We Treat Sciatica at the Source — Not Just the Pain
Sciatica treatment combining non-surgical spinal decompression, chiropractic care, and integrative rehabilitation. Located in West Hills and Huntington, we focus on relieving nerve compression at its source.
Same day appointments may be available.
What is Sciatica?
Sciatica is not a diagnosis—it’s a symptom of nerve compression or irritation. The sciatic nerve is the longest nerve in the body, running from the lower back through the buttocks and down each leg. When something compresses or irritates this nerve, the result is pain, numbness, tingling, or weakness that radiates along its path.
In most cases, sciatica is caused by a herniated or bulging disc in the lumbar spine that presses on the nerve root. Other common causes include degenerative disc disease, spinal stenosis, or muscle tightness in the lower back and hip. The pain can range from mild to severe and may interfere with your ability to work, exercise, or sleep comfortably.
The key to effective sciatica treatment is identifying the underlying cause. Once we understand what is compressing the nerve, we can recommend the most appropriate non-surgical treatment to address it. Our approach in West Hills and Huntington focuses on relieving the pressure on the nerve, restoring spinal alignment, and preventing recurrence.
Sciatica treatment is most effective when started early. Delays can lead to chronic pain and increased risk of long-term nerve damage.
Sciatica Symptoms
Most patients we see have already tried stretching, rest, or medication — and the pain keeps coming back.
- Sharp, shooting pain from lower back through buttock and down the leg
- Burning or tingling sensation along the sciatic nerve path
- Numbness or weakness in the affected leg or foot
- Pain that worsens with sitting, standing, or bending
- Difficulty walking or standing for extended periods
- Pain typically on one side (rarely bilateral)
- Muscle spasms in the lower back or leg
Common Causes of Sciatica
Understanding the root cause of your sciatica is the first step toward effective treatment.
Herniated or Bulging Disc
The most common cause of sciatica. A disc that ruptures or bulges can press directly on the sciatic nerve root.
Learn about herniated discs →Degenerative Disc Disease
Over time, discs lose hydration and elasticity, allowing nerve compression and triggering sciatic pain.
Learn about disc degeneration →Spinal Stenosis
Narrowing of the spinal canal reduces space for nerve roots, often causing sciatica-like pain.
Learn about stenosis →
Auto Accident Injury
Whiplash and impact injuries can shift vertebrae or damage discs, compressing the sciatic nerve.
Learn about accident-related sciatica →
Muscle Strain or Piriformis Syndrome
The piriformis muscle can tighten and compress the sciatic nerve when strained or overused.
Learn about muscle-related pain →
Pregnancy-Related Compression
Weight gain and hormonal changes during pregnancy can shift the spine and irritate the sciatic nerve.
Schedule your evaluation →Sciatica Doesn’t Go Away on Its Own — But It Can Be Treated Without Surgery
If sciatic nerve pain is affecting your work, sleep, or daily movement, the next step is a proper evaluation. We identify the cause of your sciatica and recommend the most effective non-surgical treatment approach for relief in Huntington, West Hills, and across Long Island.
Sciatica Treatment Options
We offer multiple non-surgical approaches to treat sciatica, tailored to the underlying cause of your nerve pain.
VAX-D Spinal Decompression
Our first-line treatment for sciatica caused by disc herniations or bulges. VAX-D therapy uses controlled mechanical traction to create negative pressure within the disc, gently retracting disc material that compresses the sciatic nerve. FDA-cleared and proven effective for sciatic pain relief.
Learn about spinal decompression →Chiropractic Adjustments
Precise spinal adjustments restore proper vertebral alignment and reduce nerve irritation. We also address compensatory patterns in your spine and pelvis that contribute to ongoing sciatica.
Learn about chiropractic care →Integrative Rehabilitation
Custom exercise therapy, acupuncture for inflammation, and core stabilization strengthen supporting muscles and prevent recurrence of sciatic pain.
Learn about rehabilitation →Why Our Approach Works for Sciatica
Our treatment philosophy differs from standard pain management. Rather than masking symptoms with injections or medications, we treat the root cause of your sciatica. This approach delivers lasting relief and reduces the likelihood of pain returning after treatment ends.
Root Cause Treatment
We don’t just treat the pain—we address what’s causing the nerve compression, whether that’s a herniated disc, misalignment, or muscle tension.
Negative Intradiscal Pressure
VAX-D decompression creates a vacuum effect that retracts bulging or herniated disc material, relieving pressure on the sciatic nerve root.
Structural Correction
Chiropractic adjustments and rehabilitation support the spine’s structural recovery and prevent compensatory pain patterns.
Long-Term Resolution
Our integrated treatment plan is designed for lasting relief, not temporary symptom suppression. Most patients experience sustained improvement months after treatment ends.
Sciatica Treatment FAQ
Can sciatica be caused by a herniated disc?
Yes. A herniated disc is the most common cause of sciatica. When a disc herniates, the inner gel-like material protrudes through the outer layer and presses directly on the sciatic nerve root, causing pain that radiates down the leg. This type of sciatica responds very well to spinal decompression therapy.
How many spinal decompression sessions are needed for sciatica?
Treatment plans vary, but most patients require 15–25 sessions over 4–8 weeks for significant sciatica relief. The exact number depends on the severity of nerve compression, how long you’ve had sciatica, and your individual response to treatment. We customize your plan and track your progress to ensure you’re on the right path to recovery.
Is sciatica treatment covered by insurance?
Most insurance plans cover spinal decompression, chiropractic care, and rehabilitation for sciatica when medically necessary. We verify coverage before your first visit and handle insurance billing. Contact us at (631) 659-2980 to discuss your specific coverage.
When should I see a doctor for sciatica?
You should seek evaluation for sciatica if you experience persistent pain lasting more than a few days, severe pain that limits your function, numbness or weakness in your leg, or loss of bowel or bladder control (rare). Contact us for an appointment at our West Hills or Huntington locations on Long Island.
Can sciatica come back after treatment?
Properly treated sciatica usually doesn’t recur if you maintain the spine-supporting habits and exercises we recommend. Our rehabilitation program includes long-term prevention strategies to keep you pain-free.
Take the First Step Toward Sciatica Relief
Stop living with sciatic nerve pain. Schedule an evaluation to find out what is causing your symptoms and whether spinal decompression or another non-surgical treatment is right for you. Same-day appointments may be available at our Huntington and West Hills clinics.