Can an Osteopath Help with Sciatica?
David Ayres was brilliant with my back issues, as were his 2 colleagues I saw when he wasn't available. Professional and knowledgeable, would recommend 👌
August 28, 2023
Understanding Sciatica and Its Causes
What is sciatica and how does it affect the body?
- Pain radiating from the lower back into the leg
- Numbness or tingling in the buttock, thigh, or foot
- Muscle weakness in the affected leg
- Pain that worsens when sitting, bending, coughing, or sneezing
Nerve anatomy: how the sciatic nerve functions and why it causes pain
- Herniated or bulging discs that press against the nerve root
- Spinal stenosis, a narrowing of the spinal canal
- Muscle spasm in the buttock or hip, such as piriformis syndrome
- Postural strain or poor ergonomics placing pressure on the lower spine
Common causes of sciatica including disc issues, posture, and lifestyle
-
Herniated or bulging discs:
When the cushioning discs between vertebrae protrude, they can press directly onto the sciatic nerve root. This is one of the most frequent causes of acute sciatica. -
Degenerative disc disease:
With age, spinal discs lose height and hydration, which can create friction and irritation around the nerve. -
Spinal stenosis:
A narrowing of the spinal canal that reduces space for nerve roots, causing compression. -
Postural strain:
Poor sitting habits, long hours at a desk, or slouching in front of a screen can place ongoing stress on the lower back. -
Muscle-related causes:
Tightness in the piriformis muscle (piriformis syndrome) can irritate the sciatic nerve as it passes nearby. -
Trauma or injury:
Accidents, falls, or sudden twisting movements can destabilise the lower spine. -
Lifestyle factors:
Sedentary living, obesity, smoking, or repetitive heavy lifting can all increase strain on the spine and aggravate the nerve.
Risk factors that make sciatica more likely (age, occupation, activity levels)
- Age: Degenerative changes in the spine, such as arthritis or disc wear, become more common with age and are strongly linked to sciatica.
- Occupation: Jobs that involve heavy lifting, frequent twisting, or long hours of driving place higher stress on the lower spine. Equally, desk-based jobs that require sitting for extended periods can create postural strain that contributes to sciatica.
- Physical activity levels: Both extremes — a very sedentary lifestyle or high-impact sports with repetitive spinal loading — can predispose someone to sciatica.
- Pregnancy: Hormonal changes and altered biomechanics can increase strain on the lumbar spine and pelvic joints.
- Health factors: Obesity, smoking, and conditions like diabetes can compromise spinal health or nerve function.
How sciatica symptoms range from mild discomfort to severe nerve pain
- A dull ache in the lower back or hip
- Shooting pain down the back of the thigh and calf
- Pins and needles, numbness, or burning sensations in the leg or foot
- Weakness in the affected limb, making it harder to walk, climb stairs, or stand for long periods
- Pain that worsens when sitting, coughing, sneezing, or bending forward
Recognising the Symptoms of Sciatica
Classic signs of sciatica in the lower back, legs, and feet
- Lower back pain that radiates into the buttock
- Shooting or burning pain down the back of the thigh and calf
- Tingling or “pins and needles” sensations in the leg or foot
- Numbness or altered sensation in one part of the limb
- Muscle weakness making it difficult to lift the foot, climb stairs, or maintain balance
- Worsening pain when sitting for long periods, coughing, sneezing, or bending forward
Difference between sciatica and general back pain
- Location: General back pain stays in the spine or surrounding muscles, while sciatica radiates into the leg.
- Nature of pain: Back pain may feel stiff or sore; sciatica is sharper, burning, or shooting.
- Associated symptoms: General back pain rarely causes pins and needles or numbness, which are classic signs of nerve irritation.
Red flag symptoms that require urgent medical referral
- Loss of bladder or bowel control (incontinence or inability to urinate)
- Numbness around the saddle region (buttocks, inner thighs, or groin)
- Severe or rapidly worsening weakness in the legs or feet
- Sudden onset of bilateral sciatica (pain down both legs simultaneously)
- Unexplained weight loss, fever, or history of cancer combined with back pain
David Ayres was brilliant with my back issues, as were his 2 colleagues I saw when he wasn't available. Professional and knowledgeable, would recommend 👌
August 28, 2023
How Osteopathy Approaches Sciatica Treatment
Can an osteopath help with sciatica pain relief?
