{"id":776,"date":"2026-08-10T14:23:01","date_gmt":"2026-08-10T20:23:01","guid":{"rendered":"https:\/\/spinesurgerypv.com\/ciatica-causas-y-tratamiento\/"},"modified":"2026-08-25T12:08:17","modified_gmt":"2026-08-25T18:08:17","slug":"sciatica-causes-and-treatment","status":"publish","type":"post","link":"https:\/\/spinesurgerypv.com\/en\/sciatica-causes-and-treatment\/","title":{"rendered":"Sciatica: Causes and Treatment"},"content":{"rendered":"<p><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1248px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-image-element\" style=\"--awb-caption-title-font-family:var(--h2_typography-font-family);--awb-caption-title-font-weight:var(--h2_typography-font-weight);--awb-caption-title-font-style:var(--h2_typography-font-style);--awb-caption-title-size:var(--h2_typography-font-size);--awb-caption-title-transform:var(--h2_typography-text-transform);--awb-caption-title-line-height:var(--h2_typography-line-height);--awb-caption-title-letter-spacing:var(--h2_typography-letter-spacing);\"><span class=\" fusion-imageframe imageframe-none imageframe-1 hover-type-none\"><img decoding=\"async\" width=\"1500\" height=\"1000\" alt=\"Sciatica: Causes and Treatment Puerto Vallarta Dr Ricardo Martinez\" title=\"Ci\u00e1tica Causas y Tratamiento\" src=\"https:\/\/spinesurgerypv.com\/wp-content\/uploads\/2026\/08\/Ciatica-Causas-y-Tratamiento.jpg\" class=\"img-responsive wp-image-777\" srcset=\"https:\/\/spinesurgerypv.com\/wp-content\/uploads\/2026\/08\/Ciatica-Causas-y-Tratamiento-200x133.jpg 200w, https:\/\/spinesurgerypv.com\/wp-content\/uploads\/2026\/08\/Ciatica-Causas-y-Tratamiento-400x267.jpg 400w, https:\/\/spinesurgerypv.com\/wp-content\/uploads\/2026\/08\/Ciatica-Causas-y-Tratamiento-600x400.jpg 600w, https:\/\/spinesurgerypv.com\/wp-content\/uploads\/2026\/08\/Ciatica-Causas-y-Tratamiento-800x533.jpg 800w, https:\/\/spinesurgerypv.com\/wp-content\/uploads\/2026\/08\/Ciatica-Causas-y-Tratamiento-1200x800.jpg 1200w, https:\/\/spinesurgerypv.com\/wp-content\/uploads\/2026\/08\/Ciatica-Causas-y-Tratamiento.jpg 1500w\" sizes=\"(max-width: 640px) 100vw, 1200px\" \/><\/span><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-blend:overlay;--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-1\"><h3 class=\"serp-title\">Sciatica: Causes, Symptoms, and Treatment in Puerto Vallarta<\/h3>\n<p>Sciatica is pain that originates in the lower back and radiates down the leg, following the path of the sciatic nerve. In most cases, it improves with conservative treatment; however, when pain persists or is accompanied by weakness, it is time for a specialist evaluation.<\/p>\n<h2>What is sciatica and why does it cause leg pain?<\/h2>\n<p>The sciatic nerve is the longest and thickest nerve in the body, running from the lower back down to the foot. When something compresses or irritates this nerve\u2014usually near the lumbar spine\u2014the pain does not remain localized; instead, it travels along the entire length of the nerve, causing pain, tingling, or numbness that can extend to the calf or foot.<\/p>\n<p>It is important to understand that sciatica is not a disease in itself, but rather a symptom of an underlying spinal issue\u2014most commonly a herniated disc or spinal stenosis.<\/p>\n<h2>Common causes of sciatica<\/h2>\n<p>Among the most frequent causes of sciatic nerve compression are:<\/p>\n<ul>\n<li>Lumbar disc herniation pressing directly on the nerve root<\/li>\n<li>Spinal stenosis, which narrows the space through which the nerve passes<\/li>\n<li>Spondylolisthesis (displacement of one vertebra over another)<\/li>\n<li>Piriformis syndrome, where a deep hip muscle irritates the nerve<\/li>\n<li>Age-related joint wear and tear<\/li>\n<\/ul>\n<h2>When sciatica pain requires seeing a specialist<\/h2>\n<p>Not all leg pain requires surgery; in fact, most cases resolve without it. However, there are signs indicating it is time to seek a specialized evaluation without delay:<\/p>\n<ul>\n<li>Pain persists for more than 6 weeks despite conservative treatment<\/li>\n<li>There is noticeable weakness in the leg or foot<\/li>\n<li>Loss of bladder or bowel control occurs (an urgent warning sign)<\/li>\n<li>Pain significantly interferes with sleep or daily activities<\/li>\n<\/ul>\n<h2>Treatment options: from conservative care to surgery<\/h2>\n<p>Sciatica treatment follows a stepped approach. It almost always begins with physical therapy, anti-inflammatory medications, and\u2014in some cases\u2014epidural injections to reduce inflammation around the nerve.