Step 1: Confirm Sciatica and Uncover the Cause

When you visit us for your first appointment, we’ll begin by confirming that the discomfort in your lower extremity actually involves the sciatic nerve at all. Other conditions can cause sciatica-like symptoms, such as spinal osteoarthritis or piriformis syndrome.

If we confirm that your sciatic nerve is impaired, our next step is figuring out why. By far, the most common cause of sciatica is a herniated disc, which occurs when an intervertebral disc bulges and presses against the sciatic nerve. Less commonly, spinal stenosis (a narrowing of the spinal canal) can irritate the sciatica nerve, as can damage from osteoarthritis.

Step 2: Develop a Treatment Plan

Once we know why you’ve developed sciatica, we’ll work to develop a treatment plan to address that underlying cause. Fortunately, physical therapy is the preferred method for treating most of the common causes of sciatic pain.

If your sciatica results from a herniated disc, we’ll help you reduce your pain and facilitate your recovery. Herniated discs will generally resolve within 2-8 weeks, and regular physical therapy can help speed up that process. You can expect the following:

• A drug-free pain management plan utilizing manual therapy, movement modifications, and pain-relieving modalities
• Targeted mobility exercises to free up restrictions in your spine
• Postural corrections to remove pressure from the herniated disc
• Strengthening exercises, particularly in your core, to help stabilize and support the spine
• A return-to-activity schedule to ensure you don’t reinjure yourself

If your sciatica results from spinal stenosis or arthritis, we’ll focus on helping to relieve the pressure from your sciatic nerve. Treatment will generally resemble what we do for herniated discs, including pain management, mobility work, and strengthening exercises, adapting them as needed.

Step 3: Prevent Future Bouts of Sciatica

Once we’ve helped resolve your sciatica, we also want to help prevent it from occurring again. We’ll provide you with the guidance you need to stay pain-free. Here are a few sciatica prevention tips to get you started:

• Improve your posture, which means keeping your spine in alignment throughout your. Our PTs can show you how!
• Avoid prolonged postures, especially prolonged sitting. If you have a desk job, get up and move around every 30 minutes or so. If you have a job that requires you to stand in one position for an extended period, take breaks and switch up how you’re standing (such as shifting your weight back and forth).
• Get moving! A regular exercise routine will help keep your back and core muscles strong. Our physical therapists can suggest specific exercises and workout options to ensure you stay active even after finishing physical therapy.
• Use proper lifting techniques. We’ll show you what you need to know.