The Injection Worked. For a While.
Now the burning is back, the leg aches on long drives, and the next step the pain management clinic is offering is another injection or a surgical consult.
Rest helps until it doesn't. Sitting makes it worse. Standing too long brings it on. The position that used to relieve it stopped working.
Standard treatment managed the nerve. Nobody addressed what was compressing it.
Epidurals reduce inflammation. They don't change the mechanical reason the nerve is being loaded in the first place. When the inflammation settles, the same structure is still there, doing the same thing.
Dr. Fiksel built his practice around the patients standard treatment runs out of answers for.
Why This Is Different
14+
Years in practice
Treating complex pain that standard care couldn't resolve. Two doctorates. One focus.
60
Minutes. Every session.
Every visit. Because chronic pain doesn't fit in a standard appointment.
100%
One-on-one care
The same expert care, every time. We work together until the very end.
3
Systems most clinicians ignore.
Musculoskeletal, nervous, and digestive. Standard physio only looks at one.
Sciatic pain is a sign that neural tissue is being compressed or irritated somewhere along its path.
That compression has a mechanical source, a disc, a joint, a tight muscle group, a movement pattern loading the nerve repeatedly.
Injections only quiet the inflammation around that source. The source remains. When the anti-inflammatory effect wears off, the nerve starts loading again.
Finding the mechanical driver requires understanding how the lumbar spine and pelvis move, where load is being transferred abnormally, and what's creating the environment that keeps irritating the nerve.
That's a different level of assessment than an MRI read and a nerve diagram.
This is for you if...
-
Sciatica returned after injections or resolved with rest and came back
-
Leg pain worsens with sitting, driving, or specific positions
-
Told there's a disc issue but conservative care hasn't held
-
One-sided symptoms that vary predictably with activity
-
The pain management pathway has reached its ceiling
What Working With Dr. Fiksel Looks Like
Step 1: Free Discovery Call
15 minutes. You explain the injury history, what you've tried, and where you are now. Dr. Fiksel tells you honestly whether he thinks he can help and what the assessment would involve.
Step 2: Full Doctoral-Level Assessment
One hour. One doctor. Dr. Fiksel maps the full kinetic chain: joint mechanics, load transfer patterns, mobility restrictions, and the compensations your body built around the original injury. The goal is to find what made the injury site vulnerable, not just what's symptomatic now.
Step 3: A Real Plan
Not another generic program. A specific explanation of what was found, a clear path back to full activity, and honest timelines.
Dr. Oron Fiksel, DSc
Fellowship-trained manual therapist. Doctor of Science in physical therapy. Private practice in Boca Raton, FL.
Dr. Fiksel works exclusively with complex musculoskeletal cases, active adults and athletes who have already been through standard treatment and are still looking for a real answer.
One doctor, one hour, no handoffs, no insurance. and no protocols telling Dr. Fiksel how long to spend with you or what to address.
That's the point. The path back to full performance starts with one conversation.
Business Info
Location & Contact Info
Hours
Tuesday - 2:30 pm – 7:30 pm
Thursday - 6:00 am - 11:00 am
Friday - 7:00 am - 2:00 pm
Sunday 8:00 am – 11:00 am