Our Approach
How We Evaluate Sciatica
Your first visit starts with a full history and a physical exam, including orthopedic and neurological tests to help identify where the nerve irritation is coming from and how it's behaving. Most cases of sciatica can be evaluated and treated without imaging.
If your symptoms, exam findings, or response to care suggest something that needs a closer look, such as significant or progressive weakness, or symptoms that don't improve with conservative care, Dr. Demsky will recommend imaging or refer you to the appropriate physician or specialist.
Seek immediate medical attention (call 911 or go to the ER) for sudden loss of bladder or bowel control, progressive weakness or numbness in both legs, or sciatica following a significant trauma — these can indicate a medical emergency that chiropractic care is not appropriate for.