Can an Osteopath Help with Sciatica?
Can an osteopath help with sciatica? The short answer is yes — osteopaths are trained healthcare professionals who can help diagnose, manage, and relieve sciatica symptoms through safe manual therapy, rehabilitation exercises, and lifestyle advice. Osteopathy offers a non-invasive approach that addresses both the pain itself and the underlying mechanical causes.
At Sanderstead Osteopaths, we regularly treat patients from Sanderstead, Croydon, Purley, and South Croydon who are struggling with sciatica. Our approach goes beyond simply easing pain. We focus on restoring mobility, improving posture, and helping patients understand the triggers behind their condition so they can reduce the chances of recurrence.
An excellent practice, with excellent therapists. I originally saw David with a bad lower back and got amazing results. Would recommend!
P HAugust 28, 2023
Understanding Sciatica and Its Causes
Sciatica is not a condition in itself, but a set of symptoms caused by irritation or compression of the sciatic nerve. It is one of the most common reasons people seek osteopathic treatment, with patients often experiencing pain that radiates from the lower back down through the buttock, thigh, and sometimes into the calf or foot.
Because sciatica can arise from a variety of structural and lifestyle-related issues, effective management requires more than just short-term pain relief. Osteopaths play an important role in assessing these factors, applying hands-on techniques, and guiding patients through rehabilitation that supports both recovery and prevention.
What is sciatica and how does it affect the body?
Sciatica describes a pattern of nerve pain that follows the pathway of the sciatic nerve, the largest nerve in the body. This nerve originates in the lower spine, passes through the pelvis and buttocks, and runs down the back of each leg. When the nerve becomes compressed, inflamed, or irritated, patients may experience a sharp, shooting, or burning pain.
Typical symptoms of sciatica include:
- 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
While some cases of sciatica resolve naturally, many patients experience persistent or recurrent pain that interferes with work, sleep, and daily activities. At Sanderstead Osteopaths, we work with patients to identify the root causes and apply targeted treatment to relieve symptoms and restore quality of life.
Nerve anatomy: how the sciatic nerve functions and why it causes pain
The sciatic nerve is formed from several spinal nerve roots that exit the lower back, specifically the lumbar and sacral regions of the spine. These nerve roots bundle together to create a thick nerve that supplies sensation and motor function to much of the lower limb.
Because the sciatic nerve travels through narrow spaces surrounded by bones, joints, and muscles, it is vulnerable to compression or irritation. Common reasons include:
- 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
When irritated, the nerve sends pain signals along its length, which explains why patients often feel discomfort far away from the actual source of the problem. This “referred pain” pattern makes sciatica distinct from localised back pain.
By understanding both the anatomy of the sciatic nerve and the common causes of irritation, osteopaths can design treatment plans that address not just the symptoms but also the contributing mechanical and lifestyle factors.
Common causes of sciatica including disc issues, posture, and lifestyle
Sciatica is most often triggered by mechanical problems in the spine and surrounding tissues. Some of the most common causes include:
-
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)
Not everyone develops sciatica, even when exposed to similar stresses. Certain risk factors can increase the likelihood of experiencing sciatic nerve pain:
- 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.
By recognising these risk factors early, patients can take proactive steps with support from an osteopath. At Sanderstead Osteopaths, we often work with patients to make adjustments to posture, activity, and lifestyle that reduce their risk of developing recurrent or chronic sciatica.
How sciatica symptoms range from mild discomfort to severe nerve pain
Sciatica symptoms can vary widely from one person to another. Some patients report mild tingling or aching in the buttock or thigh, while others experience sharp, stabbing pain that radiates the entire length of the leg. Common presentations include:
- 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
For some, sciatica is an occasional annoyance. For others, it can be debilitating and persistent, interfering with sleep, work, and quality of life. Severe or worsening symptoms, such as loss of bladder or bowel control, are considered medical emergencies and require immediate attention.
At Sanderstead Osteopaths, we recognise the importance of tailoring treatment to the severity of symptoms. A patient with intermittent, mild discomfort may benefit most from ergonomic advice and gentle mobilisation, while someone with more severe or long-standing sciatica may require a structured programme of manual therapy, rehabilitation exercises, and lifestyle adaptation.
Recognising the Symptoms of Sciatica
Understanding how sciatica presents is essential for effective management. Because it affects the longest nerve in the body, symptoms can extend far beyond the lower back and cause discomfort throughout the legs and feet. At Sanderstead Osteopaths, we help patients distinguish sciatica from general back pain, which ensures that treatment is correctly targeted to the root cause.
