Sciatica Treatment

Sciatica Treatment

Sciatica refers to nerve pain resulting from an injury or irritation to the sciatic nerve. Beyond pain, individuals may experience tingling or numbness in the back or buttocks, radiating down the leg.

The sciatic nerve, the body’s longest and thickest nerve, comprises a bundle of nerves originating from five nerve roots branching off the spinal cord.

Sciatica occurs when the sciatic nerve is irritated or compressed, causing discomfort that typically improves within 4 to 6 weeks but may persist longer. The sciatic nerve extends from the lower back to the feet. Sciatica Treatment can be effective using Non-Surgical Spinal Decompression.

Anatomy of the Sciatic Nerve:

The sciatic nerve, about 2 centimeters wide, runs through the hip and buttock on each side, extending down the leg to just below the knee. It then branches into nerves connecting to the lower leg, foot, and toes.

Types of Sciatica:

There are two types of sciatica – true sciatica directly affecting the sciatic nerve and sciatica-like conditions, which mimic sciatica but stem from other causes related to the sciatic nerve or its bundled nerves. Healthcare providers commonly refer to both types as simply “sciatica,” with the distinction becoming relevant during treatment decisions.

Identifying Sciatica:

Sciatica manifests as pain, tingling, numbness, or weakness in the buttocks, back of the leg, foot, and toes. Symptoms may intensify during movement, sneezing, or coughing. While back pain may be present, it is usually less severe than the discomfort in the lower extremities.


Sciatica symptoms encompass pain, tingling (“pins and needles”), numbness, and, in severe cases, muscle weakness. These symptoms can affect the lower back, hips, buttocks, legs, and may extend to the feet and toes.


Sciatica can result from various conditions affecting the sciatic nerve or the five spinal nerves forming it. Causes include herniated discs, degenerative disc disease, spinal stenosis, foraminal stenosis, spondylolisthesis, osteoarthritis, injuries, pregnancy, tumors, and other growths.

Risk Factors:

Numerous factors contribute to the risk of developing sciatica, including previous injuries, age-related wear-and-tear on the spine, excess weight or obesity, inadequate core strength, occupational factors, improper lifting techniques, diabetes, physical inactivity, tobacco use, and unknown causes.


While most people fully recover from sciatica, chronic pain is a potential complication. Severe nerve damage may lead to chronic muscle weakness or, in extreme cases, urinary or fecal incontinence.

Diagnosis and Tests:

Sciatica diagnosis involves a comprehensive approach, including reviewing medical history, symptom assessment, physical examinations (such as the straight-leg test), and tests such as X-rays, CT scans, MRI scans, nerve conduction studies, electromyography, and myelogram.

Sciatica Treatment:

For mild cases, sciatica treatment can involve ice or heat application, over-the-counter medications, stretching, and activity modification. However, professional medical care is essential for moderate to severe pain with numbness, tingling, or muscle weakness. DC Physiotherapy recommends Non-Surgical Spinal Decompression as an effective Sciatica Treatment.

Conservative Sciatica Treatment:

Healthcare providers may recommend prescription medications, physiotherapy, spinal injections, or alternative therapies like Non-Surgical Spinal Decompression, yoga, acupuncture, and massage therapy for a Sciatica Treatment.

Self-Help for Sciatic Pain:

Managing sciatica involves maintaining regular activities, incorporating specific sciatica exercises, initiating gentle exercise, applying heat packs, and consulting a pharmacist or GP about appropriate pain relief.

Sleeping with a cushion between the knees or placing pillows under the knees while lying on the back can aid in pain relief.


Avoid prolonged sitting or lying down, as movement, even if uncomfortable, can facilitate a faster recovery. Refrain from using hot water bottles, especially if experiencing numbness.

When to Seek Medical Attention:

Consult a GP if home treatments do not improve the pain after a few weeks, if the pain worsens, or if it hinders normal activities. Urgent medical attention is necessary if sciatica affects both sides, severe weakness or numbness in both legs occurs, or there are specific urinary or bowel control issues.

GP Sciatica Treatment Options:

A GP may recommend exercises, stretches, and painkillers for nerve pain relief. Referral to physiotherapy or psychological support may also be suggested for comprehensive care.

Specialized Sciatica Treatment:

In severe cases, Non-Surgical Spinal Decompression can be an effective sciatica treatment to alleviate symptoms fast.

Preventing Sciatica Recurrence:

To minimize the risk of recurrent sciatica, maintaining an active lifestyle, using proper lifting techniques, ensuring good posture during sitting and standing, and weight management are crucial. Avoiding smoking is advised as it can increase the likelihood of developing sciatica.

Causes of Sciatica:

Sciatica arises from factors such as a slipped disc, spinal stenosis, spondylolisthesis, or a back injury, where pressure or friction impacts the sciatic nerve.

Non-surgical spinal decompression at DC Physiotherapy has proven to be an effective and innovative treatment for sciatica. This specialized approach aims to alleviate the symptoms of sciatica by addressing the underlying issues associated with nerve compression. Here’s how non-surgical spinal decompression at DC Physiotherapy can be beneficial:

Targeted Decompression:

Non-surgical spinal decompression is designed to specifically target the affected spinal discs and nerves contributing to effective sciatica treatment. The therapy employs a traction mechanism that gently stretches the spine, creating a negative pressure within the intervertebral discs.

This negative pressure promotes the retraction of herniated or bulging discs, reducing the compression on the sciatic nerve.

Improved Disc Healing:

By creating space between the vertebrae, non-surgical spinal decompression enhances blood flow and nutrient delivery to the damaged discs. This improved circulation fosters the natural healing process, helping to heal disc injuries that may be causing or contributing to sciatic nerve irritation.

Reduced Nerve Impingement:

The gentle stretching and decompression provided by this therapy help alleviate pressure on the sciatic nerve. As the pressure is reduced, symptoms such as pain, tingling, and numbness in the back, buttocks, and legs often diminish, providing relief to individuals suffering from sciatica.

Promotion of Proper Spinal Alignment:

Non-surgical spinal decompression can aid in restoring proper spinal alignment. This is crucial for relieving stress on the sciatic nerve and preventing future episodes of sciatica.

By addressing the root cause of the condition, the therapy contributes to long-term relief and improved spinal health.

Non-Invasive Approach:

One of the key advantages of non-surgical spinal decompression is its non-invasive nature. Unlike surgical interventions, this therapy allows individuals to avoid the risks and potential complications associated with surgery, offering a safer alternative for sciatica treatment.

Customized Treatment Plans:

At DC Physiotherapy, treatment plans are tailored to the unique needs of each individual. The therapy is administered under the guidance of experienced healthcare professionals who assess the specific factors contributing to the patient’s sciatica. This personalized approach ensures that the sciatica treatment is effective and addresses the individual’s unique condition.

Comprehensive Rehabilitation:

In conjunction with spinal decompression, DC Physiotherapy incorporate other rehabilitation techniques such as exercises, stretches, and lifestyle modifications for Sciatica Treatment.

This comprehensive approach aims to strengthen the supporting musculature, improve flexibility, and promote overall spinal health to prevent future sciatic nerve issues.