciatic nerve and initiate the healing process.
The sciatica specialists at NYDNRehab have diverse skills and expertise for treating sciatica. Our large inventory of advanced technologies and innovative treatment options give us all the tools we need to ensure that every patient gets the personalized care they deserve to eliminate sciatic nerve pain.
Depending on your unique needs, your treatment plan may include a combination of some or all of the following treatment options:
Chiropractic care that may include spinal manipulation
Postural correction therapy to realign your spine
Physical therapy exercises to strengthen your core and pelvic muscles
Extracorporeal magneto transduction therapy (EMTT) to relieve pain and inflammation
Extracorporeal shock wave therapy (ESWT) to stimulate healing at the cellular level
Dynamic neuromuscular stabilization (DNS) to restore optimal movement patterns
Ultrasound guided dry needling to release myofascial trigger points
Patient education to prevent future bouts of sciatica
Our regenerative technologies help to reduce pain and inflammation and promote healing of damaged sciatic nerve tissues. Your treatment plan may include regenerative interventions if deemed appropriate.
Extracorporeal Shock Wave Therapy (ESWT)
ESWT stimulates the growth and repair of tissues at the cellular level, to accelerate healing for the fastest possible relief from sciatic nerve pain.
Extracorporeal Magnetic Transduction Therapy (EMTT)
EMTT is making headlines as the next big thing in musculoskeletal medicine and injury rehab. When combined with ESWT, EMTT helps to reduce inflammation, eliminate sciatic nerve pain, and speed healing.
Ultrasound Guided Dry Needling
Dry needling is a safe and effective therapy for eliminating myofascial trigger points that can irritate the sciatic nerve. Guidance with ultrasound enhances precision, eliminating the need for repeated insertions.
Ultrasound Guided Injection Therapies
We use ultrasound guided injections to reduce pain and inflammation and promote the growth of new cells. Corticosteroids, platelet rich plasma, hyaluronic acid and other injection therapies may be included in your sciatica treatment protocol.
If you are tired of taking drugs and getting the runaround from doctors who fail to resolve your sciatic nerve pain, it’s time to take charge of your health. The sciatica specialists at NYDNRehab never stop working to eliminate the underlying cause of your sciatica, without drugs or surgery.
With specialized sciatica physical therapy and chiropractic care at NYDNRehab, you can eliminate sciatica for good and restore healthy pain-free movement. Contact NYDNRehab today, and get rid of sciatica, so you can get back to doing the things you love.
Below is a prime example of how ultrasound can take the guesswork out of diagnosis.
A bad physical therapy experience is one of the primary causes of unnecessary surgery
In this instance, an athlete was originally diagnosed with minor quadriceps muscle strain and was treated for four weeks, with unsatisfactory results. When he came to our clinic, the muscle was not healing, and the patients’ muscle tissue had already begun to atrophy.
Upon examination using MSUS, we discovered that he had a full muscle thickness tear that had been overlooked by his previous provider. To mitigate damage and promote healing, surgery should have been performed immediately after the injury occurred. Because of misdiagnosis and inappropriate treatment, the patient now has permanent damage that cannot be corrected.
The most important advantage of Ultrasound over MRI imaging is its ability to zero in on the symptomatic region and obtain imaging, with active participation and feedback from the patient. Using dynamic MSUS, we can see what happens when patients contract their muscles, something that cannot be done with MRI. From a diagnostic perspective, this interaction is invaluable.
Dynamic ultrasonography examination demonstrating
the full thickness tear and already occurring muscle atrophy
due to misdiagnosis and not referring the patient
to proper diagnostic workup
Demonstration of how very small muscle defect is made and revealed
to be a complete tear with muscle contraction
under diagnostic sonography (not possible with MRI)
Complete tear of rectus femoris
with large hematoma (blood)
Separation of muscle ends due to tear elicited
on dynamic sonography examination