- Reduced intensity and frequency of pain
- Improved ability to sit, stand, or walk comfortably
- Less reliance on pain medication
- A clearer understanding of how posture, activity, and lifestyle affect their condition
- Corrective stretching and rehabilitation exercises: helping patients build strength, flexibility, and stability.
- Postural and ergonomic guidance: ensuring that improvements last beyond the treatment room.
Techniques osteopaths use for sciatica and lower back conditions
- Soft tissue massage and myofascial release: to reduce tension in the lower back, buttocks, and legs.
- Joint articulation and mobilisation: to restore smoother spinal and hip movement, easing pressure on the nerve.
- Spinal manipulation (where appropriate): to improve alignment and relieve mechanical irritation around the affected nerve root.
- Muscle energy techniques: gentle, controlled contractions that help rebalance opposing muscle groups.
- Stretching and rehabilitation exercises: to improve flexibility and strengthen supporting muscles.
- Postural and ergonomic guidance: to reduce ongoing strain from workstations, driving, or daily activities.
Postural correction and ergonomic advice for sciatica patients
At Sanderstead Osteopaths, we provide tailored guidance to help patients reduce ongoing stress on their lower back and pelvis. This may include:
adjusting desk height, chair support, or screen position to maintain spinal alignment.
supporting the lumbar spine during long commutes or frequent driving.
using pillows or mattress adjustments to minimise night-time strain on the lower back.
teaching safe ways to bend, lift, and carry without overloading the lumbar spine.
encouraging patients to stand, stretch, or walk regularly if their job involves long hours of sitting.
Why osteopathy is different from medication-only approaches to sciatica
- Relief without relying on long-term medication
- Clear explanations about what is causing their pain
- Practical strategies to improve posture and prevent recurrence
- A holistic approach that considers their lifestyle, not just their symptoms
I have been using Sanderstead Osteopaths for many years David has been treating my ongoing back and neck issues and wouldn’t go anywhere else. I would highly recommend.
August 28, 2023
The Role of Diagnosis and Assessment in Treating Sciatica
How osteopaths identify the root cause of sciatica pain
- Observation of spinal alignment and posture
- Testing joint mobility in the lumbar spine, hips, and pelvis
- Palpation to detect tension, restriction, or muscle spasm
- Neurological testing for reflexes, sensation, and muscle strength
- Orthopaedic tests to determine whether the nerve root is being compressed
The importance of a whole-body assessment in sciatica care
- Poor hip mobility may increase strain on the lumbar spine, triggering nerve irritation.
- Weak core muscles may reduce spinal stability, making disc issues more likely.
- Postural habits in the shoulders or thoracic spine can alter the way load passes through the lower back.
When osteopaths refer patients with sciatica to GPs or specialists
- Red flag symptoms are present, such as loss of bladder or bowel control, numbness in the saddle region, or severe and rapidly worsening weakness.
- There are signs of serious underlying pathology, such as infection, fracture, or tumour.
- Symptoms are severe, persistent, or worsening despite treatment.
- Advanced imaging (MRI or CT scan) is required to confirm diagnosis or guide further management.
- Multidisciplinary care would be more effective, for example combining osteopathy with pain specialists, neurologists, or orthopaedic consultants.
Personalised treatment planning and goal setting for long-term recovery
- Manual therapy to reduce tension, improve mobility, and relieve nerve compression.
- Corrective exercise programmes targeting strength, flexibility, and stability.
- Postural and ergonomic advice tailored to work, sport, or daily habits.
- Lifestyle modifications such as pacing activities, weight management, or stress reduction.
- Patient education to help individuals understand their condition and actively participate in recovery.
I took my newborn daughter to David due to her being very gassy and unsettled. Within the first week of David seeing her she was a lot more settled and was sleeping for a lot longer at night. I would highly recommend the treatment here with David for anyone with newborns with similar issues.
