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. Dr. Kalika has developed his own approach to treating sciatica via targeted release and regeneration of the sciatic nerve, using ultrasound guidance.
Dr. Kalika’s approach combines:
Dr. Kalika’s expertise in musculoskeletal ultrasonography and ultrasound guided dry needling make him a best-rated doctor for sciatica treatment in NYC.
The NYDNRehab clinic is one of the best-equipped private rehabilitation clinics in the world, featuring cutting edge regenerative technologies and therapies that revolutionize the way sciatica is treated and resolved.
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:
The human body has its own innate healing mechanisms, but it sometimes needs a nudge to accelerate the healing process. Regenerative technologies help to jump-start healing by stimulating tissue repair at the cellular level. Our outpatient regenerative therapies expedite recovery with minimal discomfort for the patient.
Focused ESWT is a regenerative treatment for damaged tendon, muscle and bone tissue. This technology produces high frequency sound waves to stimulate the body’s own reparative mechanisms.
EMTT is a fairly new technology that transmits high energy magnetic pulses to targeted tissues. The magnetic waves synchronize with the body’s own magnetic fields to trigger a regenerative response. EMTT waves can penetrate deep tissues, to target difficult-to-reach tendons, muscles, bones and nerves.
Extracorporeal Pulse Activation Technology (EPAT)
EPAT, also known as defocused shock wave therapy, uses acoustic pressure waves to enhance blood circulation to targeted tissues, to accelerate the healing process.
HEIT uses electromagnetic fields to penetrate cells, tissues, organs and bones, to reactivate the electrochemical function of cells and cell membranes.
The NESA device generates an algorithm that delivers a biphasic low-frequency electrical current via semi-electrodes attached to the hands and feet. It emits a series of intermittent and cyclical stimuli that travel through autonomic neural pathways, restoring optimal neural signaling to the brain.
Our INDIBA Tecar therapy machine converts electrical current into a stable radio frequency current of 448 kHz, designed to increase and stabilize the exchange of ions in damaged cells, evoking a regenerative response that accelerates healing. INDIBA can be used to successfully treat joint and muscle disorders, low-back pain, sports injuries, surgical incisions and various pain syndromes. Another therapeutic effect of INDIBA is extreme and prolonged cellular hyperthermia. Due to this effect, INDIBA therapy combined with manual therapy and soft tissue tissue manipulation enables instantaneous release to occur, significantly shortening the number and duration of physical therapy sessions. What is normally accomplished in two months of physical therapy can be accomplished in 3-4 sessions with INDIBA.
Injection therapies use natural/neutral solutions that stimulate cellular repair by either nourishing or irritating the targeted cells. Guidance by ultrasound ensures that the injected substances hit their mark, for maximum effectiveness.
PRP therapy uses a sample of the patient’s own whole blood, which is spun in a centrifuge to extract a high concentration of platelets. When injected into damaged tissues, PRP initiates tissue repair by releasing biologically active factors such as growth factors, cytokines, lysosomes and adhesion proteins. The injected solution stimulates the synthesis of new connective tissues and blood vessels. PRP can help to jump-start healing in chronic injuries and accelerate repair in acute injuries.
Prolotherapy uses a biologically neutral solution, often containing dextrose, saline or lidocaine. The solution irritates the affected connective tissue, stimulating the body’s own natural healing mechanisms to encourage growth of new normal ligament or tendon fibers.
Prolozone therapy is a new regenerative needling procedure that takes Prolotherapy to the next level. With prolozone therapy, a combination of procaine, anti-inflammatory medications, vitamins, minerals, and a mixture of ozone/oxygen gas is injected into joints or tissues that have been injured or have degenerated. When performed under ultrasound guidance, Prolozone therapy quickly reduces pain and inflammation while jump-starting the healing process.
Myofascial trigger points often contribute to sciatic nerve pain. Dry needling is an outpatient procedure where non-medicated needles are inserted into trigger points to evoke a twitch response, releasing the trigger point and immediately relieving pain. Ultrasound guidance eliminates the need for multiple insertions, reducing pain and discomfort for the patient.
When guided by high resolution ultrasound imaging, focused extracorporeal shockwave therapy (ESWT) is an evidence-based therapeutic approach to treating nerve entrapments, peripheral neuropathy and neuralgia.
Dr. Kalika is an expert in neural ultrasonography and extracorporeal shockwave therapy. The clinic at NYDNRehab features the highest-resolution research-grade ultrasound equipment currently available.
Ultrasound guided ESWT provokes the following effects in neural tissue:
Improved axonal transport
Provokes axonal regeneration
Promotes reinnervation
Limits and slows muscle atrophy associated with peripheral neuropathy
Accelerates remyelination
Modulates neurogenic inflammation
Improves intraneural vascularisation
The effects of ESWT are achieved via the following mechanisms:
Stem cell proliferation
Mediation of Schwann cell function
Endothelial cell recruitment/migration
Regulation of pro- and anti-inflammatory cytokines
Voltage-gated sodium channel blocking
If you are tired of taking dangerous drugs and getting the runaround from doctors who fail to resolve your sciatic nerve pain, it’s time to take charge of your own health. The sciatica specialists at NYDNRehab never stop until they get to the root cause of your sciatic nerve pain and resolve it, without drugs or surgery.
At NYDNRehab, our personalized one-on-one sciatica treatment approach uses cutting edge technologies and advanced physical therapy that really works. We help you eliminate sciatica pain for good, so you can enjoy the very best quality of life with pain-free mobility. Contact NYDNRehab today!