San Francisco Sciatica Doctors

What Sets Our Sciatica Treatment Apart

Drs. Irène & Robert Minkowsky are physiatrists, osteopaths and orthopedic medicine specialists who have been in practice for over 30 years, treating and helping individuals with nerve pain and sciatica. Sciatica is usually caused by compression of the nerve roots of the lower lumbar or lumbosacral spine.

The compression can occur in or around the spine where the nerves exit or anywhere along the trajectory of the nerve. This may include compression in the pelvis from scar tissue or in the buttock from a tight piriformis muscle (piriformis syndrome). Conditions in the spine that may cause sciatica include disc herniation or lumbar spinal stenosis.

Sciatica Pain Treatment & Management

The most important question for a physician treating someone suffering with sciatica is to determine where the nerve is being compressed or irritated. Is it related to a condition in the spine or to an extraspinal condition such as pelvic scar tissue?

Once the location of nerve compression has been determined, the treatment has a greater likelihood of success. This may include a steroid injection, osteopathic manipulation, myofascial release, craniosacral work, therapeutic exercise and improved ergonomics.

Without a precise diagnosis, however, performing an epidural injection when the sciatic nerve is encased in scar tissue or the piriformis muscle is tight will have little to no effect. Making a proper diagnosis is the key to successful treatment.

At the Physicians’ Back Institute, Drs. Irène & Robert Minkowsky will devote the time to take a comprehensive medical history and perform a detailed physical examination. They will make a precise diagnosis of your condition and provide a comprehensive and effective treatment plan. They look forward to working with you.

Our SF sciatica doctors use nonsurgical treatment to resolve sciatica and other types of nerve pain.

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Physicians' Back Institute SF

Schedule Your Consultation Today
(415) 776-4644

Don’t let chronic pain and musculoskeletal injuries affect your quality of life. Drs. Irène and Robert Minkowsky have helped thousands of patients. Let the doctors at the Physicians’ Back Institute treat you so you can enjoy an active lifestyle. They are proud to serve the San Francisco Bay Area.

We are located at
2000 Van Ness Ave, #305
San Francisco, CA 94109
(415) 776-4644
Call us for more information about how we can help you.