Classic signs of sciatica in the lower back, legs, and feet
The hallmark of sciatica is nerve pain that follows the pathway of the sciatic nerve. This means patients often feel discomfort in multiple regions at once. Common symptoms include:
- 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
Some patients describe sciatica as “electric shocks” down the leg, while others feel a dull, dragging ache. Because the nerve controls both sensation and motor function, the impact can range from irritating to severely disabling.
At Sanderstead Osteopaths, we carefully assess which areas are affected and how symptoms change with movement or posture. This helps us distinguish between nerve compression, muscular tension, or joint restriction, and ensures the right treatment plan is created for each patient.
Difference between sciatica and general back pain
Not all back pain is sciatica, and not all leg pain comes from the sciatic nerve. General back pain often arises from strained muscles, stiff joints, or postural overload. While this can be uncomfortable, it usually remains localised to the back itself.
Sciatica, by contrast, is defined by nerve involvement. The pain follows a distinct pattern along the path of the sciatic nerve and is often accompanied by neurological symptoms such as tingling, numbness, or weakness.
Key differences include:
- 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.
At Sanderstead Osteopaths, distinguishing between these two presentations is a critical part of assessment. Some patients arrive thinking they have sciatica, but in reality their pain stems from muscular or joint problems. Others may dismiss radiating symptoms as “just back pain,” when in fact the sciatic nerve is involved. By identifying the true cause, we can provide effective treatment and, if necessary, refer to a GP or specialist for further investigation
Red flag symptoms that require urgent medical referral
While most cases of sciatica can be safely managed with osteopathic care, there are certain red flag symptoms that indicate a more serious underlying problem and require urgent medical attention. These may suggest severe nerve compression or conditions such as cauda equina syndrome, which can become permanent if not treated promptly.
Red flag symptoms include:
- 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
If a patient presents with any of these symptoms at Sanderstead Osteopaths, we do not proceed with manual therapy. Instead, we refer immediately for urgent medical evaluation, either via their GP or hospital services.
Including this step in our assessment process is part of our duty of care as regulated healthcare professionals. It ensures that patients receive the right treatment at the right time, protecting their long-term health and demonstrating the importance of accurate diagnosis in sciatica management.
I had treatments for backache and neck pain with both Tom and David, during pregnancy and after birth. I found the sessions really beneficial, they were gentle but straight to the point causing the pain. My mother sorted her backache in 4 treatments too. And I also got my newborn treated which helped her as she is much more relaxed now. I definitely recommend this clinic, osteopathy is good at any stage of life.
Laura VettoreAugust 28, 2023
How Osteopathy Approaches Sciatica Treatment
Osteopathy offers a non-invasive, whole-body approach to sciatica management. Instead of masking symptoms with painkillers, osteopaths assess the underlying causes of nerve irritation and apply tailored treatment to restore balance, improve mobility, and reduce recurrence. At Sanderstead Osteopaths, our approach to sciatica care combines hands-on therapy, corrective exercise, and lifestyle advice, giving patients both immediate relief and long-term strategies for prevention.
Can an osteopath help with sciatica pain relief?
Patients often ask directly: “Can an osteopath help with sciatica?” The answer is yes. Osteopaths are trained to assess the musculoskeletal system, identify where the sciatic nerve is being compressed or irritated, and apply safe treatment to relieve pressure and restore function
Unlike medication, which only provides temporary symptom control, osteopathy addresses both the pain and its mechanical source. For some patients, this may involve reducing muscle tension that is irritating the nerve. For others, it may require improving spinal mobility or correcting postural imbalances that repeatedly trigger symptoms.
At Sanderstead Osteopaths, patients with sciatica often report:
- 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.
By focusing on the individual rather than a one-size-fits-all approach, osteopathy provides a pathway to meaningful, lasting improvement.
Techniques osteopaths use for sciatica and lower back conditions
Osteopaths have a broad toolkit of safe, evidence-informed techniques that can be adapted to suit each patient’s presentation. At Sanderstead Osteopaths, the following methods are often used to support patients with sciatica:
- 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.
The goal of these techniques is not just to “switch off” the pain but to create an environment in which the body can heal naturally. By restoring function and reducing strain, osteopathy can help prevent sciatica from becoming a chronic, recurring problem.
Postural correction and ergonomic advice for sciatica patients
One of the most important aspects of sciatica management is addressing the everyday habits and postures that contribute to nerve irritation. Many patients develop sciatica not because of a single injury, but due to cumulative strain from sitting, lifting, or repetitive movement.
