Doing What's Right


We have established protocols for staff and physicians to ensure that our response is consistent with the standards of the U.S. Centers for Disease Control and Prevention and local and state health departments. Many office visits can be done via Telemedicine.

Due to the increasingly stringent Shelter In Place orders, the need for determining true necessity for in-office visits is essential and required. Someone from your clinical team will contact you to determine your current needs.

Sciatica Treatment

Sciatica is a type of pain that typically occurs when a disk in your lower spine herniates and places pressure on the sciatic nerve. This can result in chronic pain or discomfort in the lower back, hips, legs, feet, or toes. Our doctors in Cedar Park, Lakeway, and Austin, TX, offer a variety of sciatica treatment options, including surgery when methods such as physical therapy or steroid injections do not relieve symptoms.

Common Symptoms of Sciatica

Sciatica is a common problem. While patients may complain of similar symptoms, not everyone suffers from sciatica in the same way. Some report uncomfortable tingling and numbness. Others describe a burning or radiating pain that curtails many day-to-day activities. Some also suffer from bowel or bladder incontinence. Anyone with these symptoms should contact a medical professional immediately.

What Causes Sciatica?

There are several conditions that can lead to sciatica. Some of these include:

  • A ruptured or herniated disk in the lower back
  • Bone spurs growing on the spine
  • Spinal stenosis (narrowing of the spinal canal)
  • Pregnancy
  • Piriformis syndrome (spasms and pain in a buttock muscle)
  • Tumors of the nerves in the spine or the sciatic nerve
sciatic nerve
Our treatments can relieve pressure on the sciatic nerve and reduce inflammation.
We will first try to resolve issues using nonsurgical treatment. 

Diagnosing Sciatica

Patients may believe they have sciatica based on their symptoms. However, a thorough examination is necessary to achieve an accurate diagnosis. Typically, tests are required to confirm the diagnosis, such as:

Non-surgical Treatment Options

In many cases, pain from sciatica can be alleviated with a combination of:

Physical therapy
Supervised exercises can strengthen core muscles and reduce inflammation.
Massage therapy
Massage can alleviate pressure on the sciatic nerve.
Chiropractic adjustments
Gentle skeletal manipulations can sometimes provide pain relief.
Some patients find acupuncture effective for reducing or eliminating discomfort.

Doctors may also prescribe medications ranging from analgesics and steroids to muscle relaxers. Occasionally, spinal injections may be recommended. When these fail to solve the problem, doctors may propose surgery, particularly if the patient has suffered serious leg pain for a month or more, or is losing bowel and bladder control.


Our doctors will only recommend surgery if noninvasive treatments fail to provide relief. A primary factor to consider is the severity of sciatic pain and its impact on daily life. Dr. Robert Josey and Dr. Michael Mogimi will work with you to determine the most appropriate treatment option for your needs. When addressing sciatica, the two most common surgical treatments include:

During this procedure, all or part of a herniated disk is removed. A discectomy can alleviate the pain caused by the pressure of the disk on the sciatic nerve.
The spinal cord and canal are protected by a bony plate called the lamina. During a laminectomy, a portion of the lamina is removed to create adequate space for the nerves.

Advancements in technology allow for more conservative and effective treatment. We provide minimally invasive surgery using smaller incisions and requiring a shorter recovery time.

Find Relief 

If you are experiencing sciatica symptoms, we are here to help. Contact Orthopaedic Specialists of Austin online or call (512) 476-2830 to schedule your private consultation. 

Our team

Orthopaedic Specialists of Austin

At Orthopaedic Specialists of Austin, we have a team of board-certified specialists who can treat a wide range of conditions. Our specialists use the most advanced techniques to provide minimally invasive treatment options.

For more information about our services, contact our office online or call (512) 476-2830 today.

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Google map image of our location in 4611 Guadalupe St Ste 200 Austin, TX

Austin Office

4611 Guadalupe St
Ste 200
Austin, TX 78751

Open Today 8:00am - 5:00pm

Google map image of our location in 715 Discovery Blvd Ste 102 Cedar Park, TX

Cedar Park Office

715 Discovery Blvd
Ste 102
Cedar Park, TX 78613

Open Today 8:00am - 5:00pm

Google map image of our location in 5329 Serene Hills Dr Ste 202 Austin, TX

Lakeway Office

5329 Serene Hills Dr
Ste 202
Austin, TX 78738

Open Today 8:00am - 5:00pm

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