Sciatica & Nerve Pain
Common Symptoms of Sciatica and Nerve Pain
Sciatica refers to pain that radiates along the path of the sciatic nerve, which runs from the lower back through the hips and buttocks and down each leg. It is often caused by a herniated disc, bone spur, or narrowing of the spine (spinal stenosis) that puts pressure on the nerve. Common symptoms include:
- Pain radiating down the leg – Typically starting in the lower back or buttock and traveling down the back of the thigh, calf, or foot.
- Sharp or shooting pain – Often described as a sharp, electric-like sensation or a burning pain along the path of the sciatic nerve.
- Numbness or tingling – A “pins and needles” feeling in the leg or foot, often accompanying the pain.
- Muscle weakness – Difficulty moving the leg, foot, or toes, or a sensation of weakness in the leg or foot.
- Pain worsening with movement – Increased pain when coughing, sneezing, sitting for prolonged periods, or bending forward.
- Pain alleviated by movement – Pain may ease when walking or changing positions.
How Physiotherapy Can Help
Physiotherapy is a highly effective treatment for sciatica, aiming to reduce pain, improve mobility, and address the root causes of nerve compression. A physiotherapist will assess your condition and develop a tailored plan, which may include:
- Manual Therapy – Techniques such as joint mobilisation, soft tissue massage, and spinal manipulation to reduce pressure on the sciatic nerve and alleviate pain.
- Stretching and Mobility Exercises – Specific stretches for the lower back, hips, and legs to improve flexibility and relieve tension in muscles that may be compressing the sciatic nerve.
- Strengthening Exercises – Targeted exercises to improve the strength and stability of the muscles in the lower back, core, and legs, providing better support and reducing nerve compression.
- Posture and Ergonomics Education – Guidance on proper posture, body mechanics, and how to modify work and home environments to prevent aggravation of sciatica.
- Core Stability Training – Strengthening the muscles of the core to provide better support to the spine and reduce pressure on the sciatic nerve.
- Activity Modification – Advice on how to modify daily activities and exercise to avoid worsening symptoms while allowing the body to heal.
- Neural Mobilisation Techniques – Specialised techniques to address nerve compression and improve the flexibility and mobility of the sciatic nerve.
By addressing the root causes of sciatica, physiotherapy can reduce pain, improve function, and support a safe, long-term recovery. A tailored exercise and management plan can help prevent future flare-ups and promote a return to normal activity levels.