True sciatica follows the path of the sciatic nerve, which is what separates it from ordinary back strain. If your pain stays centered in the spine instead of radiating down a leg, start with our chronic back pain program instead. Signs that point to sciatica include:
There is no single lab test for sciatica. Your first visit combines a detailed history with orthopedic and neurological screening, including the straight-leg raise, movement testing, and checks of your reflexes, sensation, and leg strength. The pattern those tests reveal tells us whether the nerve is being pinched at the disc, the canal, or the piriformis.
When the exam raises red flags, or when progress stalls, we refer you for an MRI rather than guessing.
We do not perform injections or surgery, and most of our patients never need either. Here is how the common options compare so you can see where conservative care fits.
| Option | Invasiveness | Downtime | What it addresses | Typically considered for |
|---|---|---|---|---|
| Chiropractic adjustments | Non-invasive | None | Joint restriction and alignment feeding nerve irritation | Most mechanical sciatica cases |
| Spinal decompression | Non-invasive | None | Disc pressure on the nerve root via gentle computer-guided traction | Herniated or degenerative disc cases |
| Deep tissue laser | Non-invasive | None | Inflammation and slow tissue healing along the pain path | Add-on to speed relief in most plans |
| Pain injections | Needle-based | Short | Chemical inflammation around the nerve, for a limited window | When conservative care alone is not enough |
| Surgery | Operative | Weeks to months | Structural compression that has failed all other care | Severe or progressive neurological loss |
Your total cost depends on three factors: how often you need to be seen, which modalities your plan combines, and what your insurance covers. Many health plans include chiropractic care, and our team verifies your benefits before your first appointment so nothing surprises you.
If you are paying out of pocket, we explain the full plan and the financing options plainly before you commit to anything.
With 238+ five-star Google reviews, we have become a destination clinic for sciatica across the county. Every case is doctor-led, every plan is built from your exam findings, and adjustments, decompression, laser, and massage all happen under one roof at 153 Broadway Suite 1, Hawthorne.
Getting here is easy from almost anywhere in central Westchester: Thornwood is about 4 minutes away, Valhalla about 6, Pleasantville about 7, Elmsford about 10, and Chappaqua, Briarcliff Manor, and White Plains are each about 12. Tarrytown, Mount Kisco, and Armonk are all roughly 15 minutes out. If you ride the Metro-North Harlem Line, Hawthorne station is about a 5 minute walk from our door.
Start with a provider who treats sciatica conservatively, such as a chiropractor, since most cases respond to non-surgical care. At Integra Health we examine you first, treat what is mechanical, and refer you for imaging or a specialist consult if your case needs it.
For most people, yes. Chiropractic care addresses the joint restriction and disc pressure irritating the nerve instead of masking the pain. Progressive leg weakness or loss of bladder control are emergencies and belong in a hospital first.
No single test does. We combine your history with orthopedic and neurological testing, including the straight-leg raise, and check reflexes, sensation, and strength. If red flags appear or progress stalls, we refer you out for an MRI to look at the disc directly.
The usual culprits are prolonged sitting, lifting with poor form, long drives, and doing too much too soon after feeling better. Identifying your personal trigger is part of every care plan we build.
Yes. Decompression is designed for exactly that problem: gentle traction cycles create negative pressure inside the disc, encouraging the bulging material to retract away from the nerve root while nutrients flow back into the injured tissue.
It depends on the cause, how long you have had it, and how your body responds in the first weeks. We set a re-exam checkpoint early in care and adjust the plan based on measurable progress, not a preset package.
Many plans cover chiropractic care for sciatica. Our front desk verifies your benefits before your first visit so you know what is covered, and if you are self-pay we will walk you through the options honestly before care begins.