The sciatic nerve is one of the largest nerves in our bodies. This nerve begins in the lower back, travels behind the hip joint and through the buttocks, continues down the back of each leg, and ends at each foot.
Serving such a long distance within our bodies, the sciatic nerve also has branches that reach out from its direct path, to provide sensation and mobility to the lower extremities and hips. When this nerve becomes irritated or compressed, it can cause significant discomfort, prompting many individuals to seek effective sciatica treatment in NYC with Dr. Stieber for pain relief and improved function.
The term “Sciatica” is used to describe a radiculopathy that is affecting the sciatic nerve itself. A radiculopathy is caused when the nerve root(s) leaving the spine are pinched or compressed by a herniated disc, bone spur, collapse, slippage, or other spinal problem. This pinching or compressing of the nerve root(s) can cause:
As a premier spinal surgeon and Sciatica surgeon in NYC, Dr. Stieber’s vast experience and knowledge weigh in on all aspects of your condition. Issues with one’s nervous system can result from many other issues, all of which must be accurately addressed to yield the optimal outcome. Pinching or compression of neurological structures can create symptoms far from the source, which can be misleading. Relief from sciatica may be easier to achieve than one might think, and surgery is not always necessary.
When feasible, Dr. Stieber will always strive to provide treatment, care, and results without a surgical operation. Surgical care is recommended as the last resort.
When surgery is deemed necessary, Dr. Stieber will offer several solutions such as a minimally invasive microscopic discectomy or neurologic decompression. This procedure can decompress the nerve root(s) and spinal cord, allowing you to quickly return to your usual lifestyle and mobility. Dr. Stieber will manage your specialty care throughout your sciatica diagnosis, treatment, and surgical procedure. This means you won’t have to be referred to a specialist or do extra paperwork, and you will continue your relationship with the doctor you’ve come to trust and respect: Dr. Stieber.
Yes, it can. While sciatica usually affects one side, changes in posture, nerve compression patterns, or disc herniation dynamics can cause it to switch sides. This may indicate evolving spinal issues and should be evaluated.
Sciatica often worsens at night due to increased inflammation, reduced distraction, or spinal positioning. Poor mattress support, tight hip flexors, or piriformis muscle tension can also contribute.
Yes. In some cases, sciatica presents as leg pain, tingling, or weakness without noticeable lower back discomfort. This can still stem from lumbar nerve compression or entrapment syndromes.
Absolutely. Shoes with poor arch support or high heels can alter gait and spine alignment, increasing sciatic nerve irritation. Supportive footwear is critical for sciatica management.
While rare, severe sciatic nerve compression (e.g., cauda equina syndrome) can affect bowel and bladder control. Any such symptoms require immediate medical attention.
Prolonged sitting, especially with poor posture or on hard surfaces, increases pressure on lumbar discs and tightens hip flexors and hamstrings, aggravating sciatic nerve pain.
Yes. Conditions like piriformis syndrome—where the piriformis muscle compresses the sciatic nerve—can mimic or cause true sciatica without spinal disc involvement.
Yes, especially in the third trimester. The growing uterus, hormonal changes (like relaxin), and altered posture can contribute to sciatic nerve compression.
Some individuals report worsened sciatica in cold or damp weather, possibly due to muscle stiffness, reduced circulation, or inflammatory responses.
They can offer temporary relief by reducing spinal pressure and promoting disc rehydration, but long-term benefits vary. Always consult a spine specialist first.
