Sciatica What Is It and How Osteopathy Can Help What is Sciatica Sciatica refers to pain, tingling, numbness, or weakness felt in the leg or foot. It’s a term many people use when describing discomfort in these areas, and they often ask whether we can treat it. The answer depends on identifying the underlying cause. Importantly, sciatica isn’t a standalone condition or disease—it’s a referred symptom, meaning the source of the problem is often located elsewhere, typically along the path of the sciatic nerve. This nerve, the longest in the body, can be compressed or irritated at various points, leading to a wide range of symptoms. These symptoms can vary greatly—from mild, occasional tingling or numbness in the buttock, leg, or foot, to intense, persistent pain, pins and needles, or electric shock-like sensations that interfere with daily life. In more severe cases, pain may give way to complete numbness, leg weakness, or even foot drop, where the toes drag while walking. Interestingly, the intensity of the pain doesn’t always match the severity of the cause. A moderate back strain might produce severe pain that resolves quickly, while a subtle, nagging discomfort could point to a more complex issue. Why Symptoms Vary Think of the sciatic nerve like an upside-down tree: Its roots originate from different levels of the lower spine These roots converge into a single trunk The trunk travels down the leg, branching off into smaller nerves Pressure at different points—whether on a root, the trunk, or a branch—can produce distinct symptom patterns. This variation helps us pinpoint the source and guide the most effective treatment. Common causes of sciatic nerve pressure include: Herniated or prolapsed discs (often called “slipped discs”) Degeneration or injury to spinal discs Narrowing of spinal canals or enlarged spinal joints due to wear and tear Pelvic or lower back sprains causing swelling or postural imbalance Muscle compression in the buttock (e.g., piriformis syndrome) Osteopathic Assessment & Care Every patient is assessed individually. We’ll ask about your symptoms, their onset, and what aggravates or relieves them. A physical examination will include posture analysis and may involve specific tests for disc involvement. Based on our findings, we’ll develop a personalised treatment or management plan. This may include: Manual therapy by our osteopaths Management advice Home exercises Referral for imaging (X-rays or MRI) if needed Referral to a specialist or surgeon if conservative care isn’t sufficient Our osteopaths are trained in diagnosing the true cause of sciatic symptoms. We work closely with GPs and other specialists to ensure you receive the most appropriate care. If your sciatica is the result of an accident or injury, we can also assist with ACC registration for supported treatment. Book Online
