Level 1 · Spine · Musculoskeletal
Sciatica: the pain that runs down your leg
When the origin is inflammatory, we can try to bring it down. If what compresses the nerve root is a herniated disc, this treatment does not remove it. And there are warning signs that should send you to an emergency room rather than to a consultation.
- 2–6
- days in Mexico
- 1–2
- applications in the base protocol
- $4,000–15,000
- USD, base protocol range
What sciatica does to your day
Down the leg
The pain runs down the buttock and the back of the leg.
Coughing or sneezing
Coughing or sneezing sets the pain off.
Standing still
Standing still is worse than walking.
Pins and needles
You feel tingling or numbness all the way to your foot.
What it can do and what it does not
Both lists carry the same weight because both matter equally to your decision.
Safety notice
If you have weakness in the leg that is getting worse, loss of sensation in the saddle area, or trouble controlling your bladder or bowel, go to an emergency room today. That is not something to assess at a scheduled appointment.
What it can do. In documented cases
- It may help when the origin of the pain is inflammatory.
What it does not do. And we will not imply otherwise
- It does not remove a herniated disc that is compressing the nerve root.
- It does not correct the stenosis that narrows the canal.
- It does not replace a neurosurgical assessment when one is indicated.
The protocol, step by step
| Item | sciatica · base protocol |
|---|---|
| Days in Mexico | 2–6 days |
| Price range | $4,000–15,000 USD |
| Applications | 1–2 |
| Route of administration | Ultrasound-guided intra-articular injection |
| Session length | 90 minutes |
| Follow-up | 30 · 90 · 180 days |
| Signed protocol | Current protocol · 2026 |
The treating physician sets the final protocol for each case
Questions about sciatica
Written by the treating physician. The first one prevents the most wasted trips.
Anyone with a progressive neurological deficit, loss of bladder or bowel control, or a large herniation with frank compression. Those cases are emergencies or surgery, and we will tell you so even if you have already made the trip.
From the MRI and from how the pain behaves. Compression tends to produce weakness and loss of reflexes; the inflammatory kind, pain that fluctuates without a deficit. We ask for the scan before accepting you.
Many small herniations settle on their own over weeks or months. Before treating you we will ask how long you have had it and what you have tried: if it has been three weeks, the sensible thing is to wait.
Yes, with a break every half hour to stand up. Sitting still is one of the worst positions for an irritated nerve root.
Two to six days. If the pain stops you sitting for long, say so when you book and we will plan the trip around it.
We tell you at the follow-up and point you towards a surgical assessment if that is what fits. We do not repeat applications without a clinical reason.
Send us your MRI and we will tell you if you are a candidate
The assessment is with the specialist who performs this protocol. If your case is outside what it can help, we tell you on the first call.
What we need from you
- An MRI or X-ray less than 12 months old
- A list of the medication you take today
- What you have already tried: physiotherapy, injections, surgery