Conditions we treat
Sciatica can be one of the most disabling pains a person experiences, radiating from the lower back down through the leg, often with burning, tingling, or numbness. Osteopathic treatment addresses the cause, not just the pain.
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Understanding the condition
Sciatica describes pain that follows the path of the sciatic nerve, the longest nerve in the body, running from the lower back through the buttock and down the leg to the foot. The term is often used loosely, but true sciatica involves irritation or compression of the sciatic nerve or its nerve roots.
The most common cause is a disc herniation in the lumbar spine, where soft disc material presses on a nerve root. But sciatica can also result from piriformis syndrome, joint inflammation, spinal stenosis, or muscle and fascial tension placing pressure on the nerve pathway.
This distinction matters enormously for treatment. An osteopath's first job is to establish the mechanism, because the most effective approach differs depending on the cause. We do not apply a standard sciatica protocol.
Common symptoms
Contributing factors
When to seek urgent care
Most sciatica, while extremely painful, is not a medical emergency. However, if you experience loss of bladder or bowel control, numbness in the groin or inner thighs (saddle anaesthesia), or sudden severe weakness in both legs, seek emergency medical care immediately. These may indicate cauda equina syndrome, which requires urgent surgical intervention.
How we help
Treatment depends entirely on your assessment findings. The approaches below may be used individually or in combination.
Gentle techniques to restore normal movement and reduce irritation of the sciatic nerve and its nerve roots.
Full assessment of the lumbar spine, sacroiliac joints, and hips to identify the mechanism and contributing factors.
Direct treatment of the piriformis, gluteal muscles, and lumbar erectors where tension is contributing to nerve compression.
Targeted exercises to unload the lumbar spine, stabilise the pelvis, and address the muscle imbalances sustaining your symptoms.
Practical changes to sitting, sleeping, and movement that reduce loading on the affected structures between sessions.
Common questions
Can osteopathy help with disc-related sciatica?
Yes, in many cases. Disc herniations frequently respond well to conservative care, including osteopathic treatment. The aim is to reduce the load on the affected disc and nerve, improve mobility in the surrounding structures, and support the body's own healing process. We will tell you honestly if we believe you need medical investigation or referral.
How long does sciatica take to resolve?
Most acute sciatica improves significantly within six to twelve weeks with appropriate conservative management. Chronic sciatica takes longer, but can still respond well to osteopathic treatment, particularly if the underlying cause has not previously been addressed.
Should I be resting or staying active?
The evidence strongly favours staying as active as possible within your pain limits. Complete bed rest is not recommended and typically slows recovery. We will guide you on appropriate activity levels and movement during your recovery.
Do I need an MRI before I see you?
No. You can book directly with us without any prior imaging. A clinical assessment is often more informative than an MRI for guiding treatment decisions. If we feel imaging is necessary, we will advise you accordingly.
Reece Jones
Registered Osteopath
Specialises in structural osteopathy and sports injuries. Calm, methodical approach, particularly effective with nerve-related presentations.
GOsC Registered · iO MemberNew patient assessments available often within the same week. No block sign-ups.
This information is for educational purposes only and does not replace individual medical advice, diagnosis, or treatment. If you experience loss of bladder or bowel control alongside your symptoms, seek urgent medical attention immediately.