Sciatica
Sciatica describes pain that travels from the lower back into the buttock and down the leg, typically following the path of the sciatic nerve. It can range from a dull ache to sharp, shooting pain that makes it difficult to sit, stand, or walk comfortably.
Understanding Sciatica
The sciatic nerve is the largest nerve in the body, running from the lower back through the buttock and down each leg. When this nerve is irritated or compressed — often by a disc bulge, joint dysfunction, or muscle tightness — it can produce symptoms that travel along its path.
Common symptoms include:
- Pain in the buttock that travels into the leg (sometimes as far as the foot)
- Numbness or tingling in the leg or foot
- Weakness in the affected leg
- Pain that worsens with sitting, coughing, or straining
- Difficulty finding a comfortable position
The term "sciatica" describes a pattern of symptoms rather than a diagnosis. A thorough assessment helps us identify the underlying cause and determine the most appropriate approach.
How Chiropractic Care May Help
Depending on your assessment findings, care may include:
- Gentle lumbar mobilisation — improving movement in the lower spine to reduce nerve irritation
- Directional preference exercises — specific movements that may help centralise and reduce your symptoms
- Soft tissue therapy — addressing piriformis and gluteal tension that can contribute to sciatic symptoms
- Activity modification advice — guidance on positions and movements that reduce load on the nerve
- Progressive rehabilitation — gradually building strength and confidence as symptoms improve
We take a careful, measured approach to sciatica. Treatment is adapted to your tolerance, and we monitor your progress closely.
When to Seek Urgent Care
Most sciatica can be managed conservatively. However, you should seek urgent medical attention if you experience:
- Loss of bladder or bowel control
- Numbness in the saddle area (inner thighs, groin, buttocks)
- Progressive weakness in the leg or foot (e.g., foot drop)
- Severe, unrelenting pain that does not respond to any position change
These symptoms may indicate cauda equina syndrome, which requires immediate medical investigation.