August 28, 2023
Osteopathy for Sciatica at Sanderstead Osteopaths
Our local expertise in helping patients with sciatica across Sanderstead, Croydon, Purley, and South Croydon
What makes Sanderstead Osteopaths stand out is our combination of:
serving patients not only in Sanderstead but also Croydon, Purley, and South Croydon.
every treatment plan is adapted to the patient’s lifestyle, goals, and health needs.
we focus on building long-term relationships with patients, ensuring they feel supported through every stage of recovery.
Supporting long-term recovery with exercise, rehabilitation, and lifestyle changes
- Targeted stretching to improve flexibility in the hamstrings, hips, and lower back.
- Core strengthening exercises to stabilise the spine and reduce future strain.
- Postural retraining to help patients move and sit in ways that protect the sciatic nerve.
- Lifestyle adjustments such as activity pacing, stress management, and weight optimisation.
- Education and self-care strategies so patients understand how to avoid flare-ups.
Preventing sciatica recurrence through education and proactive care
- Identifying and addressing lifestyle triggers, such as prolonged sitting, poor posture, or repetitive lifting.
- Teaching self-management techniques, including stretching routines, mobility drills, and core-strengthening exercises.
- Encouraging ergonomic awareness, so patients protect their spine at work, at home, and during hobbies.
- Regular check-ins or maintenance sessions, where appropriate, to monitor spinal health and address small issues before they escalate.
How to book an appointment with our osteopaths in Sanderstead
- Book online through our website
- Call and speak with our friendly reception team
- Send a message via our contact form
I’ve been seeing David for 10+ years now and wouldn’t go anywhere else. I’ve recently taken my 15year old son to David as he has had some health issues effecting his muscles and joints, he has experienced immediate improvements. I also recommended my mum who sees another member of the team and again, is really pleased with the treatment and outcome 5⭐️
August 28, 2023
Frequently Asked Questions about Osteopathy
Can osteopathy cure sciatica permanently?
Osteopathy can provide significant relief from sciatica and, in many cases, prevent recurrence by addressing the underlying causes of nerve irritation. However, no treatment can guarantee a permanent cure, especially if structural factors like disc degeneration or spinal stenosis are present.
At Sanderstead Osteopaths, our goal is to reduce symptoms, restore mobility, and give patients the tools to manage their back health long-term. With the right combination of treatment, exercise, and lifestyle changes, many patients remain symptom-free for years.
Is osteopathy safe for severe sciatica pain?
Yes, osteopathy is considered safe for most patients with sciatica, including those with severe pain. Before treatment begins, we carry out a detailed assessment to ensure osteopathy is appropriate. If there are any red flag symptoms (such as bladder or bowel changes, or severe neurological loss), we refer patients for urgent medical attention.
At Sanderstead Osteopaths, safety is always the priority. Our osteopaths adapt techniques to suit each patient, meaning treatment is gentle when pain is acute, and progresses as symptoms improve.
How many osteopathy sessions do I need for sciatica?
The number of sessions required depends on the severity of symptoms, the underlying cause, and how long the condition has been present. Some patients experience noticeable relief after just a few sessions, while others with long-standing or complex cases may benefit from a structured course of treatment combined with rehabilitation exercises.
At Sanderstead Osteopaths, we provide a clear treatment plan after your first consultation, including realistic expectations about progress. Our aim is always to achieve improvement in the fewest sessions necessary, while supporting long-term recovery.
Do I need a GP referral before seeing an osteopath for sciatica?
No, you do not need a GP referral to see an osteopath in the UK. Osteopaths are recognised as primary healthcare professionals, meaning you can book directly.
At Sanderstead Osteopaths, many patients come to us without first visiting their GP. If during assessment we identify anything that requires medical input or imaging, we will liaise with your GP to ensure you receive the appropriate investigations.
What is the difference between seeing an osteopath, a chiropractor, or a physiotherapist for sciatica?
All three professions can support patients with sciatica, but their approaches differ:
- Osteopaths focus on the whole body, using manual therapy, posture correction, and lifestyle advice to treat both the pain and its underlying mechanical causes.
- Chiropractors often emphasise spinal manipulation, particularly targeted adjustments.
- Physiotherapists frequently focus on exercise rehabilitation, strengthening, and mobility work.
At Sanderstead Osteopaths, our approach combines manual therapy with exercise prescription and preventative strategies, offering a balanced pathway for both immediate relief and long-term management.