Understanding sciatica
Sciatica describes pain travelling along the path of the sciatic nerve, usually from the lower back or buttock down the back of the leg. It may be accompanied by pins and needles, numbness or a burning quality.
Nerve tissue dislikes both compression and tension. Identifying which is at play, and where along the route it is happening, shapes the entire treatment plan.
Signs you might notice
- Pain radiating from the back or buttock into the leg
- Pins and needles or numbness in the leg or foot
- Symptoms provoked by sitting, coughing or sneezing
- Pain that is sharp, burning or electric rather than dull
- Difficulty finding a comfortable position
Common contributing factors
- Disc related irritation of a nerve root
- Narrowing of the space the nerve passes through
- Tight or overloaded muscles in the buttock
- Sustained postures increasing pressure on the nerve
- Reduced movement and strength in the spine and hips
How we assess and treat it
We test which nerve root is involved and how sensitive it currently is, then look at the spine and pelvis as a whole. The DIERS scan shows how your spine positions itself while standing and walking, which often explains why one side is repeatedly loaded.
Most sciatica improves considerably with the right combination of movement, load management and time. We will be clear about when that is not the expected path.
- Hands-on treatment to reduce sensitivity and restore movement
- Nerve mobility and directional preference exercises
- Strength work for the spine, hips and trunk
- Advice on sitting, driving and daily positions
- Onward referral where symptoms warrant it
Common questions
How long does sciatica last?
Many cases improve substantially over six to twelve weeks, though it varies. Steady improvement matters more than speed, and we will track it objectively with you.
Is it always a disc?
No. Discs are commonly involved but by no means always, and disc changes appear on scans in plenty of people with no symptoms whatsoever.
When is sciatica an emergency?
Loss of bladder or bowel control, numbness around the saddle area, or rapidly progressing weakness require immediate medical attention. Go to A and E or call 999.