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Sciatica

Sciatica is pain radiating from the lower back down one leg, most often caused by a herniated lumbar disc compressing the sciatic nerve.

Sciatica is a deeply painful condition that can disrupt mobility, sleep, and overall quality of life. At Remix Medical in Houston, our dedicated team of healthcare professionals is here to help you achieve lasting relief. Whether your discomfort is acute or chronic, we focus on identifying the root cause and creating a personalized treatment plan to help you regain your comfort and mobility. When you're looking for a trusted pain management doctor in Houston, Remix Medical offers expert, compassionate care tailored to your needs.

What is Sciatica?

Sciatica is not a disease but instead the result of an underlying spinal condition, manifested as radiating pain along the sciatic nerve — the largest nerve in your body running from your lower back through hips, buttocks and legs.

Sciatica typically occurs when the sciatic nerve becomes compressed or irritated due to a herniated disc or bone spur, leading to either mild ache or sharp, burning pain on one side of the body.

Common Causes of Sciatica

Understanding what's causing your sciatic nerve pain is key to effective treatment. Here are some of the more likely culprits:

1. Herniated or Slipped Disc

Herniated discs are one of the leading causes of sciatica. When their soft, gel-like center pushes out through a tear in their outer layer and presses on the sciatic nerve, they can cause intense pain, tingling or numbness.

2. Spinal Stenosis

This condition occurs due to age or arthritis and involves narrowing of the spinal canal. As space decreases, nerves such as the sciatic nerve become compressed causing pain and discomfort.

3. Degenerative Disc Disease

With age comes decreased flexibility of spinal discs, and this wear and tear can lead to vertebrae rubbing against each other and pressing against nearby nerves, creating symptoms of sciatica.

4. Piriformis Syndrome

This is a neuromuscular disorder where the piriformis muscle—located deep in the buttock—spasms and compresses the sciatic nerve. It can cause radiating pain down the leg, mimicking true sciatica.

5. Trauma or Injury

Falls, car accidents and sports can all cause injuries that result in fractures, disc damage or inflammation to the sciatic nerve.

6. Tumors or Infections

Though rare, tumors or infections near the spine may compress the sciatic nerve and produce symptoms similar to traditional sciatica.

Symptoms of Sciatica

Sciatica symptoms can vary based on the severity and cause but typically include:

  • Lower back pain that radiates to the buttock and leg
  • Sharp, burning, or shooting pain that worsens with prolonged sitting or standing
  • Tingling or "pins and needles" sensation in the leg or foot
  • Muscle weakness in the affected leg
  • Difficulty walking or maintaining balance

Painful symptoms often affect only one leg; however, in rare instances it could impact both. If sudden or severe symptoms such as loss of bladder or bowel control arise, seek emergency care immediately.

How Remix Medical Can Help

At Remix Medical, our approach to treating sciatica begins with a thorough physical examination and medical history review. Depending on your symptoms, we may use imaging tests such as X-rays, MRI, or CT scans to identify the source of nerve compression.

Our personalized treatment options include:

  • Medication management for inflammation and pain relief
  • Physical therapy referrals to strengthen muscles and improve flexibility
  • Lifestyle counseling to reduce strain on the lower back
  • Referral to specialists (if surgery or advanced imaging is required)
  • Ongoing monitoring to ensure long-term relief and prevent recurrence

As your trusted pain medicine physicians in Houston, TX, we coordinate every aspect of your care to ensure you receive the most effective treatment available.

Relief from Sciatic Pain at Remix Medical

You don't have to live with back and leg pain. Whether your sciatica is mild or severe, early intervention is key to preventing long-term complications. At Remix Medical, we take the time to listen, diagnose, and treat your condition with a patient-first approach.

Signs & symptoms

Signs and symptoms to watch for

  • - Pain radiating from the lower back through the buttock and down the back of the leg - Burning
  • sharp
  • or electric shock-like pain - Numbness or tingling in the leg or foot - Leg weakness - Pain worsened by sitting
  • coughing
  • or sneezing - Usually affects one side of the body

When to see a specialist

Should you see a specialist?

See a pain specialist if leg pain has lasted longer than 6 weeks, includes numbness or weakness, or is severe enough to limit daily activity. Seek emergency care for sudden severe pain after injury, loss of bladder/bowel control, or progressive leg weakness (cauda equina syndrome).

Treatment options

Possible treatments

Your physician

Your pain management at Remix Medical.

Every clinician at Remix Medical is board-certified and owns the practice — so the physician in your exam room is the one making decisions about your care.

  • Raju Mantena, DO

    Pain Medicine Physician

    Medical Center — South Freeway · Montrose — Upper Kirby · Pearland

    Board certifiedAccepting newBook
Specialty
Pain Management
ICD-10 code
M54.30
Associated anatomy
Sciatic nerve, L4-S3 nerve roots, lumbar spine, piriformis muscle

Also known as: Sciatic Neuritis, Sciatic Neuralgia, Lumbar Radiculopathy, Lumbosacral Radiculopathy, Sciatic Nerve Pain

This page is for general education and is not a substitute for medical advice from your physician. Contact a Remix Medical clinician about your specific situation.

Updated May 9, 2026.

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