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Sciatica Specialist

Comprehensive NeuroSpine

Carlos Casas, M.D.

Board Certified Neurosurgeon specializing in the Spine with offices in Hollywood and Boca Raton, FL. Credentialed in several Hospitals and Surgery Centers in Dade, Broward and Palm Beach counties.

An impacted sciatic nerve can negatively impact your life with constant throbbing pain up and down your body. Dr. Carlos Casas at Comprehensive NeuroSpine helps men and women living with pain, find solutions to resolving sciatic pain. Make an appointment online or call today to learn more about how you can reduce sciatica.

Sciatica Q & A

What is sciatica?

Sciatica occurs when the sciatic nerve is compressed in the lower spine, causing shooting pain from the lower back to just below the knee.

There are two kinds of sciatica:

  • Acute: spontaneous and temporary
  • Chronic: lasts more than three months


Sciatica isn't a condition, but rather a symptom of sciatic nerve damage. The sciatic nerve is the longest nerve in the human body.


What causes sciatica?

Multiple factors can damage the sciatic nerve, including:

  • A sports injury
  • Tightening of the piriformis muscle
  • A herniated disc
  • Narrowing of the spinal canal
  • Tears in the disc wall
  • Stress fracture
  • Radiculopathy


What are the symptoms of sciatica?

Symptoms of sciatica are expansive, though the most common ones include:

  • Tingling feet and toes
  • Numbness along the nerve in the leg


These symptoms vary from person to person. But in general, they worsen if you are seated for long periods of time.


What is radiculopathy?

Radiculopathy occurs when a nerve is pinched in the spine, causing pain, weakness, and numbness. Sciatica is one of the leading symptoms of radiculopathy. Causes include:

  • Poor posture and improper movements
  • Age-related diseases
  • Genetics
  • Ligaments that are too thick
  • Scoliosis
  • Diabetes
  • Inflammation due to a sudden injury


What is the most effective treatment for sciatica?

Most doctors opt for the surgical route to treat sciatica. Dr. Casas is committed to using alternative approaches to medicine, first exploring physical therapy then interventional pain management, and surgery only after the other methods have been exhausted.

Dr. Casas may recommend additional sciatica treatments, including:

  • Hot/cold compression
  • Walking or light stretching
  • Cognitive-behavioral therapy
  • Chiropractic care
  • Massage therapy
  • Acupuncture


If the pain is severe, Dr. Casas may recommend epidural steroid injections, which target the affected area directly without the risk of seeping into adjacent zones. These injections reduce inflammation and provide temporary pain relief.

Sciatica can be severely debilitating or a sign of a more severe condition. Dr. Casas is committed to finding the most humane solutions to your pain without risking surgery. However, should surgery be necessary, the team at Comprehensive NeuroSpine provides expert care and treatment options.

Don’t let your sciatica symptoms get worse. Contact Comprehensive NeuroSpine to learn more about your treatment options today.