Sciatica affects millions of people and can make simple tasks difficult. Physical therapy is a primary treatment approach. Here is what care typically involves.
Sciatica refers to pain that travels along the path of the sciatic nerve, which runs from the lower back through the hips and buttocks and down each leg. It most commonly occurs when the nerve is compressed, often by a herniated disc, bone spur, or narrowing of the spinal canal (spinal stenosis).
Recognizing Sciatica Symptoms
- Pain that radiates from the lower back down through the buttock and into one leg
- Burning, tingling, or sharp shooting pain along the leg
- Numbness or weakness in the affected leg or foot
- Pain that worsens with prolonged sitting
- Pain with certain movements such as bending forward or coughing
When to Seek Care
If you experience sudden severe lower back pain, loss of bladder or bowel control, or rapidly progressing weakness in a leg, seek emergency medical evaluation. For typical sciatica pain, a physical therapy evaluation is an appropriate first step.
How Physical Therapy Addresses Sciatica
Physical therapy for sciatica focuses on relieving nerve compression and addressing the underlying cause. The approach varies depending on whether the nerve is being compressed by a disc, a tight muscle (such as the piriformis), or narrowing of the spinal canal.
Manual Therapy and Mobilization
Hands-on techniques including spinal mobilization, soft tissue release in the lower back and hip, and neural mobilization (gentle nerve flossing exercises) are commonly used in sciatica treatment. These aim to reduce mechanical stress on the sciatic nerve.
Targeted Stretching and Strengthening
A structured exercise program addresses the muscles that support the lumbar spine and pelvis. This typically includes core stabilization exercises, hip strengthening, and specific stretches for the piriformis and hip flexors, which can contribute to sciatic nerve compression.
Postural and Ergonomic Education
Many sciatica cases are aggravated by prolonged sitting and poor posture. Your therapist will provide guidance on positions and activities to avoid during recovery, as well as ergonomic strategies for your work and home environment.
Sciatica from a Workplace or Car Accident Injury
Sciatica frequently develops after traumatic events such as car accidents or work injuries. If your sciatica began following a personal injury or workplace accident, Dynamic PT accepts treatment on a medical lien or workers' compensation. You can begin care without upfront payment.
Back Pain and Sciatica PT by City
Sciatica pain limiting your daily life? Schedule an evaluation with our physical therapists today.
