Sciatica
What Is Laser Therapy For Sciatica?
Dr. Peter HinzSeptember 12, 2023

Sciatica: What It Is
Sciatica is pain, numbness, tingling, or weakness in the sciatic nerve, which begins in the lower back and extends down the back of each foot. The nerve helps with standing, running, and walking while providing sensation to the thigh, lower leg, and sole. Sciatica occurs when the sciatic nerve is damaged or under excessive pressure. It primarily affects men between 30 and 50 years old, though it can impact people of any age. Pain can range from mild to chronic, often worsening after standing, coughing, or extended walking.
Laser Therapy: What It Is and How It Works
Laser therapy is a medical treatment using focused light to treat conditions through photobiomodulation—a process that uses light to activate biological events, enhancing cellular metabolism while reducing pain and inflammation. Laser light is set to specific wavelengths, creating powerful beams that can damage unwanted tissues. Beyond sciatica, it treats cancer, kidney stones, and detached retinas. The therapy is more precise than conventional surgical instruments, causing less damage to surrounding tissues. It is non-invasive with minimal to no pain, requires less time than traditional surgery, can be performed on an outpatient basis, and promotes faster healing with shorter recovery periods.
3 Types of Laser Therapy Treatment for Sciatica
Low-Level Laser Therapy
Low-level laser therapy (LLLT) uses low-level laser light to treat sciatica. At lower wavelengths, the light accelerates healing without affecting soft tissues surrounding the sciatic nerve. LLLT effectively reduces inflammation and relieves pain from sciatica.
Deep-Tissue Laser Therapy
Deep-tissue laser therapy (DTLT) uses high-powered class IV lasers to emit red and near-infrared light to tissues deep within the body. Its deeper tissue penetration encourages fast and efficient sciatic nerve healing and surrounding tissue repair. It facilitates healing by enhancing cellular replication, increasing oxygen and nutrient supply to the affected area.
Cold Laser Therapy
Cold Laser Therapy (CLT) applies low-intensity laser light to the affected leg to inspire healing. Low-level laser light is applied over the treatment area, improving blood flow to reduce pain and accelerate healing.
Advantages of Laser Therapy Treatment for Sciatica
Relieve Pain
Laser therapy effectively relieves sciatica pain by promoting collagen production and elevating endorphins, helping alleviate discomfort.
Decrease Muscle Contractions
Since sciatica affects the sciatic nerve, patients often experience muscle spasms. When properly applied, laser therapy decreases contractions by relaxing muscles, reducing excess tension in affected areas.
Improve Blood Flow to the Affected Areas
Laser therapy increases blood flow to sciatica-affected parts, facilitating oxygen and nutrient delivery while removing toxins. These processes accelerate healing and recovery.
Enhanced Nerve Function and Decreased Damage or Inflammation
Laser therapy improves nerve function by stimulating regeneration, with regenerated nerves typically increasing branches and functioning better. The treatment prevents further sciatic nerve damage and inflammation by enhancing cellular metabolism.
Positive Impacts of Laser Therapy
Laser therapy enhances cell mechanisms at the cellular level. Laser light stimulates photoreceptors in cell membranes and mitochondria, developing adenosine phosphate (ATP), which provides cells energy for vital healing processes. The therapy also promotes tissue repair across muscles, ligaments, tendons, and other tissues.
Potential Risks Attributed to Laser Therapy for Sciatica
Burns or Irritation to the Skin
Laser therapy can cause skin burns or irritations when laser light contacts skin for extended periods without proper cooling. Burns are typically first or second-degree.
Aches and Displeasure
While painless during application, patients commonly experience post-treatment aches and discomfort, usually from overconcentrated laser light. Consult your doctor if pain becomes excessive.
Deteriorating Sciatica Symptoms
Improperly applied laser therapy can worsen symptoms rather than improve them, leading to increased pain, weakness, tingling, swelling, and reduced foot function.
Interference with Medications
Laser therapy can interact with photosensitive medications, triggering immune reactions like inflammation and itching. Your practitioner will advise which medications to avoid.
Expensive and Time Consuming
Laser therapy for sciatica is more expensive than other health remedies due to costly technology and time commitment—requiring multiple sessions lasting 20 minutes to one hour.
Other Conditions that May be Treated by Laser Therapy
Other conditions benefiting from laser therapy include edema, back pain, knee pain, and musculoskeletal conditions affecting the lower back and legs.
Frequently Asked Questions
Does laser therapy really work on sciatica? Yes, laser therapy is effective in treating sciatica.
What therapy is best for sciatica? Laser therapy is optimal for sciatica management using low-level, deep-tissue, or cold laser approaches.
Can laser therapy heal nerve damage? Yes, laser therapy effectively heals damaged nerves.
What are the side effects of laser therapy in physiotherapy? Laser therapy can burn and irritate skin, worsen symptoms, and cause pain and discomfort.
How can I get rid of sciatica permanently without surgery? Laser therapy can treat sciatica permanently without surgical intervention.
What is the fastest way to cure sciatica? Laser therapy is the quickest sciatica treatment, potentially resolving symptoms within days or weeks.
Can sciatic nerve be removed? No, the sciatic nerve cannot be removed given its importance in walking, standing, and sensation.
What is the success rate of sciatica treatment? Sciatica treatment is highly effective with a success rate exceeding 75%.
How long does it take to cure sciatic nerve? Curing the sciatic nerve typically requires four to six weeks of consistent treatment.
How does laser therapy help nerve pain? Laser therapy reduces nerve pain by stimulating nerve cells and facilitating regeneration, promoting healing and function.
What are the problems after laser treatment? Patients may experience increased pain, discomfort, and worsening sciatica symptoms.
What are the long term effects of laser therapy? Laser therapy can cause skin scarring and skin color changes.
Does laser treatment reduce pain? Yes, affected cells absorb laser light, suppressing pain and reducing inflammation.
Is laser physiotherapy safe? Laser therapy is very safe when used appropriately.
Who should not receive laser therapy? Pregnant women and people with active infections, bleeding conditions, or cancerous tumors should avoid laser therapy.
Sciatica laser surgery cost? Laser surgery for sciatica costs approximately $150 per session, potentially reaching thousands of dollars depending on treatment duration.