<\/p>\n<p>When these options are insufficient, or when significant compression confirmed by MRI is present, surgery is considered. Today, many cases of sciatica caused by a herniated disc can be resolved using minimally invasive techniques, which offer considerably shorter recovery times than traditional open surgery.<\/p>\n<h2>About Dr. Ricardo Mart\u00ednez P\u00e9rez<\/h2>\n<p>Dr. Ricardo Mart\u00ednez P\u00e9rez is a board-certified orthopedic surgeon specializing in spine surgery; he practices at OSSUM Traumatolog\u00eda y Ortopedia Avanzada in Puerto Vallarta. He holds certification from the CMOT, is a member of AMCICO, FEMECOT, and AO Spine, and has published peer-reviewed research in indexed medical journals.<\/p>\n<p>If sciatica pain is already affecting your daily life, schedule an evaluation to identify the exact cause and the treatment options available for your specific case.<\/p>\n<p>To schedule your consultation, visit the <a href=\"https:\/\/spinesurgerypv.com\/en\/contact-dr-ricardo-martinez\/\">contact<\/a> page or message us via WhatsApp at +52 322 403 3000.<\/p>\n<\/div><script type=\"application\/ld+json\">\n{\n  \"@context\": \"https:\/\/schema.org\",\n  \"@type\": \"FAQPage\",\n  \"mainEntity\": [\n    {\n      \"@type\": \"Question\",\n      \"name\": \"\u00bfLa ci\u00e1tica siempre requiere cirug\u00eda?\",\n      \"acceptedAnswer\": {\n        \"@type\": \"Answer\",\n        \"text\": \"No. La mayor\u00eda de los casos de ci\u00e1tica mejoran con tratamiento conservador: fisioterapia, antiinflamatorios y ejercicios espec\u00edficos. La cirug\u00eda se considera solo cuando el dolor persiste m\u00e1s de 6-8 semanas a pesar del tratamiento, o cuando hay p\u00e9rdida de fuerza o control de esf\u00ednteres.\"\n      }\n    },\n    {\n      \"@type\": \"Question\",\n      \"name\": \"\u00bfC\u00f3mo s\u00e9 si mi dolor de pierna es ci\u00e1tica y no otra cosa?\",\n      \"acceptedAnswer\": {\n        \"@type\": \"Answer\",\n        \"text\": \"La ci\u00e1tica t\u00edpicamente se siente como un dolor que baja desde la espalda baja o gl\u00fateo hacia la pierna, a veces con hormigueo o entumecimiento. Un diagn\u00f3stico preciso requiere evaluaci\u00f3n cl\u00ednica y, en muchos casos, una resonancia magn\u00e9tica para confirmar la causa exacta.\"\n      }\n    },\n    {\n      \"@type\": \"Question\",\n      \"name\": \"\u00bfCu\u00e1nto tiempo toma la recuperaci\u00f3n si se necesita cirug\u00eda?\",\n      \"acceptedAnswer\": {\n        \"@type\": \"Answer\",\n        \"text\": \"En procedimientos m\u00ednimamente invasivos para ci\u00e1tica, muchos pacientes retoman actividades ligeras en 2 a 4 semanas, con recuperaci\u00f3n completa en aproximadamente 6 a 8 semanas, dependiendo del caso.\"\n      }\n    },\n    {\n      \"@type\": \"Question\",\n      \"name\": \"\u00bfQu\u00e9 pasa si no trato la ci\u00e1tica a tiempo?\",\n      \"acceptedAnswer\": {\n        \"@type\": \"Answer\",\n        \"text\": \"Ignorar la ci\u00e1tica prolongada puede llevar a da\u00f1o nervioso permanente en casos severos. Si el dolor no mejora en unas semanas, o si hay debilidad muscular o p\u00e9rdida de sensibilidad, es importante buscar evaluaci\u00f3n especializada cuanto antes.