Sciatica is a term often used to describe pain, tingling, numbness, burning, or weakness that travels from the low back or buttock into the hip, leg, or foot. Symptoms can range from a mild ache to sharp, shooting pain that makes walking, sitting, bending, standing, or sleeping difficult.
Sciatica is not usually a condition on its own. It is a symptom that may occur when the nerve roots that form the sciatic nerve become irritated or sensitive. The sciatic nerve is the largest nerve in the body, travelling from the lower back through the buttock and down the back of the leg.
For some people, symptoms come on suddenly after lifting, twisting, prolonged sitting, or a back injury. For others, sciatic symptoms develop gradually and may be influenced by posture, mobility restrictions, muscle tension, disc irritation, spinal changes, or daily movement habits.
At CORPEO, our physiotherapy team takes a detailed approach to understanding what is contributing to your sciatic pain. The goal is to reduce irritation, improve mobility, restore strength, and help you return to daily activities with more comfort and confidence.
Sciatic pain can be caused by several different factors. In many cases, symptoms are related to irritation of nerve roots in the lower back, but the hips, pelvis, muscles, joints, and movement patterns can also play a role.
Common contributors to sciatica-like symptoms include:
A disc in the lower back can become irritated or bulge toward nearby nerve tissue. This may contribute to pain, tingling, numbness, or weakness that travels into the buttock, leg, or foot.
Narrowing around the spinal canal or irritation in the joints of the lower back can place pressure on sensitive structures. Symptoms may be worse with standing or walking and may improve with sitting or bending forward.
Tight or sensitive muscles around the low back, hips, glutes, or pelvis can increase discomfort and affect how the sciatic nerve moves. This may contribute to leg symptoms or pain with certain positions.
Long periods of sitting, driving, studying, or working at a desk can increase stress through the low back and hips. For some people, this can aggravate sciatic symptoms or make the leg feel more sensitive.
Sciatica may flare after lifting, bending, twisting, sudden increases in activity, or returning to exercise too quickly. Poor movement mechanics or weakness in the hips, core, or legs can also contribute.
A history of back pain, previous injury, or repeated flare-ups can make the lower back and surrounding nerves more sensitive over time.
Sciatica symptoms can look different from person to person. They often affect one side of the body, but the location and intensity can vary.
Symptoms may include:
Physiotherapy can help identify the factors contributing to your sciatic symptoms and guide you through a safe recovery plan. Your physiotherapist will assess not only where you feel pain, but also how your lower back, hips, pelvis, nerves, and movement patterns are functioning together.
At CORPEO, your assessment may include a review of your symptoms, medical history, activity level, work demands, sitting tolerance, walking tolerance, injury history, and the movements or positions that aggravate or relieve your pain. Your physiotherapist may also assess range of motion, strength, posture, nerve sensitivity, walking pattern, hip mobility, core control, and functional movement.
Based on your assessment, your treatment plan may include:
Gentle exercises can help reduce stiffness, improve mobility, and identify positions or movements that help calm symptoms.
Nerve gliding exercises may be used to improve nerve movement and reduce sensitivity when appropriate. These are introduced carefully and adjusted based on your response.
Targeted strengthening can help improve support through the lower back, hips, glutes, and legs. Building strength may reduce strain on irritated areas and improve confidence with daily activity.
Hands-on techniques may help improve joint mobility, reduce muscle tension, and support more comfortable movement through the lower back, hips, or pelvis.
Your physiotherapist can help you adjust sitting positions, lifting technique, sleep positioning, work habits, and daily movement strategies to reduce irritation.
You will receive guidance on pacing activity, managing flare-ups, returning to exercise, and knowing when to progress or scale back.
Your sciatica treatment plan is personalized to your symptoms, comfort level, goals, and stage of recovery. Some people need help reducing nerve irritation first, while others are ready to focus on strength, movement tolerance, and return to activity.
As your symptoms improve, your physiotherapist will progress your exercises and activity plan safely. The goal is to help reduce leg pain, improve mobility, build strength, and give you strategies to manage symptoms and reduce the risk of future flare-ups.
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Sciatica can make everyday movement feel difficult, but support is available. With a detailed assessment and personalized physiotherapy plan, you can better understand your symptoms and take steps toward improved comfort, mobility, and function.
Contact CORPEO today to schedule a physiotherapy assessment and learn how we can help with sciatica.