Conditions We Treat
Sciatic Pain Treatment in Malta and Ballston Spa, NY
The cause determines the cure — and we find the cause.
Treating the wrong cause is why so many sciatica patients don't get better.
What is "Sciatica"?
"Sciatica" refers to leg pain caused by irritation of the sciatic nerve. The 2 most common reasons for sciatica are:
Two Common Causes of Sciatica
Lumbar Disc Injuries
Pinching of nerve roots (that combine to form the sciatic nerve) as they exit the spine, as commonly occurs during Lumbar Disc Injuries.
Learn about disc injuriesPiriformis Syndrome
Pinching of the sciatic nerve due to an irritated or tight muscle (the piriformis muscle) in the buttocks region, causing a Piriformis Syndrome.
Why diagnosis matters
Why Getting the Diagnosis Right Matters
Disc-related sciatica and piriformis syndrome require completely different treatments. Treating a disc problem with piriformis stretches won't help — and vice versa. Dr. Block's evaluation uses orthopedic and neurological testing, directional movement assessment, and clinical reasoning to determine exactly which structure is generating your symptoms. That precision is what makes the difference between treatment that works and treatment that doesn't.
Does This Sound Like You?
Many of our sciatica patients describe one or more of these:
Pain, burning, or aching that travels from the low back or buttock down one leg
Numbness or tingling in the leg, calf, or foot
Weakness in the leg or difficulty lifting the foot
Pain that is worse with sitting, especially on hard surfaces
Pain that is worse with certain movements and relieved by others
Symptoms that have persisted despite prior treatment
Our process
How We Get You Better
Diagnose
Orthopedic and neurological testing, directional movement assessment, and clinical reasoning to determine whether your sciatica is disc-related or piriformis-related — the distinction that drives every treatment decision.
Treat
Targeted care matched to the actual cause: McKenzie directional therapy for disc-related sciatica; piriformis release, soft tissue work, and hip mechanics correction for piriformis syndrome.
Rehabilitate
A rehabilitation program that addresses the underlying mechanics responsible for the nerve irritation — reducing the likelihood of recurrence, not just resolving the current episode.
Why Patients Choose Us
Precise differentiation between disc-related and piriformis-related sciatica
McKenzie-certified assessment for disc injuries — the most evidence-supported approach
Targeted treatment based on your specific cause — not a generic sciatica protocol
Rehabilitation program to address the underlying mechanics and prevent recurrence
35+ years of experience with complex nerve pain and lumbar conditions
Related Conditions
Sciatica is often caused by or associated with these conditions:
Find Out If We Can Help
The right treatment starts with knowing the actual cause. Schedule an evaluation and find out exactly what's driving your leg pain.