24 Nov Why Your Sciatica Keeps Coming Back and What Actually Helps
Sciatica is one of the most common causes of back and leg pain, and for many people, it does not happen just once. It returns again and again. If you feel sharp, shooting pain down your leg or a burning sensation in your lower back, you already know how frustrating sciatica can be.
The good news is that sciatica can be treated. Lasting relief is possible when you understand why it keeps coming back and what to do about it.
What Causes Sciatica?
Sciatica happens when the sciatic nerve becomes irritated or pressed by a structure in the lower back. Because the sciatic nerve is the longest nerve in the body, even a small amount of pressure can cause strong pain.
Common causes include:
- A herniated disc
- Degenerative disc disease
- Spinal stenosis
- Piriformis muscle irritation
- SI joint problems
- Inflammation around the nerve
These issues can flare and settle over time, which is why sciatica often returns.
Why Sciatica Keeps Coming Back
Many people notice that their sciatica improves for a short time, then suddenly flares up again. Here are the most common reasons this happens:
1. The root cause was never treated
If the disc is still bulging or the nerve remains irritated, the pain will return.
2. Long periods of sitting
Sitting places pressure on the lower spine and sciatic nerve, which can trigger symptoms.
3. Weak core or hip muscles
When the muscles that support the spine are weak, nerve irritation is more likely.
4. Movements that strain the back
Lifting, twisting, or bending the wrong way can cause sudden flares.
5. Repeated inflammation
Swelling around the nerve can increase with stress, weather changes, or overuse.
6. Short term treatments
If the treatment plan only focuses on temporary relief, sciatica often returns.
When to See a Pain Specialist
You should see a specialist if your sciatica:
- Keeps returning
- Causes numbness or tingling
- Spreads down your leg
- Affects sleep or daily activities
- Makes walking or standing difficult
Getting treatment early can prevent more nerve irritation and help you recover faster.
How Principal Spine Helps Sciatica Patients
At Principal Spine, we treat sciatica at the source so you can get long lasting relief. Your personalized plan may include:
Reduce inflammation around the sciatic nerve.
Identify the exact area causing your pain.
SI joint or facet joint injections
Treat joint problems that may be irritating the nerve.
Supports healing for spine and soft tissue issues.
An option for long lasting or severe cases of sciatica.
Movement and posture guidance
Helps prevent future flares and protects the nerve.
Every plan is based on your symptoms, lifestyle, and goals.
Take the First Step Toward Lasting Relief
Sciatica does not have to keep coming back. With the right diagnosis and the right treatment plan, you can reduce pain, prevent flares, and get back to the activities you enjoy.
Schedule a consultation today and let our specialists help you find real relief from sciatica.