Sciatica

Sciatica is one of the most common conditions that we treat here at West Coast Physio in our Galway-based physiotherapy and sports injury clinic. Sciatic nerve pain is a debilitating condition in which the patient experiences pain and/or numbness and tingling in the distribution of the sciatic nerve. This may be felt into the low back, glutes and back of the leg.

Sciatica is specific to the pain that is a direct result of sciatic nerve or sciatic nerve root disfunction. Sciatica pain often is worsened with flexion of the lumbar spine (bending forward), twisting, bending, or coughing. The sciatic nerve provides direct motor function to the hamstrings, lower extremity adductors, and indirect motor function to the calf muscles, anterior lower leg muscles, and some intrinsic foot muscles. Most cases of sciatica result from an inflammatory condition leading to an irritation of the sciatic nerve.

Common Causes

Any condition that may structurally impact or compress the sciatic nerve may cause sciatica symptoms. The most common cause of sciatica is a herniated or bulging lumbar intervertebral disc. In the older persons, lumbar spinal stenosis may cause these symptoms as well. Lumbar or pelvic muscular spasm and/or inflammation may impinge a lumbar or sacral nerve root causing sciatic symptoms.

Symptoms

  • Pain (intense pain in the buttock)
  • Lumbosacral radicular leg pain
  • Numbness
  • Muscular weakness
  • Gait dysfunction
  • Sensory impairment/disturbance
  • Hot and cold or tingling/ burning sensations in the legs
  • Reflex impairment Treatment
  • Physical therapy
  • Exercise Therapy
  • Stretching
  • Functional training
  • Localized corticosteroid injections
  • Deep tissue massage
  • Surgical evaluation and correction of any structural abnormalities such as disc herniation, epidural hematoma, epidural abscess or tumor (Only in severe cases)

Sciatica FAQs

What is sciatica, and what causes it?
Sciatica is a condition characterized by pain that radiates along the path of the sciatic nerve, which runs from the lower back through the hips and buttocks and down each leg. It is commonly caused by a herniated disc, bone spurs, or spinal stenosis that compresses part of the nerve, leading to inflammation, pain, and often some numbness in the affected leg.

What are the symptoms of sciatica?
The most common symptom of sciatica is sharp or shooting pain that radiates from your lower back to your buttock and down the back of your leg. Other symptoms may include numbness, tingling, or muscle weakness in the affected leg or foot. The pain is often worse when sitting, coughing, or sneezing.

How is sciatica diagnosed?
Sciatica is diagnosed through a physical examination where a physiotherapist will assess your pain, muscle strength, and reflexes. In some cases, imaging tests like MRI or X-rays may be used to pinpoint the cause of nerve compression and guide treatment.

How can West Coast Physio help treat sciatica?
At West Coast Physio, we use a combination of manual therapy, specific stretching exercises, and strengthening programs to relieve the pressure on the sciatic nerve. Our approach also focuses on improving posture, core stability, and body mechanics to prevent future episodes of sciatica.

How long does it take to recover from sciatica with West Coast Physio?
The recovery time for sciatica varies depending on the severity of the condition. With consistent treatment from West Coast Physio, many patients see significant improvement within a few weeks. More severe cases may take longer, but physiotherapy can greatly accelerate recovery and reduce the risk of recurrence.

Can sciatica be prevented?
While not all cases of sciatica can be prevented, you can reduce your risk by maintaining strong core muscles, practicing good posture, and avoiding prolonged periods of sitting or heavy lifting. West Coast Physio can help you develop a tailored exercise program to strengthen the muscles supporting your spine and improve flexibility.

When should I see West Coast Physio for sciatica?
You should seek help from West Coast Physio if you experience persistent lower back or leg pain that radiates down your leg, especially if it interferes with daily activities or worsens over time. Early intervention can prevent further nerve damage and promote faster recovery.

The majority of sciatica cases that come through our doors at West Coast Physio can be treated with conservative methods. Correct exercise interventions coupled with regular physiotherapy can significantly improve function and reduce pain. If you have any questions about your symptoms, do not hesitate to give us a call. We will be happy to help.

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