Sciatica: Symptoms, Causes, And How To Relieve Sciatic Pain Naturally

sciatica treatment

Struggling with sharp, shooting pain that travels from your lower back down your leg? Maybe you feel numbness, tingling, or weakness that makes walking or standing a challenge. These symptoms are more than frustrating- they’re debilitating, and they could point to sciatica.

Sciatica happens when something irritates or compresses your sciatic nerve, the body’s largest nerve running from your lower spine to your feet. Your symptoms might include:

  • Pain radiating from your lower back to your leg.
  • Numbness or tingling along the nerve path.
  • Muscle weakness that makes movement difficult.
  • Symptoms that worsen when sitting, standing, or coughing.

In a study on sciatica, Dr. David Davis from the Orange Park Medical Center in Florida, USA, states, “Lifetime incidence is reported to be between 10% and 40%.” This means that the chance of experiencing sciatica during one’s lifetime is 10% to 40%.

Here’s the good news!

Sciatica is manageable, and you don’t have to rely on medication or surgery. This article explores natural, effective ways to relieve sciatic pain. From chiropractic care to herbal remedies, dietary changes, and stretches, you’ll learn how to target the root cause and find lasting relief.

Ready to take control of your pain and get back to living your life? Keep reading to learn how to relieve sciatic pain naturally!

What Is Sciatica?

Sciatica, also called sciatic neuritis or lumbar radiculopathy, refers to pain traveling along the sciatic nerve. The sciatic nerve is the largest nerve in your body, running from your lower spine through your hips, buttocks, and down the back of each leg. It controls muscles in your legs and provides sensation to the thighs, calves, and feet.

Sciatica happens when the nerve is compressed, irritated, or inflamed, often due to a herniated disc, bone spur, or spinal narrowing (spinal stenosis). This compression disrupts nerve signals, causing pain and other symptoms along the nerve’s path.

what is sciatica

Unlike general back pain, sciatica usually affects only one side of the body. The severity ranges from mild discomfort to sharp, debilitating pain. Sitting for long periods, sudden movements, or certain postures often worsen symptoms. Treating the underlying cause is key to relieving sciatica.

Types of Sciatica

There are several different types of sciatica which include:

  • Acute Sciatica: Short-term, lasting a few days to weeks. It often resolves with rest, over-the-counter pain relief, and light stretching.
  • Chronic Sciatica: Long-term or recurring pain lasting more than three months. It may require physical therapy, lifestyle changes, or medical intervention.
  • Alternating Sciatica: Rare form where pain alternates between both legs, typically due to a sacroiliac joint issue.
  • Bilateral Sciatica: Pain affects both legs simultaneously, often caused by central spinal stenosis or a severe condition like cauda equina syndrome.
  • Non-Sciatic Causes: Conditions like piriformis syndrome, hip joint problems, or muscle strain mimic sciatica symptoms but don’t involve direct nerve compression. In a study on piriformis syndrome, Dr. Brandon L. Hicks from the Louisiana State University HSC, USA, states “Piriformis syndrome may be responsible for 0.3% to 6% of all cases of low back pain and/or sciatica.”

What Are The Symptoms Of Sciatica?

The symptoms of sciatica are:

  • Leg Pain: Pain starts in the lower back or buttock and radiates down the back of the thigh, calf, or foot. It can range from a mild ache to sharp, burning pain that makes standing or walking difficult. 
  • Numbness or Tingling: You might feel “pins and needles” or reduced sensation along the nerve path, often in the leg or foot.
  • Weakness: Muscle weakness in the leg or foot can make moving or lifting the affected limb hard. This may affect walking or standing.
  • Worsened by Sitting or Standing: Prolonged sitting, standing, or sudden movements, such as coughing or sneezing, can intensify symptoms.
symptoms of sciatica

What Causes Sciatica?

