What sciatica means, which symptoms to look out for and how an individual recovery plan is developed.
What is meant by sciatica
“Sciatica” commonly describes pain that radiates from the lower back or buttock down the leg. Tingling, changes in sensation or weakness may also occur. Similar symptoms do not always have the same underlying mechanism, so the label alone does not determine the treatment.
The assessment considers the distribution and pattern of symptoms, movements that change them, strength, sensation and reflexes where appropriate. It also helps identify signs that require further medical investigation.
Movement and load management
During more irritable phases, temporarily adapting activities, positions and the amount of load may be helpful. Prolonged immobility is generally not the aim, however: where possible, tolerable movement is maintained and activity is gradually resumed.
Exercises are not the same for everyone. Some people respond better to particular directions of movement, while others need to work on strength, endurance or confidence in everyday activities.
When urgent attention is needed
New, significant loss of strength, changes in bladder or bowel control, reduced sensation in the perineal area, fever or symptoms following major trauma require prompt medical assessment.
In other cases, an individual rehabilitation plan can help manage symptoms, restore capacity and reduce the impact of fear of movement.
This content is for information only and does not replace an individual medical or physiotherapy assessment.