Medically reviewed by Derek Wimmer, PA
Sciatica is pain that radiates along the sciatic nerve — from the lower back into the buttock and leg — often from nerve compression. Wimmer treats it non-surgically with options like spinal decompression and image-guided care after identifying the underlying source.
| What it is | Radiating nerve pain (back to leg) |
|---|---|
| Common cause | Nerve compression / disc |
| Key options | Stem cell, PRP, Spinal decompression, Focused Shockwave |
| Goal | Relieve nerve pressure non-surgically |
Common causes & symptoms
- Pain radiating from the low back into the buttock or leg
- Tingling, burning, or numbness down the leg
- Pain worsened by sitting or certain movements
- Weakness or reduced tolerance for activity
When to seek care
If sciatica is limiting your activity, lingering for more than a couple of weeks, waking you at night, or causing swelling or instability, it's worth a proper evaluation. Early, accurate assessment often opens up more — and less invasive — options.
How we evaluate it
Your visit begins with an in-office evaluation, with imaging — ultrasound or fluoroscopy — when it's needed, so we can see the area clearly. Occasionally we'll arrange additional imaging elsewhere. From there, Derek builds a personalized, honest plan — and walks you through the options for your situation.
Non-surgical options we may consider
- Non-surgical spinal decompression — to ease pressure on the nerve
- Image-guided injections — targeted, when appropriate
- Activity guidance — to calm symptoms and prevent flares
Keeping you active
For golfers, pickleball and tennis players, boaters, and active retirees, the goal isn't just less pain — it's getting back to the life you love and staying there. That's the heart of how we plan your care.
Frequently asked questions
It's typically caused by irritation or compression of the sciatic nerve, often related to a disc or narrowing in the spine. Evaluation helps identify the source.
For many patients, yes — non-surgical options like decompression and targeted care can relieve symptoms. Surgical referral is reserved for cases that warrant it.
If leg pain, numbness, or weakness persists, worsens, or interferes with daily life, it's worth a proper evaluation. Seek urgent care for sudden severe weakness or loss of bladder/bowel control.
