Condition
Sciatica is pain radiating along the sciatic nerve — usually caused by compression or irritation of the nerve root. We identify what's compressing it and decompress it.
Sciatica is not a diagnosis — it’s a symptom. It’s pain, tingling, numbness, or weakness that radiates along the path of the sciatic nerve, usually from the lower back down one leg to the foot. The pain pattern tells us the nerve is compressed or irritated somewhere along that path.
The problem is that most people with sciatica get treated for sciatica the symptom, not diagnosed on sciatica the cause. They get pain medication, muscle relaxants, anti-inflammatories — none of which fix the compression. The pain comes back because the cause is still there.
True sciatica resolution requires identifying what’s compressing the nerve and decompressing it.
Lumbar disc herniation: The most common cause. When a disc herniates, the nucleus can bulge or tear outward, pressing on the nerve root exiting the spine. This typically happens at L4–L5 or L5–S1, and produces sharp pain down one leg, often with tingling or numbness.
Piriformis syndrome: The piriformis is a deep gluteal muscle that the sciatic nerve passes through or near. When the piriformis is tight or inflamed, it can trap the nerve, producing sciatic-like pain. This is especially common in people who sit for long periods or have hip imbalance.
Pelvic misalignment: If your pelvis is rotated, tilted, or shifted, the nerve roots exiting at the lumbosacral junction get stretched or compressed. This produces radiating pain without disc herniation.
Lumbar facet joint arthritis: Arthritic changes in the small joints of the spine can produce bone spurs that narrow the space where the nerve exits. This compresses the nerve root and produces sciatica.
Scar tissue or adhesions: Inflammation or injury can create scar tissue around the nerve. This restricts the nerve’s ability to glide during movement, producing pain especially when bending forward or sitting.
Step one is specific diagnosis. Dr. Devon uses movement testing, postural assessment, range of motion evaluation, and nerve mobility testing to determine exactly where the nerve is being compressed. If imaging is indicated, we’ll recommend it. If not, we’ll tell you that too.
Once we know what’s compressing the nerve, treatment is specific. If it’s a disc herniation, we decompress the spine using traction, joint mobilization, and core stabilization. If it’s piriformis syndrome, we release the muscle, restore hip mobility, and rebalance the glutes. If it’s pelvic misalignment, we realign the pelvis and address the patterns that caused it. If it’s a facet issue, we mobilize the joint and stabilize the surrounding muscles.
Throughout, we measure how the nerve is responding. Can you bend forward further without pain? Is the tingling reducing? Are you sleeping better? These changes tell us the nerve is decompressing.
Most patients notice significant improvement in 2–3 visits. The full 6-visit course is designed to fully decompress the nerve and address whatever caused the compression in the first place — weak core, muscle imbalance, movement dysfunction — so it doesn’t come back.
If you complete all 6 visits, follow the home protocol, and don’t experience a meaningful improvement in your ability to do the activity pain was keeping you from — the next two visits are on us. No asterisks. No awkward conversations. No fine print.
Nerve pain responds slowly to generic treatments because generic treatments don’t address the specific problem. But it responds quickly to specific treatment because once the compression is resolved, the nerve heals fast.
That’s why the guarantee works. If the nerve is truly decompressed, the pain resolves. If it doesn’t, there’s something else going on — and we keep working to find it, at no charge.
Sciatica is not something you have to learn to live with. It’s a nerve being compressed by something specific, and that something can be fixed. Call Dr. Devon at (647) 951-5841 to discuss your case and find out whether the Endura Method can decompress the nerve and close the gap between who you are now and who you were before the pain.
Sciatica requires specific diagnosis: which nerve is affected, what's compressing it, and how to decompress it. Dr. Devon uses movement assessment, postural evaluation, and if needed, imaging to identify the cause. Treatment targets decompression directly — whether that's [spinal mobilization, disc decompression](/method), muscle release, or pelvic realignment.
Yes, if we resolve the underlying cause. Sciatica is a symptom of nerve compression — once the compression is resolved, the pain resolves. Most patients notice significant improvement within 2–3 visits.
Not always. Dr. Devon will assess your nerve irritation using movement testing and manual examination. If imaging is needed to confirm diagnosis or rule out serious pathology, he'll recommend it. Many sciatica cases can be diagnosed and treated without it.
Most sciatica is a mechanical problem — nerve compression from disc, muscle, or joint — that responds well to targeted treatment. However, rare serious causes (cauda equina syndrome, infection, tumour) do exist. Dr. Devon screens for these on the first visit.
Usually from a combination of factors: weak core support, movement patterns that load the lower back asymmetrically, tight muscles that trap the nerve (especially piriformis), and often a triggering event like lifting or prolonged sitting. Treatment addresses all of these.
You'll speak directly with Dr. Devon — not a receptionist.