At Sanderstead Osteopaths, we provide tailored guidance to help patients reduce ongoing stress on their lower back and pelvis. This may include:
Workstation ergonomics
adjusting desk height, chair support, or screen position to maintain spinal alignment.
Driving posture
supporting the lumbar spine during long commutes or frequent driving.
Sleep positioning
using pillows or mattress adjustments to minimise night-time strain on the lower back.
Lifting techniques
teaching safe ways to bend, lift, and carry without overloading the lumbar spine.
Movement breaks
encouraging patients to stand, stretch, or walk regularly if their job involves long hours of sitting.
Postural advice is not generic — it is adapted to each patient’s daily routine, whether they are an office worker, manual labourer, athlete, or parent. By combining manual treatment with practical lifestyle strategies, we help patients maintain improvements and reduce the risk of sciatica returning.
Why osteopathy is different from medication-only approaches to sciatica
Many patients are prescribed medication such as painkillers or anti-inflammatories to manage sciatica. While this can provide short-term relief, it does not address the underlying mechanical issues that cause nerve irritation. Over time, patients often find that their symptoms return as soon as the medication wears off.
Osteopathy takes a different approach. At Sanderstead Osteopaths, we focus on identifying and treating the root cause of sciatic pain. Instead of simply dulling the sensation, we apply hands-on techniques to reduce compression, restore mobility, and improve function. This is supported by corrective exercise and lifestyle modification, giving patients tools to actively manage their condition.
Patients frequently tell us they value osteopathy because it provides:
- 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 had treatments for backache and neck pain with both Tom and David, during pregnancy and after birth. I found the sessions really beneficial, they were gentle but straight to the point causing the pain. My mother sorted her backache in 4 treatments too. And I also got my newborn treated which helped her as she is much more relaxed now. I definitely recommend this clinic, osteopathy is good at any stage of life.
Laura VettoreAugust 28, 2023
The Role of Diagnosis and Assessment in Treating Sciatica
Effective management of sciatica begins with a clear and accurate diagnosis. Because sciatic pain can be triggered by a range of mechanical, neurological, or lifestyle-related factors, a surface-level assessment is rarely enough. At Sanderstead Osteopaths, we take time to build a complete understanding of each patient’s health before recommending or beginning treatment.
How osteopaths identify the root cause of sciatica pain
The first stage of any sciatica consultation at Sanderstead Osteopaths involves a detailed case history. We ask about current symptoms, medical background, lifestyle habits, previous injuries, and daily activities. This helps us spot patterns that may be contributing to nerve irritation, such as long hours of sitting, frequent lifting, or poor posture.
We then carry out a physical examination, which may include:
- 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
This combination of history and examination allows us to distinguish true sciatica from other conditions with similar symptoms, such as hip dysfunction or referred muscular pain. If red flags are present, or if we suspect a more serious underlying condition, we refer promptly to the patient’s GP for imaging or specialist input.
By identifying the root cause of sciatic pain, rather than only treating surface symptoms, osteopaths can create a plan that is both safe and effective.
The importance of a whole-body assessment in sciatica care
One of the principles that sets osteopathy apart is its whole-body approach. Sciatica may appear as pain in the leg, but the root cause could involve the lower back, pelvic mechanics, or even weakness and imbalance higher up in the spine.
At Sanderstead Osteopaths, we assess how the body functions as an integrated system. For example:
- 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.
By considering these broader influences, we are able to design treatment that not only relieves pain but also corrects contributing factors. This reduces the risk of sciatica becoming a long-term, recurring problem.
Patients frequently tell us that they appreciate this level of assessment because it helps them understand why their pain developed, not just how to get rid of it. This insight is key to building confidence, preventing recurrence, and supporting lasting recovery.
When osteopaths refer patients with sciatica to GPs or specialists
While osteopaths are trained to assess, diagnose, and manage many cases of sciatica, there are situations where referral to another healthcare professional is the safest and most appropriate step. At Sanderstead Osteopaths, patient safety is always the priority.
Referral is considered when:
- 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.
Our patients are reassured to know that we work in collaboration with GPs and hospital services when required. This ensures that if osteopathy alone is not sufficient, the correct investigations and medical interventions are accessed quickly. It is this integration with wider healthcare that makes osteopathy both safe and reliable for sciatica patients.
Personalised treatment planning and goal setting for long-term recovery
No two cases of sciatica are the same. The underlying cause, severity of symptoms, and patient lifestyle all shape how recovery should be managed. At Sanderstead Osteopaths, we develop individualised treatment plans that reflect these differences.
