Back Pain & Sciatica in San Antonio, TX

Understanding Back Pain & Sciatica: Expert Analysis

What Causes Back Pain and Sciatica in San Antonio Patients?

Our clinical experience treating San Antonio residents shows that back pain and sciatica typically result from one or more of these common conditions:

1. Herniated or Bulging Discs

• Clinical Definition: Disc material protrudes through the outer ring, compressing nearby nerve roots
• Symptoms: Sharp back pain, radiating leg pain, numbness, tingling
• Our Treatment Approach: Manual therapy, targeted strengthening, disc decompression techniques

2. Sciatica (Sciatic Nerve Compression)

• Clinical Definition: Compression or irritation of the sciatic nerve from L4-S3 nerve roots
• Symptoms: “Electric” pain shooting from lower back through buttock and leg, often to the foot
• Our Treatment Approach: Nerve mobilization, postural correction, targeted exercises

3. Facet Joint Dysfunction

• Clinical Definition: Degeneration or inflammation of the small joints connecting vertebrae
• Symptoms: Localized back stiffness, difficulty with rotation and extension
• Our Treatment Approach: Joint mobilization, core stabilization, movement re-education

4. Myofascial Trigger Points

• Clinical Definition: Hyperirritable spots in skeletal muscle causing referred pain patterns
• Symptoms: Deep muscle aches, restricted range of motion, referred pain
• Our Treatment Approach: Dry needling, manual trigger point release, corrective exercise

Evidence-Based Back Pain Treatment in San Antonio

Initial Evaluation (60-90 minutes): Dr. Mendez personally conducts each initial assessment, including:

• Movement Analysis: Detailed examination of posture, gait, and functional movement patterns
• Orthopedic Testing: Specific tests including straight leg raise, slump test, and neurological screening
• Pain Mapping: Precise identification of pain location, intensity (0-10 scale), and triggering activities
• Imaging Review: Analysis of MRI, X-ray, or CT scan results when available
• Medical History: Comprehensive review of previous treatments, surgeries, and contributing factors

Personalized Treatment Plans for San Antonio Patients

Based on our clinical findings, we develop individualized treatment plans typically including:

Phase 1: Pain Reduction & Inflammation Control (Weeks 1-2)

• Manual therapy techniques to reduce muscle tension
• Gentle therapeutic exercises to promote healing
• Modalities such as electrical stimulation or ice/heat therapy
• Patient education on proper body mechanics

Phase 2: Mobility & Strength Restoration (Weeks 3-6)

• Progressive strengthening exercises targeting core and supporting muscles
• Flexibility training to restore normal range of motion
• Pilates-based rehabilitation exercises
• Functional movement training

Phase 3: Return to Function & Prevention (Weeks 6+)

• Sport or work-specific conditioning
• Advanced Pilates exercises for long-term spinal health
• Ergonomic and lifestyle modification guidance
• Independent exercise program development

Frequently Asked Questions About Back Pain & Sciatica Treatment

How quickly can I expect relief from sciatica pain in San Antonio?

Most patients experience initial pain reduction within 3-5 treatment sessions. Complete resolution typically occurs within 6-12 weeks, depending on the severity and chronicity of symptoms. Our gentle decompression techniques and targeted nerve mobilization often provide significant relief in the first week of treatment.

How do I know if my back pain is actually sciatica?

True sciatica presents as “electric” or “burning” pain that follows a specific nerve pathway from the lower back through the buttock and down the leg, often reaching the foot. This differs from general muscle soreness. During your evaluation, we perform specific orthopedic tests like the straight leg raise to confirm sciatic nerve involvement.

What activities worsen sciatica symptoms?

Our San Antonio patients report symptom aggravation with prolonged sitting (especially on hard surfaces), forward bending, coughing/sneezing, and carrying wallets in back pockets. We provide specific modification strategies for each patient’s lifestyle and work demands.

Can I treat my sciatica at home?

While home management can provide temporary relief, professional treatment addresses the underlying cause. Safe home strategies include:

• Ice application for acute pain (15-20 minutes)
• Gentle walking as tolerated
• Knee-to-chest stretches
• Proper sleeping positions

Important: Seek immediate medical attention for severe symptoms including loss of bowel/bladder control, severe leg weakness, or progressively worsening pain.

About Dr. Cynthia Mendez, PT, DPT

Professional Credentials:

• Doctor of Physical Therapy (DPT)
• Texas Physical Therapy License
• Certified Pilates Instructor
• Years of clinical experience in San Antonio

Easy Scheduling:

• Online appointment booking available
• Same-day appointments often available for acute pain
• Flexible scheduling to accommodate work schedules

Take the First Step Toward Back Pain Relief in San Antonio

Don’t let back pain or sciatica limit your quality of life any longer. Dr. Cynthia Mendez and the experienced team at Pyramid Physical Therapy & Pilates are ready to help you return to the activities you love.

Schedule your comprehensive evaluation today!

Pyramid Physical Therapy & Pilates
Expert Back Pain & Sciatica Treatment in San Antonio, TX

Dr. Cynthia Mendez, PT, DPT
Licensed Physical Therapist