Clinical evaluation and referral

Make an appointment for sciatic pain

Do you feel pain that starts from the lower back or buttock and radiates down the leg? This page helps you choose the right reason, the TAGMED center in Mont-Royal or Terrebonne, and the information to prepare before your visit.

SOS Sciatica is an educational site. Appointments are offered by the TAGMED Clinic, a separate organization that provides osteopathy and, when warranted by the evaluation, neurovertebral decompression.

Patient discussing sciatic pain before a clinical evaluation
Generated illustration: the individuals depicted are not actual members of the TAGMED Clinic.
Urgent rather than routine appointment: call 911 or go to the emergency room if you have recently lost control of your bladder or bowels, have numbness in the genital area or bowel, experience rapidly progressing weakness, significant symptoms in both legs, have a major trauma, or have a concerning general condition. See all symptoms to watch for.

Book in four steps

1

Specify the reason

Initial assessment, radiating pain, follow-up or evaluation for eligibility for decompression.

2

Choose the center

Select Mont-Royal, in Montreal, or Terrebonne based on your location and the availability shown.

3

Prepare the file

Gather your imaging reports, medications, history, and treatments already tried.

4

Be evaluated

The interview and examination help determine the appropriate follow-up, with no guarantee of treatment.

Is this the right type of appointment?

An evaluation may be relevant if you have

  • lower back, buttock, or hip pain that radiates down one leg;
  • tingling or persistent numbness without urgent signs;
  • a hernia, protrusion, or stenosis already described in an imaging report;
  • recurring episodes or symptoms that limit walking, sleep, or work;
  • need for conservative evaluation after insufficient or poorly tolerated treatments.

This appointment is not suitable for

  • a medical or neurological emergency;
  • obtaining a prescription, a work stoppage, or a medical imaging order;
  • a procedure, surgery, or specialist doctor advice;
  • replacing the follow-up prescribed by your doctor;
  • ensuring a particular technique is suitable for you before the evaluation.
Pain in the leg is not always sciatica. It can also come from a joint, a muscle, a vascular problem, or another condition. The initial goal is to cautiously direct the situation, not to confirm a diagnosis online.

What reason to choose?

First evaluation — sciatica or radiating pain

For recent, persistent, or recurrent pain that radiates down the buttock, thigh, calf, or foot. Indicate the side, duration, and the lowest point reached.

Evaluation — neurovertebral decompression

To check if this option can be considered when the presentation is compatible with disc or root involvement. Eligibility cannot be decided before the interview, examination, and, if applicable, imaging study.

Follow-up or reevaluation

For a person already seen at the clinic, especially when symptoms have changed, reappeared, or require reevaluation after several visits.

Clarification of an existing file

To discuss MRI reports, X-rays, or CT scans in their clinical context. This is not a radiological interpretation or a specialized second medical opinion.

Choose the TAGMED center

The available slots and up-to-date fees are indicated by the clinic or its booking system. If no time slots are suitable, please contact the center directly.

Mount Royal / Montreal

1140, Beaumont Avenue
Mount Royal (Quebec) H3P 3E5

Telephone: 1 877 672-9060

Reserve online

Terrebonne

1150, Lévis Street, office 200
Terrebonne (Quebec) J6W 5S6

Telephone: 450 704-4447

Reserve online

See the official contact page and verify the details

Patient comparing appointment options at two centers
Check the booking system to know the actual availability of each center.

Before booking: useful information

Symptom Journey

Note where the pain starts, how far it travels down, the most affected side, and any presence of tingling or numbness.

Progression

Specify the approximate date of onset, what aggravates or relieves it, the progression and its effect on walking, sleep, and work.

Strength and Function

Report any difficulty in walking on heels or toes, climbing stairs, lifting the foot, or controlling the leg.

Previous Exams

Indicate the date and area of any relevant MRI, X-ray, CT scan, or electromyography.

Treatments Already Tried

Prepare a list of medications, exercises, therapies, injections, or interventions, along with their effects and side effects.

Priority Questions

Write down two or three questions: probable cause, safety, allowed activities, options, and reevaluation criteria.

Patient preparing imaging reports and health history before a sciatic evaluation
Written reports are often more helpful than images presented without their commentary.

What to bring to your first visit?

  • Written reports: MRI, X-ray, CT scan, ultrasound, or electromyography available.
  • List of medications and supplements: name, dosage if known, and reason for use.
  • Health history: surgeries, accidents, major illnesses, allergies, and known contraindications.
  • Relevant documents: consultation notes, infiltration report, or postoperative instructions.
  • Insurance information: check in advance the type of professional and conditions covered by your contract.
Incomplete form? TAGMED Clinic recommends arriving about 15 minutes before the scheduled time if the health history has not been completed. Confirm this instruction when booking.

What to expect during your first visit

According to the TAGMED Clinic FAQ, a first visit usually lasts between 30 to 60 minutes. The actual duration depends on the reason, complexity, and documents to review.

  1. Discussion: symptoms, function, history, objectives, and treatments already attempted.
  2. Adapted examination: movements, mechanical tolerance, and neurological screening when relevant.
  3. Context setting: comparison of findings with available imaging reports.
  4. Guidance: explanation of options, limitations, precautions, and situations requiring medical advice.
  5. Consent: an intervention is only carried out after discussion and only if deemed appropriate.
Treatment on the same day is not guaranteed. It may be postponed if information, imaging, or medical advice is needed to assess safety.
Cautious functional assessment of the leg in a person with sciatic pain
Generic illustration of a functional examination; it does not represent a diagnosis or a mandatory technique.

