Sciatica Treatment in St Paul
When Sciatica Lingers After Everything You’ve Tried
Sciatica can turn a long drive or a weekend run into something you brace for. Some patients contact us after trying physical therapy or steroid injections, only to find that their symptoms keep returning.
Dr. Shilpa Parikh and Dr. Anthony Heaverlo start by listening. At Vitality Chiropractic & Wellness Center, they’ll ask what you’ve already tried, how you’ve responded and how your symptoms affect daily life. Along with examining how your spine and muscles are functioning, they may consider whether other health or lifestyle factors are relevant to your care.
Looking Beyond the Pain in Your Leg
Sciatica doesn’t always have one simple explanation. Training habits, prolonged sitting, repetitive lifting and other everyday demands may influence symptoms. For a parent, that might mean lifting a toddler, getting a child into a car seat or spending hours driving between activities.
The doctors also may also review your health history, medications and available lab work when appropriate. Depending on what they find, nutritional factors may be considered alongside the physical side of your symptoms.
Same Symptoms, Different Disc
One patient had previously undergone surgery on one side before similar symptoms appeared on the other. Her examination indicated that a different disc level was involved, so the decompression settings were adjusted to focus on that area.
The patient came in three times a week for two weeks. Her symptoms improved with care, and she did not proceed with another surgery at that time. Individual responses to care vary.
A Care Plan Based on What They Find
Treatment isn’t identical for every person with sciatica. Depending on your examination findings and history, care may include spinal decompression, intersegmental traction, ultrasound or other therapeutic modalities. When a disc appears irritated, the doctors may use gentler approaches and avoid high-velocity adjustments.
Once you’re more comfortable, they’ll assess the muscles and other structures along the path of the sciatic nerve. Instrument-assisted adjustments may be used when appropriate, while acupuncture may be incorporated for some patients.
Signs Your Sciatica Needs a Closer Look
If leg pain keeps returning, interferes with normal activities or has you regularly relying on medication to get through the week, consider having it evaluated. Sudden loss of bladder or bowel control requires immediate medical attention.
Frequently Asked Questions
Can I try to avoid surgery for sciatica?
My X-ray looked normal. Why am I still in pain?
Get Back to the Trail, the Bleachers, and the Driver’s Seat
Recurring sciatica deserves a closer look. Let Dr. Shilpa and Dr. Anthony evaluate what may be behind your symptoms and discuss your options. Call Vitality Chiropractic & Wellness Center at (612) 293-5529 to schedule your exam. We’re open seven days a week.

