Woman doing a gentle seated yoga spinal twist on a quiet beach at sunrise

Medically reviewed by Derek Wimmer, PA

Quick answer

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 isRadiating nerve pain (back to leg)
Common causeNerve compression / disc
Key optionSpinal decompression
GoalRelieve 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 unhurried conversation and an in-office ultrasound, so we can see the area clearly. From there, Derek builds a personalized, honest plan — and explains exactly what each option can and cannot do 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.