Natural Remedies for Sciatic Pain

"Sciatica" is an older term describing the symptoms of inflammation of the sciatic nerve, also known as sciatic neuritis. Sciatica involves radiating pain down the back of one lower extremity, usually including the back of the thigh and back of the calf, possibly extending into the foot. Sciatica pain may be described as sharp, shooting, gnawing, and/or burning, and may be accompanied by numbness and tingling. Intensity may range from mild to severe and frequency may range from occasional to constant. The onset is generally gradual and not necessarily associated with a precipitating event.

When lower back pain is accompanied by radiating lower extremity pain, it is useful to attempt to assess the relative distributions of such pain. If low back pain predominates or low back pain and sciatica pain are fairly equal in distribution (approximately 50% of the pain is in the low back and approximately 50% of the pain is in the lower extremity), then the sciatica pain may likely be caused by mechanical dysfunction in the low back. If sciatica is associated with a herniated disc, then leg and buttock pain will be the dominant symptom, compared with low back pain. In the case of a herniated disc, there may also be leg muscle weakness and diminished sensation in the affected leg. Pain that radiates only to the buttock and thigh is probably not related to irritation of the sciatic nerve, but rather to mechanical disorders of the low back and/or sacroiliac joint.

Regular chiropractic care is a primary natural remedy for sciatic pain. Regular chiropractic care detects and corrects spinal dysfunction that may be a source of sciatica pain. For example, altered spinal biomechanics may impinge and irritate spinal nerves, causing nerve inflammation and associated radiating pain. By helping to restore optimal spinal biomechanical function and relieve sources of nerve irritation, regular chiropractic care helps to restore the integrity of the sciatic nerve and reduce inflammatory pain and other symptoms.3

In addition to in-office care, your chiropractor may recommend the use of ice applications and stretching/exercise to assist in managing sciatica pain. An ice pack or plastic bag filled with ice cubes may be applied to the lower back for 15 minutes every few hours to help reduce associated muscle pain, muscle spasm, and sciatic nerve inflammation. Importantly, ice applications should always be wrapped in a thin towel so as to avoid placing the cold pack directly on the skin. Gentle stretching for the quadriceps, hamstrings, and calf muscles will assist in restoring optimal biomechanical functioning to both the trunk and the legs. Gentle exercise, including walking and riding a stationary bike, will similarly assist in the process of recovery. Overall, your chiropractor is your go-to resource and the best manager of the range of natural remedies to help resolve sciatica pain.


1Ramaswami R, et al: Management of Sciatica. N Engl J Med 376(12):1175-1177, 2017

2Deyo RA, Mirza SK: Clinical Practice. Herniated Lumbar Intervertebral Disk. N Engl J Med 374(18):1763-1772, 2016

3Lewis RA, et al: Comparative clinical effectiveness of management strategies for sciatica: systematic review and network meta-analyses. Spine J 15(6):1461-1477, 2015


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Testimonials

  • "Dear Dr. Zabawa,
    I want to thank you for being my #1 healthcare provider.
    I have been under chiropractic care for 40 years and of the many chiropractors I have been treated by,
    you and your precise atlas adjustment are the best.
    It really is gentle and effective. I've had migraines, scoliosis, herniated L4-L5, and sciatica -
    and in the 11 yrs of being under your care I have had no problems or re-occurrence of any
    of my former symptoms.
    You are the best and I thank you."
    Judy B.
  • "Hi, I'll always remember the wonderful things you've done for me at Atlas Chiropractic of Sarasota.
    I thank Dr. Zabawa for getting me up and running!
    My last chiropractor said there was nothing else they could do for me, and I felt as if my life was over.
    (I couldn't even play video games without pain.)
    Now that I've been introduced to your atlas adjustments: I'm lifting weights again, working (making money),
    and yes - even playing video games. Wow!
    THANK YOU!!!!!"
    Lyle H.
  • "We've had 40 years of various types of chiropractic therapies (sometimes weekly),
    but have never felt truly aligned until now."
    Marsha & Alain M.
  • "I was diagnosed with scoliosis as a child, and through good habits & care have managed to avoid surgery.
    About 30 years ago my research into spinal maintenance led me to upper cervical chiropractic
    (specifically orthospinology) over general chiropractic.
    This is just phenomenal. When my atlas is adjusted and my spine is aligned, it is amazing how good I feel.
    It helps the nerves and muscles of the body function so well, and I believe it has been the key to slowing
    the spinal degeneration caused by my scoliosis.
    * And it's so non-invasive! *
    Now that I live in Sarasota, I am so glad to be under the care of Dr. Zabawa.
    It's no surprise that he came highly recommended. I have always been impressed with
    the professionalism and care I've received at Atlas Chiropractic of Sarasota.
    It compares to anywhere in the country."
    Kyle Ann M.
  • "Very thorough. Quick recovery after a car wreck!"
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  • "For 3 years I had been having headaches every day.
    I even went to a neurologist for my headaches, but he said they were a condition of menopause :(
    A friend suggested going to Dr. Z because of the unique procedure he uses and the great results.
    Dr. Z took care of me and within about 3 months my daily headaches were gone.
    What a relief!
    I don't think I've had one since :)"
    Allaesia M.
  • "I lived in pain with an undiagnosed broken back for 23 years since a horse & buggy accident as a teenager.
    When I injured my back again as an adult, the x-rays showed that I had fractured a vertebra back then,
    as well as this time.
    I received some help from going to regular chiropractors in recent years, but still lived in pain.
    I am so thankful that I found Dr. Zabawa.
    After 35 years and lots of pain, within a month or so
    I was PAIN FREE!
    It is amazing how such small adjustments to the atlas vertebra in my neck have made such
    a big difference to my life.
    To this day, I come in periodically to maintain my new found health.
    Praise and glory to God."
    Mary T.