The causes of sciatica include:

  • Herniated Disc: When the soft center of a spinal disc pushes out and presses on the sciatic nerve, it’s a common cause of sciatica.
  • Bone Spurs: Bony overgrowths (caused by arthritis or spinal degeneration) irritate or compress the nerve.
  • Spinal Stenosis: Narrowing of the spinal canal creates pressure on nerves, often in older adults.
  • Piriformis Syndrome: A tight or inflamed piriformis muscle (located in the buttocks) compresses the sciatic nerve.
  • Trauma or Injury: Car accidents, falls, or sports injuries can damage the sciatic nerve directly or indirectly.
  • Spondylolisthesis: A vertebra slips out of place, pinching the sciatic nerve.
  • Tumors or Infections: Rare but serious, growths or infections near the spine or nerve can cause sciatica.
  • Pregnancy: Pressure on the sciatic nerve from the growing uterus or posture changes can lead to temporary sciatica.
causes of sciatica pain

What Are The Risk Factors For Sciatica?

The risk factors for sciatica are:

  • Age: Degenerative changes in the spine, such as herniated discs or arthritis, become more common with age.
  • Obesity: Extra body weight places more stress on your spine, increasing the risk of nerve compression.
  • Prolonged Sitting: Sedentary lifestyles, desk jobs, or long driving hours can strain the lower back and lead to sciatica.
  • Occupation: Jobs requiring heavy lifting, twisting, or prolonged standing put your back at risk.
  • Diabetes: Nerve damage (diabetic neuropathy) increases susceptibility to sciatica.
  • Poor Posture: Incorrect alignment during sitting, standing, or lifting can strain the spine and sciatic nerve. Using an improperly adjusted chair, lack of lumbar support, or leaning forward while working at a computer can increase lower back strain and nerve irritation.

How Is Sciatica Diagnosed?

Sciatica is diagnosed by a healthcare professional. It usually starts with a medical history and a physical exam to check for pain patterns and nerve-related symptoms. Tests like the straight-leg raise help identify nerve involvement.

Imaging, such as X-rays, MRIs, or CT scans, can show underlying causes like herniated discs or spinal stenosis. In some cases, electromyography (EMG) measures nerve activity to pinpoint compression sites. Accurate diagnosis is crucial to determining the right treatment approach.

How To Relieve Sciatic Pain Naturally?

Relieving sciatic pain naturally involves addressing the root causes of nerve irritation and reducing inflammation. Noninvasive methods, such as chiropractic care, functional medicine, herbal remedies, and supplements, provide safe and effective options for managing symptoms without medications or surgery. 

Here are our recommendations on how to relieve sciatic pain naturally:

Chiropractic Care for Sciatica Treatment

Chiropractic care uses hands-on techniques to correct spinal misalignments, improve mobility, and relieve nerve pressure. For sciatica, chiropractors focus on techniques like adjustments, spinal decompression, ultrasound therapy, and posture guidance. These methods aim to reduce pain, promote healing, and prevent future flare-ups.

Chiropractic Adjustments

Chiropractic adjustments, also called spinal manipulations, can realign the spine to reduce nerve compression. Spinal misalignments (subluxations) can irritate or pinch the sciatic nerve, causing pain and inflammation. Adjustments involve controlled, precise pressure on specific areas of the spine to improve alignment and restore normal function.

Adjustments help decrease sciatic pain, enhance mobility, and support the body’s natural healing process by relieving pressure on the nerve. Chiropractors tailor adjustments to each patient’s condition, ensuring safety and effectiveness. Regular treatments can prevent recurrences and improve overall spinal health.

Ultrasound Therapy

Ultrasound therapy uses sound waves to create deep heat in tissues, promoting healing and reducing pain. In a study on the therapeutic effects of ultrasound, Dr. Katsuyuki Morishita from the Koriyama Institute of Health Sciences, Fukushima, Japan states “The present study revealed that the total-Hb was significantly higher during the 20 minutes after the trial period in the US [ultrasound] group than in the placebo and control groups.” This means that ultrasound therapy increases oxygen in the tissue, contributing to faster healing. 

In people with sciatica, ultrasound therapy may help lower inflammation around the sciatic nerve by improving blood flow to the affected area, and relaxing tight muscles which may contribute to the irritation of the nerve. 

During the procedure, a gel is applied to the skin, and a handheld device delivers sound waves to the targeted tissues. This stimulates cellular repair and improves tissue flexibility, which can reduce nerve irritation.

Ultrasound therapy is noninvasive and painless. It is often combined with other chiropractic treatments, such as adjustments or decompression. It’s particularly effective for chronic sciatica or when muscle tightness contributes to nerve compression. Regular sessions can enhance recovery and provide long-term relief.

