Sciatica, Low Back Pain & Disc Care in West Plano, TX
Dr. David Bloodworth
Sciatica, Low Back Pain & Disc Care in West Plano, TX
Low back pain is the leading cause of disability worldwide — and one of the most common reasons patients walk through the doors of FreeForm Chiropractic - West Plano. Whether the pain is mechanical, disc-related, or radiating down the leg as sciatica, the path to relief starts with an accurate diagnosis.
What sciatica actually is
Sciatica refers to symptoms — sharp pain, burning, numbness, or weakness — that travel along the sciatic nerve from the low back through the buttock and down the leg. The underlying causes vary:
- Lumbar disc bulge or herniation compressing a nerve root
- Piriformis syndrome (muscular compression of the nerve)
- Lumbar facet joint dysfunction
- SI joint inflammation
- Pelvic misalignment from pregnancy, injury, or prolonged sitting
Getting the right diagnosis matters — treatment for piriformis syndrome looks very different than treatment for a disc herniation.
How Dr. Bloodworth evaluates low back and sciatica patients
- Detailed history and orthopedic/neurological exam
- Imaging when clinically indicated (X-ray or referral for MRI)
- Functional movement screening to identify compensations
- A clear, written care plan with milestones
Conservative care that works
For most patients, conservative chiropractic care produces meaningful relief without medication or injections:
- Spinal adjustments to restore joint motion
- Active Release Technique for hip and glute soft tissue
- Dry needling for muscle spasm and trigger points
- Targeted rehab to rebuild core and hip stability
- Ergonomic and lifestyle coaching to prevent recurrence
When to seek care
If low back pain has lasted more than a week, is radiating into the leg, or is interfering with sleep or work, get evaluated. Early conservative care is consistently associated with better long-term outcomes than waiting it out.