The following research review article suggests that “sciatica” is caused by your genes. I would concur, however I would ask…”what is it about the genes and how they express that creates the “sciatic” symptoms?” In my opinion, the genes do not cause a spontaneous break down of the disc material, resulting in nerve pain down the leg. However, what the genes do dictate is the shape of the bones in your feet, legs, pelvis and spine. Just as your hands or eyes will look like one of your parents, the shape of your bones is also genetic. Therefore, if you have biomechanical faults in your feet that are due to the structure of the foot bones, then likely one of your relatives had the same biomechanical abnormality. This genetic alteration in bone shape, leads to altered joint function in the foot, which changes the biomechanical function of the whole lower extremity, pelvis and spine. So, if your elders have bunions, hammer toes, leg length inequality, low back pain, -and yes- “Sciatica”, then you may well have a tendency to suffer with this as well. Remember, an gram of prevention is worth a kilo of cure. Have a biomechanical assessment with The Gait Doctor, Dr. Cherye Roche, sooner than later to identify whether you are a candidate for Gait Scan analysis and custom orthotics to treat and prevent sciatica and other aches and pains in the joints that are often caused by faulty foot mechanics which your parents pass to you in your genes.