Sciatica is a common condition that can cause sharp, burning, or shooting pain that travels from the lower back down through the buttock and into one leg. For many people, this pain can make walking, sitting, or even sleeping uncomfortable. But the good news is — you don’t have to live with it. Physiotherapy offers a safe, effective, and evidence-based way to manage and relieve sciatica.
What is Sciatica?
Sciatica refers to pain caused by irritation or compression of the sciatic nerve, the largest nerve in the body. This nerve branches from the lower spine and runs through the hips, buttocks, and down each leg. When the nerve becomes irritated — often due to a herniated disc, spinal stenosis, or muscle tension such as piriformis syndrome — it can lead to symptoms like:
- Sharp or shooting pain in the leg
- Tingling or numbness
- Muscle weakness in the affected leg
- Increased discomfort when sitting or standing for long periods
How Physiotherapy Helps
Physiotherapy is one of the most recommended first-line treatments for sciatica, and current clinical guidelines support its use before considering more invasive options like injections or surgery (Qaseem et al., 2017; Foster et al., 2018).
Here’s how physiotherapy can help manage sciatica:
1. Pain Relief and Symptom Management
Your physiotherapist will use gentle manual therapy techniques, mobilisations, and sometimes soft tissue release to reduce pain and tension around the affected area.
2. Targeted Exercises
Exercise is key to recovery. Physios prescribe individualised movement and strengthening programs designed to:
- Reduce pressure on the sciatic nerve
- Improve mobility in the spine and hips
- Strengthen the core and supporting muscles
These exercises not only relieve current symptoms but also help prevent future episodes.
3. Posture and Movement Education
Poor posture or movement habits can contribute to sciatica flare-ups. Your physio will assess your posture and functional movements, guiding you with ergonomic advice and daily movement strategies that reduce strain on your back and legs.
4. A Holistic, Long-Term Plan
Physiotherapy goes beyond short-term relief. It focuses on functional improvement, resilience, and long-term management, helping you return to work, sport, or daily life with confidence.
When to See a Physio
If you’ve been experiencing leg pain, numbness, or tingling that lasts more than a few days — or if it’s affecting your ability to move comfortably — it’s time to speak to a physiotherapist. Early intervention can make a significant difference in how quickly you recover.
Final Thoughts
Sciatica can be painful and disruptive, but with the right physiotherapy support, most people can recover without the need for surgery or long-term medication. At Formation Physio, we take the time to understand your body, tailor your treatment, and help you get back to doing the things you love — pain-free.
Ready to get started?
Booking an appointment is quick and easy — and your body will thank you for it.
References:
- Qaseem, A., Wilt, T. J., McLean, R. M., & Forciea, M. A. (2017). Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain: A Clinical Practice Guideline. Annals of Internal Medicine, 166(7), 514–530.
- Foster, N. E., Anema, J. R., Cherkin, D., Chou, R., Cohen, S. P., Gross, D. P., … & Maher, C. G. (2018). Prevention and treatment of low back pain: evidence, challenges, and promising directions. The Lancet, 391(10137), 2368–2383.