What is sciatica?
“Sciatica” is an umbrella term used to describe leg pain that originates from the lower back (lumbar spine). Traditionally, sciatica was thought to specifically relate to an irritation of the sciatic nerve caused by it being “pinched” or “compressed” as it exits the spine. However, this is now considered a quite primitive and reductionist definition, as we now understand people can experience sciatica symptoms for a number of other reasons that don’t involve a true compression of the nerve itself.
Signs and symptoms
You may be suffering from sciatica if you experience:
– pain that feels sharp, shooting or burning in nature
– pain that “shoots” from the lower back/buttock down into the leg, often extending as far as the foot
– pain is often worse at night compared to during the day
– pain is often worse when sitting for long periods, and better when moving about
– altered sensation in the leg or foot (e.g. pins and needles, tingling or numbness)
Who to see/what to do
Physiotherapy: Physiotherapists serve as a great first point of contact if you are experiencing sciatica symptoms. They are able to provide you with an accurate assessment and diagnosis of your symptoms. They are then able to help you develop strategies to effectively manage your pain, such as hands-on treatment and exercise, as well as being able to refer you for any relevant imaging (e.g. X-ray, CT scan, MRI) if deemed necessary. Physiotherapists can also recommend other health professionals that can assist you. No referral is necessary.
GP: Seeking advice from your doctor regarding appropriate pain medication can also play an important role in helping you recover from sciatica. It is worth noting that you do not have to see your doctor before seeing a physiotherapist.
General activity: Trying to remain generally active and maintaining your usual routine as best as possible is important. There is a common misconception that “rest” is needed in order to recover from sciatica, however this isn’t necessarily the case and can actually prolong your recovery in some instances. Seeking advice from a health professional such as a physiotherapist regarding what activities to do and which ones to avoid can be really important to ensure you recover as quickly as possible!
Sciatica is a common condition that can cause significant discomfort, but it is manageable with the right approach. Seeking guidance from a physiotherapist or doctor, staying active, and understanding the nature of your symptoms are key steps in recovery. While sciatica can be challenging, early intervention and appropriate treatment can help you regain comfort and mobility.
