Sciatica pain comes from the large nerve, the sciatic nerve which passes down through the buttocks, down the back/side of the thigh and then divides into other nerves in the low leg.  There are many reasons as to why this nerve becomes inflamed but it often originates from the lower back.  The sciatic nerve is formed in the mid to lower part of the back and comes out at various levels in the lower back.  If the back has been injured or has undue stress on it then swelling and inflammation may occur and then may then place stress on the sciatic nerve leading to what many people called a pinched nerve.  This can cause severe pain in the back and down the leg/s and can be quite debilitating. 

It is wise to see your local Physiotherapist for a full assessment.  Physiotherapists are fully qualified to deal with these type of conditions.   It is certainly worth talking to your G.P about your concerns.    Ensure that your therapist takes a full history of your back pain as well as performs an intense assessment of posture, biomechanics and movements.  A proper diagnosis cannot be given unless a full history and assessment has been done.   Scans may or may not be needed.  They are usually only needed if treatment has occurred without improvement. Manipulation should not occur without a full assessment of the spine.     

Home management advice is vital to ensure minimisation of pain and enhance recovery.   A regular home exercise regime will encourage normal spinal movement and nerve function.   Our therapists are trained to reduce symptoms and give  a comprehensive home management program.  This is progressed and adjusted with improvement of symptoms.  A written analysis of your diagnosis and treatment plan will be provided with recommendations.  This may include further tests or referral to other specialists.  You will be reassessed at each appointment so your progress is optimal.  Full assessments occur at regular intervals.  Should you need to start a supervised exercise program this will be suggested and implemented with your approval.  Our focus is your recovery to full function in combination with your goals.  Generally Sciatic pain can be managed conservatively with good results.  Only rarely is surgery needed and should always be the last option.  Research indicates that surgery may or may not reduce symptoms.   

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