Sciatica Pain Relief – Differential Diagnosis and Targeted Treatment

Emphasis on Differential Diagnosis and Orthopedic Evaluation:

Many conditions can mimic sciatica. Dr. Singer's clinical orthopedic training allows him to accurately distinguish between the most common causes:

• Discogenic Sciatica (Most Common): Nerve compression due to a herniated or bulging disc in the lumbar spine.

• Spinal Stenosis: Narrowing of the spinal canal, placing pressure on the nerves.

• Piriformis Syndrome: Muscle spasm in the piriformis muscle (in the buttock) irritating the nerve as it passes through.

• Spondylolisthesis: Instability where one vertebra slips forward, pinching the nerve root.

• Facet Joint Arthropathy: Irritation from bone spurs or degenerative joint changes.

Dr. Singer utilizes advanced orthopedic testing and movement analysis to isolate the exact cause, ensuring the treatment is targeted to the specific pathology.

Targeted Treatment Protocol for Sciatica:

Based on the differential diagnosis, Dr. Singer designs a specialized protocol:

1. Decompression for Discogenic Sciatica: If the cause is a disc injury, non-surgical spinal decompression is used to create space, reduce disc pressure, and rapidly relieve nerve root compression.

2. Targeted Adjustments: Precise adjustments restore motion to restricted lumbar or sacroiliac (SI) joints, reducing mechanical irritation on the nerve.

3. Orthopedic Soft-Tissue Release: Specialized techniques (such as trigger point therapy and deep tissue work) are used to relax the lower back, hip flexors, and, critically, the piriformis muscle if Piriformis Syndrome is the cause.

4. Anti-Inflammatory Modalities: Use of physical therapy modalities to reduce inflammation and swelling around the irritated nerve root.

5. Nerve Flossing and Functional Restoration: Exercises designed to gently glide the sciatic nerve through its pathway, minimizing adherence, combined with core stabilization work to support the entire lumbar region.

Benefits of Dr. Singer’s Sciatica Treatment:

✓ Rapid and lasting relief from radiating pain, numbness, and tingling.
✓ Avoids the need for pain medication or invasive injections.
✓ Treatment is customized based on the precise cause (differential diagnosis).
✓ Improved mobility and strength in the lower extremities.
✓ Comprehensive plan to prevent future flare-ups.

Don't let debilitating sciatica control your life. Schedule your comprehensive orthopedic evaluation with Dr. Singer to get a precise diagnosis and effective, non-surgical treatment plan.

☎ Call (818) 940-5426 | Find Relief from Sciatica