Sciatica: What It Is, Treatment and Physiotherapy Exercises
Leg pain that runs from the buttock down the back of the thigh is frightening, especially when it does not settle with rest. Understanding what sciatica is makes the recovery plan far less intimidating.
What sciatica actually is
Sciatica is a symptom, not a diagnosis. It describes pain travelling along the path of the sciatic nerve, most often caused by irritation or compression of a nerve root in the lower back, sometimes by a disc bulge, sometimes by age related narrowing. Occasionally the nerve is irritated deeper in the buttock. Symptoms can include burning pain, tingling, numbness or a heavy leg.
How physiotherapy helps
Treatment focuses on reducing nerve sensitivity and restoring tolerance to movement. That may include positions that centralise symptoms towards the spine, nerve gliding exercises, hands on treatment for the lower back and hip, and a graded strengthening programme. Education matters too: knowing that most sciatica improves without surgery changes how people move.
Recovery timelines
Many people notice symptoms moving out of the calf and foot back towards the buttock within a few weeks, which is generally a good sign. Full recovery can take six to twelve weeks and sometimes longer where symptoms have been present for months.
If you're in Centurion or Midrand and want personal guidance, our physiotherapist offers same day appointments in clinic in Eco Park, Centurion, or at your home.
Related physiotherapy services
Frequently asked questions
How long does sciatica take to settle?+
Many cases improve substantially within six to twelve weeks, although timelines vary with severity and how long symptoms have been present.
Should I rest or stay active with sciatica?+
Gentle activity within comfort is generally recommended. Complete rest tends to stiffen the back and slow recovery.
Do I need surgery for sciatica?+
The large majority of cases do not require surgery. It is usually reserved for persistent severe symptoms or significant nerve compromise.
Can physiotherapy help sciatica?+
It often does, by reducing nerve sensitivity, restoring movement and rebuilding strength, alongside advice about daily loading.
Book with N S Physiotherapy
In clinic in Eco Park, Centurion, or home visits across Centurion and Midrand.