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Living with Sciatica: An Evidence-Based Approach.

Hey there, fellow readers! Today, let's dive into a topic that's a real pain in the...well, you know where – Sciatica. If you've ever experienced shooting pains from your lower back down your leg, you might be familiar with this pesky condition. But fear not, because understanding Sciatica can help you tackle it head-on!

What is Sciatica?

So, what exactly is sciatica? Well, it's not a fancy name for anything out of a sci-fi movie, but rather a real pain in the butt – literally! Sciatica refers to pain that radiates along the path of the sciatic nerve, which branches from your lower back through your hips and buttocks down one or both legs.

Symptoms Galore

One of the tell-tale signs of sciatica is a sharp, shooting pain that travels down the leg. It can feel like an electric shock, making even simple movements like sitting or standing a challenge. Alongside this pain, you might experience tingling, numbness, or weakness in your leg or foot.

Assessment and Diagnosis: Unravelling the Mystery

So, you're experiencing that dreaded pain shooting down your leg – could it be sciatica? Let's dive a bit deeper into how we may assess and diagnose this sneaky condition.

  • Patient History: It all starts with a chat. Your physiotherapist will likely ask you about your symptoms, including when they started, what activities aggravate or alleviate them, and if you've had any previous injuries or conditions that might be relevant. This information helps paint a clearer picture of what's going on inside your body.

  • Physical Examination: Next up, it's time for some hands-on detective work. Your physiotherapist will conduct a thorough physical examination, assessing your posture, range of motion, muscle strength, and reflexes. We might also perform specific tests, like the straight leg raise test, to see if certain movements provoke your symptoms – a classic sign of sciatica.

  • Imaging Tests: While a diagnosis of sciatica can often be made based on your symptoms and physical examination, imaging tests like X-rays, CT scans, or MRIs can provide additional insights. These tests can help identify structural issues like herniated discs or spinal stenosis that might be compressing the sciatic nerve, confirming the diagnosis, and guiding treatment decisions

  • Collaborative Approach: Lastly, diagnosis is rarely a one-person show. Your physiotherapist may collaborate with other healthcare professionals, such as orthopaedic specialists or pain management physicians, to ensure a comprehensive evaluation and explore all possible treatment options.

Treatment: Enter the Physiotherapist

So, you've got sciatica – now what? Enter the hero of the day: your trusty physiotherapist. These skilled professionals are like wizards of the body, using a variety of techniques to help you find relief.

1. Exercise Therapy: One of the most effective treatments for sciatica is exercise therapy. Your physiotherapist might prescribe specific stretches and strengthening exercises to target the muscles surrounding the sciatic nerve, helping to relieve pressure and reduce pain. Targeted exercise therapy significantly reduced pain and improved function in patients with sciatica, highlighting the importance of tailored exercise programs in treatment [1].

2. Manual Therapy: Hands-on techniques like massage or manipulation can also work wonders for easing sciatic pain. Your physiotherapist might use gentle pressure to release tension in tight muscles or manipulate joints to improve mobility and reduce nerve compression. Manual therapy techniques, when combined with exercise, can provide short-term relief of sciatic symptoms and improve overall function [2].

3. Education and Self-Management: Knowledge is power, especially when it comes to managing sciatica. Your physiotherapist can provide valuable insights into ergonomics, posture, and lifestyle modifications to prevent future flare-ups and empower you to take control of your condition. Patient education and self-management strategies are crucial components of successful sciatica treatment, leading to improved outcomes and long-term pain relief [3].

Conclusion: A Light at the End of the Tunnel

Living with sciatica can feel like a never-ending battle, but with the right support and treatment, relief is within reach. By working closely with a physiotherapist and incorporating evidence-based strategies into your daily routine, you can kick sciatica to the curb and reclaim your life – one pain-free step at a time.

Our Barnet, Cockfosters & Enfield Physio's have tons of experience in dealing with Sciatica. Have confidence that our specialist Physiotherapists will closely assess, diagnose & treat you in the correct & evidence-based way for all nerve type injuries. You can book an appointment here.

Blog By: Emre Oz (Musculoskeletal Physiotherapist at Crouch Physio).


1. Fernandez, M., Hartvigsen, J., Ferreira, M.L., Refshauge, K.M., Machado, A.F., Lemes, Í.R., Maher, C.G. and Ferreira, P.H., 2015. Advice to stay active or structured exercise in the management of sciatica. Spine, 40(18), pp.1457-1466.

2. Darazi, E.N., 2016. The Use Of Manual Therapy In The Treatment Of A Patient With Chronic Low Back Pain And Sciatica: A Case Report.

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