\"\n      }\n    }\n  ]\n}\n<\/script><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 fusion-flex-container has-pattern-background has-mask-background hundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:32px;--awb-padding-bottom:32px;--awb-background-color:var(--awb-color5);--awb-flex-wrap:wrap;\" ><div class=\"awb-background-pattern\" style=\"background-image:  url(data:image\/svg+xml;utf8,%3Csvg%20width%3D%2242%22%20height%3D%2244%22%20viewBox%3D%220%200%2042%2044%22%20xmlns%3D%22http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%22%3E%3Cg%20id%3D%22Page-1%22%20fill%3D%22none%22%20fill-rule%3D%22evenodd%22%3E%3Cg%20id%3D%22brick-wall%22%20fill%3D%22rgba%280%2C0%2C0%2C0.3%29%22%3E%3Cpath%20d%3D%22M0%200h42v44H0V0zm1%201h40v20H1V1zM0%2023h20v20H0V23zm22%200h20v20H22V23z%22%2F%3E%3C%2Fg%3E%3C%2Fg%3E%3C%2Fsvg%3E);opacity: 0.13 ;mix-blend-mode:normal;\"><\/div><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-stretch fusion-flex-justify-content-center fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_3_4 3_4 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:75%;--awb-margin-top-large:0px;--awb-spacing-right-large:2.56%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:2.56%;--awb-width-medium:75%;--awb-order-medium:0;--awb-spacing-right-medium:2.56%;--awb-spacing-left-medium:2.56%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-2\"><h2 style=\"color: #ffffff;\">Frequently Asked Questions<br \/>\nSciatica in Puerto Vallarta<\/h2>\n<h3 style=\"color: #ffffff;\">Does sciatica always require surgery?<\/h3>\n<p style=\"color: rgba(255,255,255,0.8);\">No. Most cases of sciatica improve with conservative treatment: physical therapy, anti-inflammatories, and specific exercises. Surgery is considered only when pain persists for more than 6\u20138 weeks despite treatment, or if there is a loss of strength or bowel\/bladder control.<\/p>\n<h3 style=\"color: #ffffff;\">How do I know if my leg pain is sciatica and not something else?<\/h3>\n<p style=\"color: rgba(255,255,255,0.8);\">Sciatica typically feels like pain radiating from the lower back or buttock down into the leg, sometimes accompanied by tingling or numbness. An accurate diagnosis requires a clinical evaluation and, in many cases, an MRI to confirm the exact cause.<\/p>\n<h3 style=\"color: #ffffff;\">How long does recovery take if surgery is needed?<\/h3>\n<p style=\"color: rgba(255,255,255,0.8);\">With minimally invasive procedures for sciatica, many patients resume light activities within 2 to 4 weeks, achieving full recovery in approximately 6 to 8 weeks, depending on the specific case.<\/p>\n<h3 style=\"color: #ffffff;\">What happens if I don&#8217;t treat sciatica in time?<\/h3>\n<p style=\"color: rgba(255,255,255,0.8);\">Ignoring prolonged sciatica can lead to permanent nerve damage in severe cases. If the pain does not improve within a few weeks, or if you experience muscle weakness or loss of sensation, it is important to seek a specialist evaluation as soon as possible.<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":777,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[16,17],"tags":[],"class_list":["post-776","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-padecimientos-de-columna","category-turismo-medico"],"_links":{"self":[{"href":"https:\/\/spinesurgerypv.com\/en\/wp-json\/wp\/v2\/posts\/776","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/spinesurgerypv.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/spinesurgerypv.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/spinesurgerypv.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/spinesurgerypv.com\/en\/wp-json\/wp\/v2\/comments?post=776"}],"version-history":[{"count":3,"href":"https:\/\/spinesurgerypv.com\/en\/wp-json\/wp\/v2\/posts\/776\/revisions"}],"predecessor-version":[{"id":780,"href":"https:\/\/spinesurgerypv.com\/en\/wp-json\/wp\/v2\/posts\/776\/revisions\/780"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/spinesurgerypv.com\/en\/wp-json\/wp\/v2\/media\/777"}],"wp:attachment":[{"href":"https:\/\/spinesurgerypv.com\/en\/wp-json\/wp\/v2\/media?parent=776"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/spinesurgerypv.com\/en\/wp-json\/wp\/v2\/categories?post=776"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/spinesurgerypv.com\/en\/wp-json\/wp\/v2\/tags?post=776"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}