A personalised plan may include:
- 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.
Goal setting is an important part of this process. For some patients, the aim is to return to work without pain; for others, it may be training for sport, gardening comfortably, or simply sleeping without being woken by nerve pain.
By focusing on outcomes that matter most to each patient, we ensure treatment is motivating, realistic, and effective. This approach not only supports immediate recovery but also builds resilience against recurrence, empowering patients to take long-term control of their musculoskeletal health.
Great experience with Sanderstead Osteopaths. I began treatment due to a sports injury in my leg which greatly reduced my mobility. In all honesty, I just looked up osteopaths near me and these lads came up. Couldn’t be more happy with their work. My progress to recovery has taken time and obviously money to get to where I am now (back to 95%) but I couldn’t be more pleased. All of my treatment was by Paul Harmes. If you need something to be looked at, consider these guys. C
Charles ThakkerDecember 28, 2023
Osteopathy for Sciatica at Sanderstead Osteopaths
At Sanderstead Osteopaths, we have extensive experience in treating patients with sciatica from Sanderstead, Croydon, Purley, South Croydon, and the surrounding areas. Our focus is not just on short-term symptom relief but on long-term improvement, helping patients regain confidence in their movement and reduce the risk of recurrence.
Our local expertise in helping patients with sciatica across Sanderstead, Croydon, Purley, and South Croydon
Over the years, our clinic has developed a trusted reputation for helping patients overcome sciatica and related nerve conditions. Many of our patients come through word-of-mouth recommendations, reflecting the confidence people in the local community have in our care.
Our osteopaths combine clinical knowledge, hands-on techniques, and modern rehabilitation strategies to deliver results tailored to the individual. This approach allows us to support a wide variety of patients, from office workers with posture-related sciatic pain to athletes dealing with disc or joint issues.
What makes Sanderstead Osteopaths stand out is our combination of:
Local accessibility
serving patients not only in Sanderstead but also Croydon, Purley, and South Croydon.
Individualised care
every treatment plan is adapted to the patient’s lifestyle, goals, and health needs.
Continuity of support
we focus on building long-term relationships with patients, ensuring they feel supported through every stage of recovery.
By combining local trust with professional expertise, we provide a level of care that is both personal and highly effective for sciatica management.
Supporting long-term recovery with exercise, rehabilitation, and lifestyle changes
While hands-on osteopathic treatment can significantly reduce sciatica symptoms, long-term recovery depends on active patient participation. At Sanderstead Osteopaths, we create rehabilitation programmes that empower patients to manage their condition beyond the treatment room.
These programmes may include:
- 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.
Our patients often tell us that the most valuable part of their treatment is learning how to take control of their own recovery. With the right knowledge and tools, they feel less dependent on passive care and more confident in their ability to stay active and pain-free.
By integrating osteopathy with exercise, rehabilitation, and lifestyle changes, we provide a comprehensive approach to sciatica care that delivers results not just today, but for the future.
Preventing sciatica recurrence through education and proactive care
One of the biggest frustrations for patients with sciatica is recurrence. Even after the pain settles, the risk of flare-ups remains high if underlying issues are not addressed. At Sanderstead Osteopaths, we place strong emphasis on education and proactive care to reduce this risk.
Our prevention strategies include:
- 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.
Patients consistently tell us that learning why their sciatica developed, and how to avoid it returning, is as valuable as the hands-on treatment itself. By giving patients the tools to protect their back and nerve health, we help them stay active, confident, and less vulnerable to relapse.
How to book an appointment with our osteopaths in Sanderstead
If you are struggling with sciatica and looking for professional, safe, and effective care, our team at Sanderstead Osteopaths is here to help. We welcome patients from Sanderstead, Croydon, Purley, South Croydon, and the surrounding areas.
Booking an appointment is straightforward. You can:
- Book online through our website
- Call and speak with our friendly reception team
- Send a message via our contact form
Whichever option you choose, you will be met with a welcoming, professional service and a team ready to support your recovery.
Have seen both David and Clare on and off over the last 4 years with lower back pain/stiffness. They really know their stuff and have always provided me with solutions to my lower back. My job is quite demanding and doesn't help the pain (lots of driving and lifting) but knowing David and Clare will always be there to help at Sanderstead Osteopaths it puts my mind at rest. I started going weekly and with the regular treatments it's eased the pain so now I am going every 2-4 weeks. I would highly recommend either of these guys!
James McClellandAugust 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.
