The pain runs from the low back through the buttock and down the back of the leg, and the leg is not where the problem is. A nerve root is being crowded where it leaves the spine, and everything it supplies further down reports the irritation. That is why rubbing the calf does nothing and why the hamstring stretch people try first often makes the next morning worse.
Which root is involved decides what you feel. An L5 root gives numbness across the top of the foot and a weak lift of the toes; an S1 root gives pain into the sole and a calf that tires early on stairs. Establishing that at the first appointment is most of what makes the plan specific rather than generic.
Mountain View Pain Center has clinics across the Denver metro: Downtown Denver on Sherman Street, Lowry and Central Park on the east side, Northglenn at 11990 Grant Street off I-25 at 120th, Lakewood and Littleton to the west and south, and Highlands Ranch, Lone Tree, SE Aurora and Southlands around the southern arc.
In practice almost nobody chooses by mileage. They choose by whether they are inside or outside C-470, and whether the appointment sits before or after the I-25 crawl. Tell us where you are driving from and when you can come, and the front desk will put you somewhere that does not add a commute to a back that already hates sitting.
Most sciatica settles without a needle. The work is to stop loading the irritated root and to rebuild what stopped working while you were guarding.
All three happen inside the same building and on one chart, so when the leg symptoms change the plan changes with them instead of waiting for a referral.
When leg pain has not responded to a reasonable course, or when the examination finds weakness rather than only pain, the next step is an epidural steroid injection placed around the irritated root.
In the Denver metro that is performed in office at our Northglenn clinic, 11990 Grant Street, which sits at the top of the I-25 corridor, and at our Lowry clinic on specific days. It is an outpatient appointment, not a hospital admission, and the physician who examined you is the one who places it and the one who sees you afterwards.
An MRI is ordered before that step when the level has to be confirmed, and not otherwise. Bring any scan you already have and the appointment is spent deciding rather than ordering.
Most major commercial plans are accepted, and we are in network with most Medicare Advantage plans in Colorado. Benefits are checked before the first visit, so the number is known in advance rather than arriving on a statement.
Sciatica that started in a collision is billed to the med-pay portion of an auto policy, to a lien where an attorney is involved, or to your health plan. Work injuries run through the carrier on the claim. No referral is needed to be seen, and appointments are usually available within the same week.
Background reading on sciatica in general, and on Pain Management in Denver and Chiropractic care in Denver.
Every clinic below has Chiropractic, Physical Therapy, Acupuncture and Pain Management on one chart, so care can move between them without a new referral.
Downtown out through the north, west, south and east suburbs.
Academy, InterQuest and Tenderfoot cover the north, central and south of the city.
Harmony in Fort Collins and our Greeley clinic serve Larimer and Weld counties.
Across the Valley, from the West Valley through Phoenix to the East Valley.
Yes. You can book directly at any Denver-area clinic for Pain Management, Physical Therapy, Chiropractic or Acupuncture, and appointments are usually available within the same week.
Usually good, in amounts that do not flare it. Prolonged sitting is what most people find worst, which is why a long Denver commute tends to be the thing that keeps it going.
Sooner if there is weakness rather than only pain — a foot that catches or a calf that gives out on stairs changes the urgency. Pain alone is still worth an appointment this week rather than next month.
In office at our Northglenn clinic on Grant Street, or at our Lowry clinic on specific days. It is an outpatient visit and the physician who assessed you performs it.
No. Imaging is ordered when there is weakness, or when an injection is being planned and the level has to be confirmed. Bring anything you already have.
Whichever side of C-470 or I-25 you are already on. Downtown, Lowry, Central Park, Northglenn, Lakewood, Littleton, Highlands Ranch, Lone Tree, SE Aurora and Southlands all treat sciatica.
Most people do not. Surgery becomes the conversation when there is progressive weakness or loss of bladder or bowel control, and those findings are exactly what the examination looks for.
Most major commercial plans are accepted and most Medicare Advantage plans are in network in Colorado. Benefits are verified before the first appointment.
Yes, often. Chiropractic care restores movement in the lumbar segments and pelvis so the nerve root is not being compressed, which is the conservative first step for most sciatica before anything else is considered.
Mountain View Pain Center treats sciatica across the Denver metro, with Pain Management, Physical Therapy, Chiropractic and Acupuncture in the same clinic and on the same chart. No referral is needed and appointments are usually available within the same week.