Sciatica refers to pain that travels along the path of the sciatic nerve, which extends from the lower back through the hips and buttocks and down each leg. Sciatica typically affects only one side of the body and can result from a variety of conditions, including a herniated disc, spinal stenosis, or muscle spasms.

Physiotherapy is an effective treatment option for managing sciatica. A physiotherapist can assist in identifying the underlying causes of pain and develop a tailored rehabilitation program. The goals of physiotherapy in treating sciatica include reducing pain, increasing mobility, and restoring function.

Assessment

The first step in physiotherapy is a thorough assessment, which includes a physical examination and an evaluation of medical history. This helps in pinpointing the source of nerve irritation and clarifying the most suitable treatment approach.

Treatment Approaches

1. Education: Patients are educated about their condition, including how to recognise pain triggers and the importance of proper posture and body mechanics.

2. Manual Therapy: Techniques such as mobilization and manipulation can help relieve pain and improve movement in the lower back and hips.

3. Exercise Therapy: A tailored exercise program consists of stretching and strengthening exercises designed to improve flexibility, strengthen the core, and enhance overall function. These exercises aim to alleviate pressure on the sciatic nerve.

4. Acupuncture: Acupuncture can be helpful in reducing the nerve inflammation, reducing overall nerve pain and “turn the volume dial” so to speak on your nervous system.

5. Ergonomic Advice: Guidance on ergonomics and activity modifications can help prevent exacerbation of symptoms and promote a healthier lifestyle.

Long-Term Management

While physiotherapy can significantly help in managing sciatica, long-term relief often involves ongoing practice of the exercises learned during therapy and maintaining a healthy lifestyle. Regular physical activity, maintaining a healthy weight, and practising good ergonomics can help prevent future episodes.

In conclusion, physiotherapy plays a crucial role in the management of sciatica. With proper assessment and tailored treatment plans, individuals suffering from sciatica can experience significant improvements in their symptoms and quality of life.