Spinal Decompression

Spinal decompression gently stretches the spine to relieve pressure on spinal discs and nerves. This non-surgical therapy creates negative pressure within the discs, encouraging them to retract and reduce irritation on the sciatic nerve.

The treatment uses a specialized table that applies controlled traction to the spine. It’s effective for conditions such as herniated discs, bulging discs, or spinal stenosis, which are common causes of sciatica.

Spinal decompression helps restore disc health, improve nutrient flow, and reduce inflammation. It’s a safe, natural option for sciatica patients seeking relief without surgery. After a few sessions, many people experience reduced pain and improved mobility.

Posture Guidance

Poor posture can strain the spine, aggravating sciatic nerve pain. Chiropractors provide personalized posture guidance to reduce stress on your lower back and pelvis.

This includes tips on sitting, standing, and lifting correctly to maintain spinal alignment. They may recommend ergonomic changes at work or home to prevent slouching or twisting.

Improving posture reduces pressure on the sciatic nerve, promotes healing, and prevents future flare-ups. 

Consistent good posture habits support long-term spinal health and enhance overall well-being.

Functional Medicine for Sciatica Treatment

Functional medicine is a holistic approach that focuses on identifying and addressing the root causes of health conditions rather than just managing symptoms. It emphasizes the interconnectedness of the body’s systems and aims to restore balance for optimal health.

For sciatica, functional medicine investigates factors like chronic inflammation, poor circulation, and metabolic imbalances that may contribute to nerve irritation. Identifying these underlying issues helps functional medicine practitioners create personalized plans to promote the body’s natural healing processes.

Functional medicine focuses on reducing inflammation and improving the body’s overall health by addressing dietary deficiencies, lifestyle factors, and stress management. It supports immune function to enhance the body’s ability to repair damaged tissues and resolve inflammation. This comprehensive approach ensures that all contributing factors are addressed effectively.

The approach incorporates lifestyle changes, advanced lab testing, and tailored nutritional strategies to strengthen the body’s resilience. By enhancing cellular repair and addressing imbalances, functional medicine promotes long-term recovery and reduces the likelihood of recurring sciatic pain.

Dietary Changes for Sciatica Treatment

Diet plays a significant role in managing sciatica by reducing inflammation and supporting nerve health. Certain foods can help soothe irritated nerves, promote healing, and prevent further inflammation. On the other hand, some foods can worsen inflammation and delay recovery. Making the right dietary choices can complement natural treatments and improve overall well-being.

best foods for sciatica pain

Here are our recommendations on what to eat and what to avoid for sciatica:

Foods to Eat for Sciatica

  • Leafy Greens: Spinach, kale, and Swiss chard are rich in antioxidants and anti-inflammatory compounds, such as vitamin C and beta-carotene, which protect nerves.
  • Fatty Fish: Salmon, mackerel, and sardines are high in omega-3 fatty acids, which reduce inflammation and support nerve repair.
  • Nuts and Seeds: Almonds, walnuts, flaxseeds, and chia seeds provide healthy fats and magnesium, essential for nerve function and muscle relaxation.
  • Berries: Blueberries, strawberries, and raspberries are packed with antioxidants that help combat oxidative stress, a contributor to nerve damage.
  • Whole Grains: Brown rice, quinoa, and oats offer fiber and B vitamins, which are crucial for nerve health and energy production.

When preparing meals, use healthy oils like olive oil, avocado oil, or coconut oil to maximize the anti-inflammatory benefits of your diet.

Foods to Avoid for Sciatica

  • Processed Foods: Chips, frozen meals, and fast food are high in unhealthy fats and additives that increase inflammation.
  • Refined Carbs: White bread, pasta, and sugary cereals spike blood sugar levels, promoting inflammation and nerve irritation.
  • Sugary Drinks: Sodas and energy drinks contain high amounts of sugar, which can worsen inflammation and hinder healing.
  • Red and Processed Meats: These foods contain saturated fats and compounds like nitrates, which may trigger inflammation and worsen symptoms.
  • Fried Foods: Cooking oils used in deep-fried foods often contain trans fats, which increase systemic inflammation.
  • Alcohol: Excessive consumption can dehydrate the body and aggravate inflammation, impairing recovery from nerve-related pain.
foods to avoid for sciatica

Supplements for Sciatica Treatment

Supplements can help relieve sciatica by addressing nutrient deficiencies that affect nerve health, muscle function, and inflammation. Key nutrients like vitamin D, magnesium, and B vitamins are vital in promoting recovery and preventing flare-ups. Including these in your diet or supplements can enhance your body’s natural ability to heal and maintain a healthy nervous system.