Services offered and limitations of this guidance

What the TAGMED Clinic offers in this pathway

  • a tailored osteopathy assessment based on the reason;
  • a discussion of findings and conservative options;
  • motorized neurovertbral decompression when appropriate;
  • a recommendation to consult a doctor or another professional when necessary.

What this appointment does not offer

  • physiotherapy, chiropractic, injections or surgery;
  • naturopathy or functional medicine;
  • laser or shock waves to treat your back or sciatica;
  • medical diagnosis, prescription, or guarantee of results.

The presence of a service at the clinic does not imply that it suits your situation. External options, self-management, medical follow-up, or a referral may be part of the guidance.

Fees, insurance, and cancellation

Fees

Check the booking system or call the clinic for the current rate, expected duration, and payment methods. Prices may vary.

Insurance

The clinic indicates it provides a receipt or claim form. However, reimbursement depends on your contract, the service, and the professional; check directly with your insurer.

Modification or cancellation

Use the link received in your confirmation or contact the center as soon as possible. Check the applicable policy before confirming.

Protecting your information

The reservation is processed by the TAGMED Clinic and, depending on the chosen link, by an external platform. Before transmitting health information, consult the posted privacy notice and platform terms.

  • provide only the minimum necessary information to identify the reason;
  • do not write a detailed medical history in an unsecured free text field;
  • bring complete reports to the appointment or use only the secure means specified by the clinic;
  • for confidential inquiries, call the center rather than using a general form.
SOS Sciatique does not receive your appointment request. The booking buttons redirect you to the TAGMED Clinic website, which becomes responsible for handling your request.

Frequently Asked Questions about the appointment

Do I need a medical referral?

The TAGMED Clinic states that a medical referral is generally not required for an initial consultation. However, a medical opinion or prescription may become necessary depending on the symptoms, contraindications, insurance, or the requested examination.

How do I choose between Mont-Royal and Terrebonne?

Choose based on your travel and the slots available in the booking system. Services or hours may vary; call the clinic if the desired reason does not appear.

How long does it take to get an appointment?

Delays vary according to the period, center, new patient status, and reason. The TAGMED Clinic generally announces short delays, but only the availability shown or confirmed by phone is reliable at the time of booking.

How long does the first visit last?

The clinic’s FAQ generally indicates 30 to 60 minutes. Confirm the duration in your reservation, especially if multiple reports need to be reviewed.

Should I bring my MRI images?

At a minimum, bring the written report. If you also have images on a portal, a disk, or a USB accepted by the clinic, ask in advance how to securely transmit them.

Can I be evaluated without an MRI?

Often, the evaluation starts with the history and examination. Imaging is not systematic. However, it may be necessary before certain interventions or in the presence of signs that change the approach.

Does treatment start at the first visit?

Sometimes, but never automatically. The decision depends on the reason, the examination, consent, precautions, and available documents.

Will my insurance reimburse the visit?

The clinic can provide a receipt, but it does not determine your coverage. Check with your insurer about covered services, eligible professionals, annual limits, and the necessity of a prescription.

What should I do if my symptoms worsen before the appointment?

Don’t rely on the reserved date. In case of progressive weakness, urinary or intestinal disturbances, loss of bowel control, or a concerning general state, call 911 or go to the emergency room. For worsening without urgent signs, contact a healthcare professional.

How can I reschedule or cancel my appointment?

Use the management link in your email or confirmation message, or call the center. Check the deadlines and fees as stated in the policy displayed at the time of booking.

Verified practical information

Contact details, services, and processes consulted on July 19, 2026:

Check the details, pricing, waiting times, availability, and policies again at the time of booking.

Ready to choose your appointment?

Book an assessment at the center that suits you

The official system of Clinique TAGMED shows the available slots in Mont-Royal and Terrebonne. If in doubt about the reason, call the center before booking.

Dr. Sylvain Desforges, B.Sc., D.O., N.D., osteopath

Editorial information, sources and limitations

This content is intended to inform patients about sciatica, possible causes, warning signs, and care options. It does not replace an individualized assessment.

AuthorDr Sylvain Desforges, B.Sc., D.O., N.D., osteopath
Medical or editorial reviewSOS Sciatique / TAGMED editorial team
Publication dateJuly 19, 2026
Last reviewedJuly 19, 2026

Reference sources

References are selected according to the subject of the page: guidelines, systematic reviews, then institutional resources.

Complementary resources from the TAGMED network

These internal resources complement the clinical information and thematic linking. They do not replace national guidelines or systematic reviews.

Editorial note on decompression

Clinical resource from the TAGMED network; it does not replace national guidelines. Some guidelines use the term “traction” and recommend caution for low back pain with or without sciatica. Any decompression option should therefore be presented as an individualized clinical approach, with limitations, indications, and contraindications clearly explained.

Editorial note on imaging

Imaging is mainly considered when the presentation is complicated, prolonged, or likely to change management. Routine imaging is generally not necessary for every simple and recent sciatica-like pain presentation.

Limitations of this information

The information on this page is general. It does not constitute a diagnosis, prescription, or guarantee of results. Pain radiating into the leg may have several causes; assessment should consider clinical history, examination findings, symptom progression, and, when appropriate, complementary tests.

When to seek urgent medical care

Seek urgent medical care if you experience loss of bladder or bowel control, saddle anesthesia, major or progressive leg weakness, unexplained fever, pain after significant trauma, or severe pain that rapidly worsens.