Condition Guide

Sciatica Physiotherapy

Assessment and rehabilitation for leg pain related to sciatic nerve irritation, with a focus on restoring mobility and function.

Sciatica can cause pain, tingling, or altered sensation from the lower back into the leg. Physiotherapy helps identify the source of irritation and guide recovery through staged rehabilitation.

Medically reviewed by Lead Musculoskeletal Physiotherapist

Reviewed: 11 March 2026 - Next review due: 11 March 2027

Common Symptoms

Pain that travels from the lower back into the buttock or leg

Pins and needles or numbness in part of the leg or foot

Pain with sitting, bending, coughing, or prolonged standing

Leg weakness or reduced tolerance for walking

Seek Prompt Medical Advice If You Have

New bowel or bladder disturbance

Numbness around the saddle region

Progressive or severe leg weakness

Symptoms that worsen rapidly despite rest

If you are unsure, call NHS 111 or seek urgent medical care.

Assessment

Detailed review of pain pattern, onset, and aggravating movements

Nerve tension and neurological screening

Movement and strength testing to identify functional deficits

Clear explanation of findings and treatment priorities

Treatment

Symptom-calming strategies and movement modification

Targeted exercises to improve nerve mobility and control

Strength work for trunk, hip, and lower limb support

Return-to-activity progression based on symptom response

Self-Management

Avoid long periods in one position where possible

Use regular movement breaks and prescribed exercises

Progress walking and activity gradually

Monitor symptoms and report any neurological changes promptly

Frequently Asked Questions

Is sciatica the same as back pain?+

Sciatica usually includes nerve-related leg symptoms in addition to back pain. Assessment identifies whether the sciatic nerve is involved.

Can physiotherapy help sciatica?+

Physiotherapy can help by reducing nerve irritation, restoring movement, and improving tolerance for daily activity.

When should I speak to my GP urgently?+

Seek urgent medical advice for new bowel or bladder changes, saddle numbness, or progressive leg weakness.

Related Pages

Continue with related condition guidance or return to the treatments directory.