Vitamin D

Vitamin D is essential for bone health and reducing inflammation. It helps regulate the immune system and supports nerve repair, crucial for sciatica recovery. Low vitamin D levels are linked to increased nerve pain and inflammation, making supplementation beneficial for managing symptoms.

Vitamin D is naturally found in fatty fish (salmon, mackerel), egg yolks, and fortified foods like milk or cereals. Sunlight exposure also helps your body produce vitamin D. The recommended daily dose for most adults is 600-800 IU, though some may require higher amounts based on deficiency levels. A consultation with a functional medicine practitioner can help determine your needs.

Magnesium

Magnesium is vital for muscle relaxation, nerve function, and inflammation reduction. For sciatica, it helps alleviate muscle tension and spasms that may compress the sciatic nerve. It also helps calm overactive nerves.

Natural sources of magnesium include leafy greens (spinach, kale), nuts and seeds (almonds, pumpkin seeds), whole grains, and legumes. Many people don’t get enough magnesium from diet alone, making supplementation helpful. The recommended daily dose is 310-420 mg for adults, depending on age and gender. Taking magnesium citrate or glycinate forms may improve absorption.

B Vitamins

B vitamins are a group of water-soluble vitamins essential for energy production, nerve function, and overall cellular health. For sciatica, three B vitamins play a particularly critical role:

  • Vitamin B1 (Thiamine): Thiamine supports energy production in nerve cells, helping them function effectively. It reduces oxidative stress, which can worsen nerve damage and pain.
  • Vitamin B6 (Pyridoxine): Pyridoxine aids in producing neurotransmitters (chemical messengers in the nervous system) and helps reduce inflammation around the sciatic nerve. It also prevents conditions like carpal tunnel syndrome, which can exacerbate nerve-related pain.
  • Vitamin B12 (Cobalamin): B12 is crucial for nerve repair and myelin production, the protective sheath around nerves. A B12 deficiency can lead to nerve damage, and worsening symptoms like tingling, numbness, and pain.

Natural sources of B vitamins include animal products such as meat, eggs, and dairy and plant-based options like fortified cereals, legumes, and nutritional yeast. Vegetarians, vegans, and older adults are at higher risk of B12 deficiency and may require supplementation.

The recommended daily doses are B1 (1.1-1.2 mg), B6 (1.3 mg), and B12 (2.4 mcg). Many opt for a B-complex supplement to meet daily requirements for all essential B vitamins. 

These vitamins help promote nerve healing, reduce inflammation, and prevent further sciatic nerve damage, making them invaluable for managing sciatica naturally.

Herbal Remedies for Sciatica Treatment

Herbal remedies offer a holistic way to alleviate sciatic pain and inflammation, promoting healing without relying on medications. These remedies, derived from plants with anti-inflammatory and analgesic properties, can help reduce nerve irritation and improve overall comfort. 

Below are our recommendations for herbal remedies for sciatica relief.

Devil’s Claw

Devil’s claw is a medicinal herb native to southern Africa. Its active compounds, particularly harpagoside, have potent anti-inflammatory and analgesic properties, making it effective for managing pain caused by inflammation, such as sciatica.

Devil’s Claw works by inhibiting the production of inflammatory enzymes in the body, reducing swelling and pain around the sciatic nerve. This can be especially beneficial for sciatica triggered by conditions like herniated discs, arthritis, or muscle tension in the lower back and pelvis. In addition to pain relief, it may help improve joint mobility and reduce stiffness, which often accompany sciatic nerve irritation.

You can find devil’s claw in various forms, including capsules, tablets, teas, and tinctures for internal use. Topical creams and gels containing devil’s claw are also available and can be applied directly to the lower back or affected areas to relieve localized pain.

This herb is often favored as a natural alternative to nonsteroidal anti-inflammatory drugs (NSAIDs) because it provides similar benefits without common side effects like stomach irritation. However, it may not be suitable for everyone, especially those with stomach ulcers, gallstones, or certain medical conditions. Always consult a healthcare provider before incorporating it into your routine.

