Condition page
Sciatica Treatment in St. Louis
Sciatica can create sharp, burning, tingling, or radiating pain from the low back into the leg. Simply Health Integrated Medical in St. Louis helps patients understand what may be driving the symptoms and whether HillDT-monitored spinal decompression, chiropractic care, or another non-surgical option fits. Dr. Nick Hasenfratz, DC, who specializes in spinal decompression and regenerative medicine, leads the candidacy evaluation.
What to expect
Simply Health Integrated Medical helps patients understand symptoms, goals, and options before recommending a care path.
The next step is a consultation request or direct call so the team can determine whether the clinic is a good fit for your needs.
Quick assessment
Is Your Pain Pattern More Disc, Nerve, Joint, or Muscle-Related?
Use this quick self-check to organize your symptoms before reviewing non-surgical care options.
What sciatica usually feels like
Patients often describe pain radiating from the lower back into the leg, along with tingling, burning, numbness, or cramping. These symptoms can have different drivers — disc-related compression, piriformis tension, facet irritation, or referred pain patterns — and deserve a clear evaluation rather than a blanket treatment script.
Why evaluation matters
Sciatica is a symptom pattern, not a one-note diagnosis. Treatment depends on what is driving the symptoms. For disc-driven sciatica, HillDT-monitored spinal decompression may be a reasonable conservative option to evaluate before assuming surgery is the only path. For other drivers, chiropractic care, targeted movement work, or medical referral may fit better.
When spinal decompression is considered for sciatica
Decompression is most often discussed for sciatica that has a disc-related driver — confirmed by exam findings and often by prior imaging. The HillDT system delivers monitored, controlled distraction designed to change the pressure environment around the disc and nerve root. Dr. Nick Hasenfratz evaluates candidacy based on symptom pattern, neurological signs, imaging, and red flags before any sessions are scheduled.
Where to go next
Patients with sciatic symptoms may want to review the spinal decompression hub page, the HillDT-specific landing, the back surgery alternatives page, chronic back pain support, and disc-related condition pages before requesting a consultation.
When sciatica needs urgent attention
New bowel or bladder changes, saddle numbness, progressive leg weakness, severe trauma, fever, or rapidly worsening symptoms should be evaluated urgently — not stretched out with conservative care.
Frequently asked
Common questions
▸Where can I get sciatica treatment in St. Louis?
Simply Health Integrated Medical at 12977 N Forty Dr, Suite 105, St. Louis, MO 63141 offers sciatica evaluation including HillDT-monitored spinal decompression candidacy check by Dr. Nick Hasenfratz, DC. By appointment 24/7. Call (636) 590-4686.
▸Can spinal decompression help sciatica?
For sciatica that has a disc-related driver — confirmed by exam findings and often by prior imaging — HillDT spinal decompression can be a reasonable option to evaluate. Not all sciatica is disc-driven, which is why a candidacy evaluation comes first.
▸What causes sciatica?
Common drivers include disc bulges or herniations compressing a nerve root, facet joint irritation, piriformis tension, spinal stenosis, and referred pain from other lumbar structures. A clinical evaluation identifies the likely driver rather than treating every case the same.
▸Do I need surgery for sciatica?
Most sciatica cases do not require surgery. Conservative options including HillDT spinal decompression, targeted chiropractic care, and movement-based rehab are often appropriate first steps. Surgery may be the right call when progressive neurological deficits, severe instability, or red flags are present — which is part of what the candidacy evaluation determines.
▸How long does sciatica usually last?
Acute sciatica often resolves over weeks with appropriate care. Sciatica that persists more than 6 to 8 weeks despite conservative care typically warrants a more thorough evaluation, including imaging review when available, to determine whether decompression or another path makes sense.
▸Is chiropractic safe for sciatica?
Chiropractic care can be appropriate for selected sciatica cases, but for some disc-related patterns a decompression-first approach is safer. The evaluation determines which technique fits the specific patient rather than applying the same treatment to every case.
Next step
Not sure what is causing your sciatica treatment in st. louis?
Symptoms can have more than one driver. The clinic can help you review what you are experiencing, what you have already tried, and which non-surgical or integrative options may fit.