Comprehensive Treatment for Relief of Sciatica

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Gulf Coast Spine Care specializes in relieving the pain caused by sciatica.

Doctor Cotler has over 20 years of experience solving neck and back pain issues.

Doctor Cotler diagnosis the underlying condition that causes the pain to occur.

We Maximize all of the available healthcare resources to restore each patient to an active and productive life.Sources

How to Treat Sciatica

According to the Mayo Clinic the majority of patients find relief from sciatica by using conservative treatment. The question is how long those results last. The good news is that technology has advanced to make results of surgical treatment for spinal issue to be very positive.  Sciatica treatment for pain associated with the sciatic nerve requires proper diagnosis. When the underlying reason for pain is properly diagnosed, then comprehensive treatment planning can occur. Because pain caused by pressure placed on the sciatic nerve can be the result of many progressive issues, it is important that treatment begin with diagnosis.


If the pain is caused by a bone spur that is pressing on the nerve, then pain relief will require that the bone spur is removed thus alleviating the pain. If the pain is caused because vertebrae has begun to deteriorate, then surgery may be necessary to brace the spine. When there is a clear understanding about what is causing the problem, then the best treatment can be found for your unique situation.


A recent article by Harvard Health Publications lists conservative treatment as anything but surgery, and it also raises the question about how long conservative treatments actually last. Treatments may involve medication to help alleviate inflammation that is causing pressure to build on the sciatic nerve. Treatment can consist of both conservative treatments and surgical treatments depending on your diagnosis. The treatments that are available today are amazing. They range from back strengthening to replacement of the discs. Overall, pinched nerve treatment is designed to relieve the patient of pain.More advanced surgery can include decompression, and spinal fusion.  Surgical options include:

  • Artificial Disc Replacement
  • Decompression
  • Fusion Procedures
  • Microsurgery
  • Spinal Fusion
  • Spinal Instrumentation


There are many kinds of doctors who treat the pain associated with pressure on the sciatic nerve. Those doctors range from surgeons and pain management doctors to chiropractors. Sometimes patients may see their primary care physician who will refer that patient to a physical therapist. What is important to remember when looking for solutions is first to find the cause, and that means diagnosis. It does not matter what kind of doctor you choose if they have not properly diagnosed your condition to find out the exact cause of the pressure on your sciatic nerve then the treatment that they plan for you is simply a guess. Back pain is rarely cured for the long term by guessing about treatment. The best doctor to see is the one who can offer you the best options for diagnosis of your condition.
Howard B. Cotler, MD, FACS, FAAOS

Gulf Coast Spine Care

1200 Binz St.

Houston, TX 77004‎


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