Turmeric

Turmeric is a potent anti-inflammatory herb that helps reduce swelling and pain around the sciatic nerve. Its active compound, curcumin, blocks inflammatory enzymes and cytokines, alleviating nerve irritation and promoting healing. This makes it particularly useful for sciatica caused by conditions like herniated discs, arthritis, or spinal stenosis.

Turmeric also acts as an antioxidant, protecting nerves from oxidative stress, which can worsen damage and prolong recovery. It is commonly available in capsules, powders, or fresh root, and can be added to teas, meals, or as a supplement. Combining turmeric with black pepper, which contains piperine, enhances curcumin absorption.

Regular use of turmeric can help manage sciatica symptoms naturally and support long-term nerve health.

St. John’s Wort

St. John’s wort is a flowering herb traditionally used to treat nerve pain and inflammation. Its active compounds, such as hypericin and hyperforin promote nerve healing and provide analgesic effects. This makes it especially effective for relieving the burning or tingling sensations associated with sciatica.

St. John’s wort can be applied topically as an oil, soothing irritated nerves and reducing pain. It’s also available in capsule, tincture, and tea forms for internal use. Regular use can support nerve regeneration and calm overactive nerve responses. 

However, it’s important to note that this herb may interact with certain medications, so consult a healthcare provider before using it.

Cold And Heat Therapy

Cold and heat therapy is a simple yet effective way to manage sciatica pain and inflammation. 

Cold therapy (using ice packs or cold compresses) reduces inflammation and numbs the area, which helps decrease sharp or shooting pain along the sciatic nerve. It’s most effective during the first 48 hours of a flare-up. Apply a cold pack wrapped in a cloth to the lower back or affected area for 15-20 minutes at a time.

Heat therapy (using heating pads or warm baths) improves blood flow to the affected area, relaxes tight muscles, and promotes healing. Heat is beneficial after the initial inflammation subsides, easing stiffness and encouraging mobility. Alternate between cold and heat therapy for maximum relief.

Consistent cold and heat therapy can reduce discomfort and support the body’s natural healing process.

Gentle Stretching

Gentle stretching helps relieve sciatica by reducing tension in the muscles around the sciatic nerve, particularly in the lower back, hips, and legs. Stretching improves flexibility, promotes circulation, and eases pressure on the nerve, reducing pain and preventing stiffness.

Stretches that target the piriformis muscle, hamstrings, and hip flexors are particularly helpful. Examples include the seated spinal twist, pigeon pose, or knee-to-chest stretch. These movements elongate tight muscles and create space in the lower back and pelvis, relieving nerve compression.

Stretching should always be gentle and pain-free. Avoid overextending or sudden movements that could worsen symptoms. Perform stretches for 10-30 seconds each, repeating as needed throughout the day. Regular practice of gentle stretching can improve mobility, reduce pain, and prevent future sciatica flare-ups.

Frequently Asked Questions

Can A Chiropractor Help With Sciatica?

Yes, chiropractors can help relieve sciatica by addressing the root cause, such as spinal misalignment or nerve compression. Techniques like spinal adjustments, decompression therapy, and posture correction reduce inflammation, relieve nerve pressure, and promote healing without medications or surgery.

Is Walking Good For Sciatica?

Yes, walking is beneficial for sciatica. It improves blood circulation, reduces inflammation, and strengthens supporting muscles. However, avoid overexertion or uneven terrain, as these can aggravate symptoms. Focus on a steady pace and maintain proper posture for the best results.

Does Sciatica Cause Hip Pain?

Yes, sciatica can cause hip pain because the sciatic nerve runs through the hips. Pain often radiates from the lower back to the hip area when the nerve becomes compressed or irritated. This pain may be sharp, throbbing, or accompanied by tingling and numbness.

Does Sciatica Cause Knee Pain?

Yes, sciatica may cause knee pain, especially if the L4 nerve root is affected. This referred pain can feel sharp, dull, or achy, originating from the lower back and traveling down to the knee. Weakness or tingling in the knee may also occur in some cases.

What Vitamin Deficiency Causes Sciatica?

The vitamin deficiency that can contribute to sciatica is Vitamin B12 deficiency. B12 supports nerve health and repair. A deficiency can lead to nerve damage or irritation, and worsening symptoms like tingling, numbness, and sciatic pain. Supplements or dietary sources like fish, poultry, and eggs can help restore levels.

