Greenwood Village, CO · Non-Surgical Care
Low Back Pain & Sciatica Treatment
Non-surgical spine and pain management for low back pain, disc problems, and leg pain that won't settle.
Overview
Understanding Low Back Pain & Sciatica
Low back pain and sciatica are the most common reasons patients come to Alpine. The pain may sit in the back, wrap into the hip, or run down the leg with numbness and tingling. The plan starts with identifying which structure is actually generating the pain — disc, nerve root, facet joint, or sacroiliac joint — because each one is treated differently.
Common symptoms
- Pain running from the low back into the buttock, thigh, or calf
- Numbness, tingling, or a heavy feeling in one leg
- Pain that worsens with sitting, bending, or coughing
- Back pain that worsens with standing and extension
- Weakness in the foot or difficulty with stairs
Common Causes
- Lumbar disc herniation or protrusion pressing on a nerve root
- Facet joint arthritis and degenerative change
- Spinal stenosis narrowing the space around the nerves
- Sacroiliac joint dysfunction
- Muscular deconditioning after months of guarded movement
How we diagnose it
- Full history and a hands-on neurologic and movement exam
- Independent review of your MRI or X-ray — including films read elsewhere
- Correlation of imaging findings with your actual symptoms
- Diagnostic blocks under fluoroscopy when the source is unclear
Treatment Options
How We Treat Low Back Pain & Sciatica
Spine Injections
Minimally invasive image-guided injections that calm inflammation and restore function.
Learn more →PRP Therapy
Harnessing your body's own healing factors to reduce pain and promote tissue repair.
Learn more →Regenerative Orthopedics
Orthobiologic options for tendon, ligament, and cartilage problems without surgery.
Learn more →Emsculpt Neo
Building muscle function and boosting recovery to support longevity and wellness.
Learn more →What to Expect
- 01
Diagnosis visit
Exam, imaging review, and a plain explanation of what your films do and do not mean.
- 02
Targeted procedure
Fluoroscopy-guided epidural, facet, or nerve-targeted injection placed at the confirmed source.
- 03
Function work
Loading progression and core support so relief turns into capacity, not just quiet.
- 04
Reassessment
We measure change and escalate only if the response tells us to.
Service Areas
Treating Low Back Pain & Sciatica Across South Denver and Beyond
FAQs
Low Back Pain & Sciatica — Questions Patients Ask
Do I need an MRI before my visit?
Not necessarily. If you already have imaging, bring it — we review it ourselves. If you don't, the exam determines whether imaging changes the plan.
I've been told I need back surgery. Is a second opinion worth it?
Often yes. Second opinions before spine surgery are a core part of this practice, and many patients have non-surgical options that were never laid out for them.
How fast does sciatica improve?
Some patients feel relief within days of a targeted injection; steroid effects can take one to two weeks to peak. Nerve symptoms recover on their own timeline.
Will injections just mask the pain?
A well-placed injection both treats and confirms the diagnosis. It's paired with strength and loading work so the result holds.
Request a Consultation for Low Back Pain & Sciatica
Tell us what's going on and our team will get right back to you. For anything urgent, call us directly.
1-983-210-8167