Back Pain and Sciatica Struggles: What You Should Know
Back pain and sciatica are common conditions that can greatly affect your daily life, but understanding their causes and treatments is key to managing them effectively. Dr. Darius Zagunis, M.D., is an expert in diagnosing and treating both back pain and sciatica. Whether your pain is caused by muscle strain, disc issues, or nerve compression, we offer personalized treatment plans to address the root cause. From physical therapy to advanced pain management techniques, the team focuses on providing relief and improving your mobility. For more information, contact us or schedule an appointment online. We are located at 3903 Wiseman Blvd, Ste 117, San Antonio, TX 78251.


Table of Contents:
What are the main causes of back pain and sciatica?
How can you tell if your back pain is caused by sciatica?
What lifestyle changes can help manage chronic back pain and sciatica?
When should you see a doctor for back pain or sciatica?
Back pain and sciatica are among the most frequently treated conditions, and our expert physicians specialize in diagnosing and addressing a diverse range of underlying causes. Disc herniation, a common culprit of back pain, occurs when the cushioning discs between the spinal vertebrae become damaged or displaced, leading to nerve compression. At San Antonio Pain Consultants, we utilize advanced diagnostic methods and minimally invasive treatments aimed at relieving nerve pressure, alleviating pain, and restoring functionality.
Degenerative disc disease, another prevalent condition, involves the gradual aging and deterioration of spinal discs. As discs degenerate, spaces between vertebrae become narrower, putting pressure on nerve roots and causing persistent discomfort and sciatica. Our specialists are highly experienced in offering comprehensive treatment plans, including interventional procedures, physical therapy referrals, and individualized pain management strategies to address degenerative disc conditions.
Spinal stenosis, characterized by the narrowing of spinal canals or nerve pathways, often occurs with aging, leading to nerve compression, pain, numbness, and mobility challenges. The physicians at San Antonio Pain Consultants are dedicated to providing effective treatments such as targeted injections, nerve blocks, and minimally invasive therapies to help patients regain their independence and quality of life.
Spondylolisthesis, a condition in which one vertebra slips forward over another, can alter spinal alignment and trigger nerve-related pain. At San Antonio Pain Consultants, our physicians perform thorough evaluations to identify spinal misalignment and offer customized interventional treatments, rehabilitation guidance, and pain management techniques to reduce discomfort and improve spinal stability.
Acute back pain resulting from muscle strains or ligament sprains due to improper lifting, poor posture, or sudden movements is also commonly treated at our practice. Although many muscle injuries resolve quickly with conservative care, chronic muscle imbalances or weak core muscles can lead to persistent pain and recurring sciatica episodes.
Determining if your back pain is linked to sciatica involves recognizing specific symptoms and patterns. At San Antonio Pain Consultants, we specialize in diagnosing and treating back pain conditions such as sciatica, which typically results from irritation or compression of the sciatic nerve. This nerve extends from your lower back, through your hips and buttocks, and down each leg. Individuals experiencing sciatica often report sharp, shooting, or burning pain radiating from the lower back down one leg, sometimes reaching into the calf or foot. Unlike general lower back discomfort caused by muscle strain, sciatica usually affects only one side of the body.
In addition to pain, you may also experience tingling, numbness, or weakness in the affected leg or foot, making everyday activities such as walking, standing for long periods, or sitting quite challenging. Symptoms of sciatica can worsen during coughing, sneezing, or when rapidly changing positions due to increased pressure on the nerve.
If you are experiencing these distinct symptoms, seeking evaluation from a pain specialist at San Antonio Pain Consultants is recommended. Our experienced physicians will conduct a comprehensive physical examination, thoroughly assessing your reflexes, muscle strength, and range of motion. If necessary, advanced imaging studies, such as MRI scans or X-rays, may be utilized to confirm the diagnosis and identify underlying conditions such as herniated discs or spinal stenosis, which commonly contribute to sciatic nerve irritation.
At San Antonio Pain Consultants, we understand that effectively managing chronic back pain and sciatica involves a comprehensive approach tailored to your specific needs. Adopting certain lifestyle changes can significantly ease symptoms, improve mobility, and enhance your overall quality of life.
Engaging regularly in gentle activities such as walking, swimming, or yoga helps strengthen the muscles supporting your spine, promotes flexibility, and encourages proper posture. Our specialists can recommend safe, personalized exercise routines that support your recovery and overall wellness. Maintaining good posture during daily activities—such as standing, sitting, or lifting—helps preserve the natural curvature of your spine and reduces pressure on sensitive nerves.
Long periods of sitting or inactivity can exacerbate chronic back pain and sciatica symptoms. Taking frequent breaks to stand, move around, and stretch can significantly relieve pressure on your spine. Our pain management experts can demonstrate specific stretches and movements tailored to reduce discomfort. Stress often intensifies the perception of chronic pain. Incorporating stress-management techniques such as meditation, mindfulness, or deep-breathing exercises can help you better manage pain symptoms. Our team at San Antonio Pain Consultants can introduce stress-reduction strategies that complement your comprehensive pain management plan.
Ensuring adequate sleep with proper spinal alignment is essential in managing chronic back pain and sciatica. Choosing the right mattress and pillow can significantly reduce discomfort and enhance recovery. We can provide personalized recommendations to optimize your sleep environment. Avoiding tobacco products and moderating alcohol consumption can reduce inflammation and improve overall health, which in turn helps alleviate chronic pain. Our specialists will guide you toward healthier lifestyle choices that support your pain management goals.
Diet plays a crucial role in managing inflammation and chronic pain. Emphasizing nutrient-rich foods with anti-inflammatory properties, including fruits, vegetables, whole grains, lean proteins, and healthy fats, can positively impact your pain levels. San Antonio Pain Consultants can provide nutritional guidance tailored to your specific needs.
Back pain and sciatica are common conditions treated by our back pain specialists at San Antonio Pain Consultants. While many cases improve with rest, gentle exercises, and home remedies, there are specific signs that indicate you should promptly seek professional medical care.
If your back pain becomes increasingly severe, persists for more than a few weeks despite rest and conservative therapies, or continues to worsen, it’s important to schedule an evaluation with one of our pain management specialists. Additionally, symptoms such as numbness, tingling, or weakness in your legs may indicate nerve involvement, such as sciatica, and require expert assessment.
You should contact San Antonio Pain Consultants immediately if you experience back pain accompanied by loss of bladder or bowel control, fever unexplained weight loss, or if your pain began following trauma, such as an accident or fall. Pain that significantly affects your daily activities, sleep patterns, or overall quality of life should also prompt a consultation at our practice.
Early diagnosis and personalized treatment from the experienced providers at San Antonio Pain Consultants can help you avoid complications, effectively manage your symptoms, and guide you toward the most appropriate and effective treatment options for your specific needs. For more information, contact us or schedule an appointment online. We are located at 3903 Wiseman Blvd, Ste 117, San Antonio, TX 78251. We serve patients from San Antonio TX, Helotes TX, Alamo Ranch TX, Leon Valley TX, Shavano Park TX, Balcones Heights TX, Fair Oaks TX, Fair Oaks Ranch TX, Castroville TX, and surrounding areas.


Conditions We Treat
▸ Back & Spine Pain
▸ Herniated Disc Treatment
▸ Sciatica
▸ Neck Pain
▸ Knee Pain
▸ Arthritis Pain
▸ Arm & Shoulder Pain
▸ Abdominal & Pelvic Pain
▸ Headaches & Migraines
▸ Hip Pain
▸ Neuropathy
▸ Cancer Pain