11/28/2025
Sciatica relief beyond the pill bottle
Yesterday a patient told me he felt no pain for the first time in three years.
One adjustment.
Three years of constant sciatica pain... gone after we addressed what was actually irritating his nerve instead of just covering it up with medication.
Usually it takes longer than that but sometimes when you find the source and remove the trigger, the body just responds. That's what it's designed to do when you give it the chance.
A massive study analyzing over 216 million US patients just confirmed what I've been observing in my Prince George practice for two decades.
Patients receiving chiropractic care for sciatica had 71% fewer opioid-related adverse events compared to conventional medical treatment. They also showed a 32% lower risk of receiving opioid prescriptions in the first place.
372,471 matched patients per treatment group. That's not a small clinical trial, that's population-level evidence.
Here's what happens in real life though.
A sciatica patient comes in after trying the medical route first. They managed their pain with medication until their body accommodated to it, and now they're just waiting for the next episode to hit. They know it's coming, they just don't know when. That uncertainty, that waiting... it affects everything.
We work differently. Find the area causing the sciatica - whether it's lumbar spine, sacroiliac joint, or a muscle issue like the piriformis - and we address that specific trigger. Adjust the spine so the nerve isn't irritated anymore, release the tight muscle, teach you how to stretch it properly at home so you're not dependent on office visits.
Take the irritation off the nerve and the pain goes away.
No medication needed.
Early in my practice I had a patient who worked at an auto parts store, dealt with sciatica constantly. We got it under control and kept him on maintenance care. One day he walked in smiling and told me his back hurt.
Confused me at first.
He explained he had to grab a starter from the bottom shelf in a tight corner, one of those awkward lifts that tests your back. Before we started working together? That awkward lift would've laid him up for two weeks. Unable to work, unable to play with his kids, unable to do anything but wait for the pain to subside.
This time he was sore for a couple hours and then fine. Back to his life, back to his family, back to work like nothing happened.
His body could handle the stress without breaking down completely. That's what proper function looks like.
Will this study change how the medical community views chiropractic?
Probably not.
We've had similar studies before. Economists have shown government officials we could save billions by fully integrating chiropractic into healthcare. Nothing changes at the institutional level.
But chiropractic has always been an in-the-trenches profession anyway. We win patients over one at a time, get them real results, and they tell the next person who's suffering. That's how we build trust, one person at a time.
BC has the highest prevalence of opioid prescriptions in Canada at 13.3%. The opioid crisis hit us particularly hard. For anyone facing that choice between chiropractic care and conventional medical treatment for sciatica, the research points to a clear path.
Chiropractic first, medication second, surgery last.
People's lives are busy, more so now than ever. You don't have time to be laid up for weeks. You have families to care for, work that depends on you, activities you want to enjoy with the people you love. Getting you back to your full life as quickly as possible with minimum disruption, that's what drives everything we do here.
The evidence is clear. Your body can heal when you address the source instead of just managing symptoms.
Like this if you've dealt with sciatica and want others to know there's an option beyond medication. Comment below if you've tried chiropractic for nerve pain - I'd love to hear what worked for you.