Conclusion

Living with sciatica can feel like an endless battle with pain and discomfort, but there’s good news- you don’t have to endure it alone. 

Sciatica relief starts with understanding your symptoms, addressing the causes, and exploring natural solutions that work for you. Chiropractic adjustments, gentle stretching, and supplements work together to promote healing, while cold and heat therapy help manage acute discomfort.

If you need additional support and guidance, the Bay Clinic of Chiropractic in Panama City, Florida, is your best choice!

At our clinic, Dr. Tony Salamay is dedicated to finding the root cause of your sciatica. His approach goes beyond temporary fixes, combining advanced chiropractic techniques with functional medicine to address the underlying issues, whether a herniated disc, poor posture, or chronic inflammation. Dr. Salamay takes the time to create a customized treatment plan that targets your specific needs, helping you achieve long-term relief and improved mobility.

Stop letting sciatica keep you from moving. Contact the Bay Clinic of Chiropractic at (850) 785-9372 or info@thebaydoctor.com today.

Sciatica relief and recovery are closer than you think! 

References

  1. Davis D, Taqi M, Vasudevan A. Sciatica [Internet]. StatPearls – NCBI Bookshelf. 2024. Available from: https://www.ncbi.nlm.nih.gov/books/NBK507908/#article-28772.s4 
  2. Giuffre BA, Black AC, Jeanmonod R. Anatomy, sciatic nerve [Internet]. StatPearls – NCBI Bookshelf. 2023. Available from: https://www.ncbi.nlm.nih.gov/books/NBK482431/ 
  3. Raja A, Patel P, Mesfin FB. Spinal Stenosis(Archived) [Internet]. StatPearls – NCBI Bookshelf. 2023. Available from: https://www.ncbi.nlm.nih.gov/books/NBK441989/ 
  4. Newman DP, Soto AT. Sacroiliac joint Dysfunction: Diagnosis and treatment [Internet]. AAFP. 2022. Available from: https://www.aafp.org/pubs/afp/issues/2022/0300/p239.html 
  5. Hicks BL, Lam JC, Varacallo MA. Piriformis syndrome [Internet]. StatPearls – NCBI Bookshelf. 2023. Available from: https://www.ncbi.nlm.nih.gov/books/NBK448172/ 
  6. Dove L, Baskozos G, Kelly T, Buchanan E, Schmid AB. Prevalence of weakness and factors mediating discrepancy between reported and observed leg weakness in people with sciatica. European Spine Journal [Internet]. 2024 Jun 24;33(11):4229–34. Available from: https://link.springer.com/article/10.1007/s00586-024-08330-6 
  7. Stretanski MF, Hu Y, Mesfin FB. Disk Herniation [Internet]. StatPearls – NCBI Bookshelf. 2025. Available from: https://www.ncbi.nlm.nih.gov/books/NBK441822/ 
  8. Li N, Scofield J, Mangham P, Cooper J, Sherman W, Kaye AD. Spondylolisthesis. Orthopedic Reviews [Internet]. 2022 Jul 27;14(3). Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC9329062/ 
  9. Fairag M, Kurdi R, Alkathiry A, Alghamdi N, Alshehri R, Alturkistany FO, et al. Risk Factors, Prevention, and Primary and Secondary Management of Sciatica: an updated overview. Cureus [Internet]. 2022 Nov 12; Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC9743914/ 
  10. Koes BW, Van Tulder MW, Peul WC. Diagnosis and treatment of sciatica. BMJ [Internet]. 2007 Jun 21;334(7607):1313–7. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC1895638/#sec7 
  11. Senzon SA. The Chiropractic Vertebral Subluxation Part 1: Introduction. Journal of Chiropractic Humanities [Internet]. 2018 Dec 1;25:10–21. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC6472118/ 
  12. Schulz CA, Hondras MA, Evans RL, Gudavalli MR, Long CR, Owens EF, et al. Chiropractic and self-care for back-related leg pain: design of a randomized clinical trial. Chiropractic & Manual Therapies [Internet]. 2011 Mar 22;19(1). Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC3072925/ 
  13. Haile G, Hailemariam TT, Haile TG. Effectiveness of Ultrasound therapy on the Management of Chronic Non-Specific Low Back Pain: a Systematic review. Journal of Pain Research [Internet]. 2021 May 1;Volume 14:1251–7. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC8139719/ 
