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Sciatica

Leg pain, numbness or tingling that travels from the back — physiotherapy can help you understand and manage sciatica.

What it is

Sciatica is a term for symptoms — such as pain, tingling or numbness — that travel along the path of the sciatic nerve, usually into the buttock and leg. It often relates to irritation of the nerve in the lower back and commonly improves over time with the right guidance.

Common symptoms

Everyone is different, but people often describe:

  • Pain that travels from the lower back or buttock into the leg
  • Tingling, pins and needles or numbness in the leg or foot
  • Symptoms that change with certain positions or movements
  • Discomfort with prolonged sitting or standing
  • Sometimes a feeling of leg weakness

Likely causes

Contributing factors can include:

  • Irritation of a nerve in the lower back
  • A period of increased load or a sudden movement
  • Prolonged postures
  • Reduced movement control or strength
  • Individual factors such as sleep, stress and general health

How physiotherapy can help

Physiotherapy focuses on settling nerve-related symptoms and helping you return to normal activity. This may include:

  • A careful assessment to understand your symptoms
  • Clear explanation of what is likely happening
  • Movements and positions that help ease symptoms
  • Graded exercise to restore movement and confidence
  • Advice on activity and load as you improve

What to expect at your appointment

  • A discussion to understand your symptoms, history and goals
  • A thorough physical assessment including nerve related flexibility and tension tests
  • A clear explanation and an individualised plan
  • Guidance you can begin right away

Related service: Physiotherapy →

FAQ

Frequently asked questions

Will sciatica go away on its own?

Most cases of nerve-related leg pain will settle over time with appropriate activity and guidance. Physiotherapy can help you manage symptoms and support your recovery.

Should I avoid moving?

Complete rest is rarely helpful. Your physiotherapist will guide you on safe, comfortable movement and which positions may ease your symptoms.

When should I seek help?

If symptoms are severe, worsening, or you notice significant weakness or changes in bladder or bowel function, seek prompt medical assessment. Otherwise, a physiotherapy assessment is a good place to start.

Written by

Joanna Arnold — Physiotherapist — GLA:D Certified

Joanna holds a Master of Physiotherapy from the University of South Australia, is GLA:D certified and dry needling certified, and is a Pilates instructor with advanced training in exercise-based rehabilitation. She works with people managing joint and nerve-related pain, combining hands-on physiotherapy with structured, evidence-based exercise and clear education so clients understand what is driving their leg symptoms and how to settle them.

Struggling with sciatica symptoms?

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