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Washington State

Seattle | West Seattle

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(206) 946-1323

4755 Fauntleroy Way SW, Suite 120, Seattle, WA 98116

(206) 946-1323

4755 Fauntleroy Way SW, Suite 120, Seattle, WA 98116

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Seattle | Fremont

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(206) 547-0707

701 N 36th St, Suite 430, Seattle, WA 98103

(206) 547-0707

701 N 36th St, Suite 430, Seattle, WA 98103

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Seattle | Green Lake

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(206) 522-6240

7116 Woodlawn Ave NE, Seattle, WA 98115

(206) 522-6240

7116 Woodlawn Ave NE, Seattle, WA 98115

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Oregon State

Portland | Slabtown

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(503) 227-0503

2175 NW Raleigh Street, Suite 102, Portland, OR 97210

(503) 227-0503

2175 NW Raleigh Street, Suite 102, Portland, OR 97210

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Sciatica Pain Treatment

What is “Sciatica” or Sciatic Nerve Pain?

The sciatic nerve is the largest nerve in the body in both length and width. It stems from the lumbar spine, travels through the hip and glutes, and runs down the leg into the foot. Since the sciatic nerve travels through narrow passages between muscles and joints, the nerve roots can become compressed and irritated leading to discomfort and sometimes radiating pain in the lower back, hips, legs, and buttocks.

What is “Piriformis Syndrome?”

The Piriformis is a small muscle located within the buttocks region and functions to rotate and abduct the femur. The muscle originates on the front of the sacrum, spans across the sciatic nerve, and attaches to the femur. This small muscle may become overworked and inflamed, and due to its close proximity to the sciatic nerve can sometimes irritate or compress the nerve, causing pain in the glutes that may radiate along the sciatic nerve into the leg.

How are Sciatica and Piriformis Syndrome Related?

Piriformis syndrome often leads to sciatica. The sciatic nerve passes beneath, and in some cases through, the piriformis muscle and eventually branches off as it travels down the leg into the foot. If the piriformis muscle is irritated or spasms, it may compress the sciatic nerve and lead to sciatic pain, eventually resulting in sciatica, a chronic pain condition.

What are signs and symptoms of Sciatica and Piriformis Syndrome?

Piriformis syndrome and sciatica often yield pain and discomfort that stems from the buttocks and shoots down the leg and sometimes into the foot. The gluteus muscles may feel tight or tender, and limited range of motion in the hips and lower back may result. Commonly symptoms worsen with prolonged sitting or heightened physical activity.

Everyday activities such as walking, driving, scaling stairs, or bending over can become difficult and painful. You may feel the urge to stretch the tight areas, but this can sometimes further irritate the nerve and increase symptoms.

What causes Sciatica and Piriformis Syndrome?

The leading causes of sciatica are herniated or bulged discs, bone spurs, spinal stenosis, and other spinal conditions and injuries. However, both sciatic pain and piriformis syndrome can be caused by various lifestyle factors. Excessive exercise may cause overuse of the piriformis muscle, especially when muscle imbalances and movement compensations are present.

Prolonged sitting is another big factor, as sitting places pressure on the piriformis muscle and other muscles that surround the sciatic nerve, which can increase nerve sensitivity over time. A mechanism of injury, such as trauma from a car crash or fall, may also lead to sciatica or piriformis pain.

Does Tangelo treat people with Sciatica and Piriformis Syndrome?

Sciatica and Piriformis Syndrome are very common, and we treat people with these conditions all the time. By blending our unique approach of manual therapy and movement training, we achieve excellent results to get people out of sciatic pain fast and back to doing what they love.

Tangelo uses cutting-edge manual therapy techniques to address the tight tissues around the hips, glutes, quadriceps, hamstrings, calves, and lower back, to make sure the affected areas are able to move freely, providing fast sciatic pain relief. This is important because the sciatic nerve needs to slide smoothly within and alongside the muscles as the leg performs various functions. Once symptoms are relieved, we have an opportunity to restabilize the area and unwind compensation patterns.

Individualized corrective exercises instructed by our Rehab Specialists will help improve balance of strength and mobility throughout the body. This important piece of the puzzle will aid in improving movement dysfunction and teach your body (and brain) how to move properly to prevent further injury.

How can Tangelo Help TREAT my Sciatica Pain?

At Tangelo, we don’t just focus on the obvious symptoms. We work hard to figure out what caused your sciatica pain in the first place, and then treat it. Our process begins with a comprehensive movement assessment to evaluate your hips and lower back, as well as your gait patterns, balancing, and lifting mechanics. We want to make sure you get out of pain, stay out of pain, and get back to doing the sports and activities you love!

If you think you have Sciatica, Piriformis Syndrome, or any type of back pain, we’d be happy to see you at any of our clinics in Seattle (Fremont, Green Lake, West Seattle) or Portland (Slabtown). You can schedule an appointment online or call the location most convenient for you. Book today and get a free examination!

Testimonials

What some of our clients have to say

I see Dr. Lisa, Tyler, and Kyle at Tangelo. They are truly amazing. I'd been experiencing low back pain for the last 8 years and it got so bad that I couldn't walk- and I'm in my early 20’s.

Within 6 months, they fixed me. My back pain is gone and if it comes back they taught me how to drive it away. Can't thank them enough–they gave me my life back.

Greg C.

After having my kid 3 years ago I developed horrible back pain; the kind where you can't walk because you are stuck in a hunched-over position. With the help of Dr. Krysann and sports therapists Sarah and Jason, I am happy to say I am living most days with little to no pain. I am running after my daughter. I am picking her up and dancing with her.

If you want to get back to life, I highly recommend giving Tangelo a call!

Megan R.

Other common conditions

Low-Back Pain

Lower back pain and low back issues can occur suddenly, or can develop slowly over time. Chronic pain in the low back can result from disc injuries such as herniations or ruptures, joint problems, and irritated or inflamed nerves.


Shoulder Pain

Shoulders conditions we treat include acute injuries such as rotator cuff tears and sprains, as well as chronic pain resulting from impingements, tendonitis and arthritis.


Knee Pain

Knee pain can result from acute injuries, muscle imbalance, and repetitive-use injuries. Common conditions include Patellofemoral Pain Syndrome, and IT band syndrome. Knee pain can be a symptom of related issues in the hips and ankles.


Foot & Ankle Pain

Conditions in the lower leg, foot and ankle include acute injuries such as sprains and strains, as well as chronic conditions such as plantar fasciitis and shin splints.


Neck Pain

The muscle and ligaments of the neck connect the head, shoulders and back. Neck pain can result from poor posture, muscle imbalance, and injury. Often, neck pain is related to other interconnected muscle groups.


Elbow Pain

Elbow pain can be related to a number of conditions. Elbow tendonitis, or Tennis Elbow, is a common condition caused by inflammation and injury to the tendons. Overuse injuries and repetitive hand, wrist, or arm movements often cause elbow pain.


Tangelo treats conditions involving the body’s muscular and skeletal systems. Our hybrid approach was created to treat muscle, soft tissue, bone and joint conditions.

We provide service for muscle sprains and strains, repetitive-stress injuries, athletic injuries, acute injuries and chronic conditions.