Sciatica
Sciatica describes pain that spreads from the back into the leg, related to irritation of the sciatic nerve. Assessment helps clarify what's driving your symptoms and guides appropriate management.
30-minute appointments as standard · No referral required
What is Sciatica?
Sciatica refers to pain that spreads from the lower back or buttock into the leg, related to irritation or compression affecting the sciatic nerve. It’s a symptom pattern rather than a diagnosis on its own, and can vary considerably in severity.
This can include a shooting or burning pain down the leg, numbness or tingling, or a dull ache that’s worse with certain positions such as sitting or bending. Symptoms often fluctuate rather than being constant.
How We Assess Sciatica
Assessment involves understanding how your symptoms developed, their exact pattern, and what makes them better or worse, alongside a physical assessment of movement, strength and nerve-related signs.
We assess back and leg movement, strength and specific nerve-related tests, to build a clear picture of what’s contributing to your symptoms.
Treatment and Rehabilitation Approach
Treatment often combines education, movement and exercise-based rehabilitation, with a focus on staying as active as appropriate rather than prolonged rest.
This sits within our broader back pain approach.
Looking for help with Sciatica?
An assessment can help identify the factors contributing to your symptoms and guide the next steps.
Symptoms
Pain spreading into the leg
Often described as sharp, shooting or burning, extending from the lower back or buttock down the leg.
Numbness or tingling
Some people notice altered sensation along the path of the pain.
Pain that varies with position
Symptoms are often worse with sitting, bending or certain movements, and eased by others.
Causes and Risk Factors
Irritation affecting the sciatic nerve
A range of factors in the lower back can contribute to nerve irritation, which is assessed individually.
Prolonged sitting or positions
Extended periods in certain positions can contribute to or aggravate symptoms.
Load and movement factors
How the back and surrounding areas move and manage load can influence symptoms.
Return-to-Sport Considerations
Manage symptoms and stay active
Staying appropriately active, rather than stopping altogether, generally supports recovery.
Restore movement and strength
Progressive exercise supports the back and leg as symptoms settle.
Return to full activity gradually
Work, exercise and daily activities are reintroduced in a way that respects how your symptoms are responding.
Frequently Asked Questions
Is it normal for back pain to spread into my leg?
Pain that spreads into the leg can happen with back pain and isn’t automatically a sign of something serious. It’s a pattern your physiotherapist will ask about specifically, as it can help guide assessment and management.
Do I need a scan for sciatica?
Imaging isn’t required for most sciatica presentations, and is considered when the result would change how it’s managed.
Should I rest if I have sciatica?
Usually not completely. Staying as active as you comfortably can, rather than prolonged rest, is generally more helpful for recovery.
How long does sciatica take to settle?
This varies considerably between individuals — your physiotherapist can give you a clearer picture once you’ve been assessed.
Clinically reviewed by Ryan Harris on 06/08/2026