  14. Morishita K, Karasuno H, Yokoi Y, Morozumi K, Ogihara H, Ito T, et al. Effects of therapeutic ultrasound on intramuscular blood circulation and oxygen dynamics. Journal of the Japanese Physical Therapy Association [Internet]. 2013 Dec 17;17(1):1–7. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC4316550/ 
  15. De Lucas B, Pérez LM, Bernal A, Gálvez BG. Ultrasound therapy: Experiences and perspectives for Regenerative medicine. Genes [Internet]. 2020 Sep 17;11(9):1086. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC7563547/ 
  16. Choi J, Lee S, Hwangbo G. Influences of spinal decompression therapy and general traction therapy on the pain, disability, and straight leg raising of patients with intervertebral disc herniation. Journal of Physical Therapy Science [Internet]. 2015 Jan 1;27(2):481–3. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC4339166/ 
  17. Bland J. Defining function in the functional medicine model [Internet]. 2017. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC5312741/ 
  18. Hammond B. Dietary carotenoids and the nervous system. Foods [Internet]. 2015 Dec 10;4(4):698–701. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC5224555/ 
  19. Birben E, Sahiner UM, Sackesen C, Erzurum S, Kalayci O. Oxidative stress and antioxidant defense. World Allergy Organization Journal [Internet]. 2012 Jan 1;5(1):9–19. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC3488923/ 
  20. Raoul P, Cintoni M, Palombaro M, Basso L, Rinninella E, Gasbarrini A, et al. Food Additives, a Key Environmental Factor in the Development of IBD through Gut Dysbiosis. Microorganisms [Internet]. 2022 Jan 13;10(1):167. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC8780106/ 
  21. Karwowska M, Kononiuk A. Nitrates/Nitrites in Food—Risk for nitrosative stress and Benefits. Antioxidants [Internet]. 2020 Mar 16;9(3):241. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC7139399/ 
  22. Li M, Lai KW. Vitamin D Deficiency–Associated neuropathic pain examined in a chronic pain management program. The Permanente Journal [Internet]. 2024 Jul 9;28(3):180–4. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC11404642/ 
  23. Vink R, Nechifor M. Magnesium in the central nervous system [Internet]. NCBI Bookshelf. 2011. Available from: https://www.ncbi.nlm.nih.gov/books/NBK507264/ 
  24. Calderón‐Ospina CA, Nava‐Mesa MO. B Vitamins in the nervous system: Current knowledge of the biochemical modes of action and synergies of thiamine, pyridoxine, and cobalamin. CNS Neuroscience & Therapeutics [Internet]. 2019 Sep 6;26(1):5–13. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC6930825/ 
  25. Gxaba N, Manganyi MC. The Fight against Infection and Pain: Devil’s Claw (Harpagophytum procumbens) a Rich Source of Anti-Inflammatory Activity: 2011–2022. Molecules [Internet]. 2022 Jun 6;27(11):3637. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC9182060/ 
  26. Peng Y, Ao M, Dong B, Jiang Y, Yu L, Chen Z, et al. Anti-Inflammatory effects of curcumin in the inflammatory diseases: Status, limitations and countermeasures. Drug Design Development and Therapy [Internet]. 2021 Nov 1;Volume 15:4503–25. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC8572027/ 
  27. Peterson B, Nguyen H. St. John’s Wort [Internet]. StatPearls – NCBI Bookshelf. 2023. Available from: https://www.ncbi.nlm.nih.gov/books/NBK557465/ 
  28. French SD, Cameron M, Walker BF, Reggars JW, Esterman AJ. Superficial heat or cold for low back pain. Cochrane Library [Internet]. 2006 Jan 19;2011(2). Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC8846312/ 
  29. Siraj SA, Dadgal R. Physiotherapy for Piriformis syndrome using sciatic nerve mobilization and piriformis release. Cureus [Internet]. 2022 Dec 26; Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC9879580/
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Dr.Tony Salamay

Dr. Tony Salamay is a board-certified chiropractor and functional medicine practitioner specializing in root-cause solutions for autoimmune, digestive, hormonal, and chronic pain conditions. Through a holistic approach that blends chiropractic care, nutrition, and functional lab analysis, he helps patients restore long-term health naturally.

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