Sciatica Osteopathy in Crowborough and Rotherfield

Sciatica can cause pain, tingling, numbness or weakness that travels from the lower back or buttock into the leg. It can affect walking, sitting, sleeping, work and everyday activities, and symptoms may range from a mild ache to sharp, burning or shooting pain.

At TQ Osteopathy, I provide individual osteopathic assessment and care in the heart of Rotherfield, near Crowborough, East Sussex.

An assessment can help explore the factors that may be contributing to your symptoms and discuss suitable options for managing them.

Sciatica happens when the sciatic nerve, which runs from the lower back to the feet, becomes irritated or compressed. Most people recover with time, activity modification and appropriate support, but some symptoms require urgent medical assessment.

What are the symptoms of sciatica?

Sciatica usually affects one side of the body and may include symptoms in the buttock, back of the thigh, calf, foot or toes. Common symptoms include:

Pain in the buttock or back of the leg

Sharp, burning, shooting or electric-shock-type pain

Tingling or pins and needles

Numbness or reduced sensation

Muscle weakness in the leg or foot

Lower back pain or stiffness

Pain that worsens with movement, coughing or sneezing

What can cause sciatica?


Sciatica occurs when something irritates or presses on the sciatic nerve. Possible causes include:

A disc-related problem in the lower back

Spinal stenosis, where the spaces within the spine narrow

Spondylolisthesis, where one of the bones in the spine slips out of position

A back injury

Muscle tension or changes in movement around the lower back, hip or pelvis

A careful assessment is important because leg symptoms can have several different causes, and some symptoms need medical assessment.

How osteopathy may help

Osteopathy involves assessing movement and considering how muscles, joints and other tissues may contribute to your symptoms. Depending on your individual circumstances, assessment may consider the lower back, pelvis, hips and surrounding muscles.

Your initial appointment will include a discussion of your medical history, symptoms and lifestyle, followed by an appropriate physical assessment with your consent.

Depending on your needs, your care may include:

Advice on movement, activity pacing and everyday activities

Gentle hands-on techniques where appropriate

Individualised exercises and movement recommendations

Guidance on managing symptoms and gradually returning to normal activities

Strategies to support recovery and reduce the chance of recurrence

NICE guidance recommends exercise for low back pain with or without sciatica, and considers manual therapy, including spinal manipulation, mobilisation and soft-tissue techniques, as part of a treatment package that includes exercise.

Treatment is tailored to the individual. No particular treatment or outcome can be guaranteed. If your symptoms suggest that further medical investigation, referral or medical management is needed, this will be discussed with you.

Your first appointment?

Your first appointment is an opportunity to discuss your symptoms, medical history and what you would like help with.

We will:

1. Discuss your symptoms, health history and lifestyle.

2. Carry out an appropriate physical assessment, with your consent.

3. Explain the findings plainly.

4. Discuss whether osteopathic care is suitable and agree a management plan.

5. Provide advice or exercises to support your recovery between appointments.

If your symptoms suggest that further medical investigation or referral may be needed, this will be discussed with you.

Self-management and staying active

Although sciatica can be uncomfortable, prolonged bed rest is generally not recommended. Carrying on with normal activities as much as possible, pacing your activity and beginning gentle movement can support recovery.

Helpful strategies may include:

Staying gently active within comfortable limits

Avoiding long periods of sitting or lying down

Taking regular movement breaks

Gradually returning to normal activities

Using a heat pack wrapped in a towel, if comfortable, to ease painful areas

Following an individualised exercise programme

Seeking advice if symptoms are not improving, are worsening, or are affecting daily life

When to seek urgent medical advice

Call 999 or go to A&E if you have sciatica symptoms and develop:

Sciatica on both sides

Severe or worsening weakness or numbness in both legs

Numbness around or under the genitals, or around the bottom

Difficulty starting to pass urine, being unable to pass urine, or loss of bladder control

Loss of awareness of needing to open your bowels, or loss of bowel control

These can be signs of a serious back problem that needs urgent hospital assessment. Do not drive yourself to A&E; ask someone to drive you or call 999 for an ambulance.

Seek advice from your GP or NHS 111 if your sciatica has not improved after a few weeks of self-care, is getting worse, or is preventing you from carrying out normal activities.

Frequently Asked Questions

What is sciatica?

Sciatica is the name for symptoms caused by irritation or compression of the sciatic nerve, which runs from the lower back, through the buttock and down the back of each leg. It commonly causes pain, tingling, numbness or weakness in the buttock and one leg.

Can osteopathy help sciatica?

Osteopathy may help some people with sciatica by assessing movement and considering how the lower back, pelvis, hips and surrounding muscles may be contributing to symptoms. Care may include advice, gentle hands-on techniques where appropriate, and individualised exercises. Treatment is tailored to the individual, and no particular outcome can be guaranteed.

Is sciatica serious?

Most cases of sciatica are not dangerous and improve with time, activity modification and appropriate support. However, certain symptoms need urgent medical assessment, particularly if they affect both legs, cause severe weakness or numbness, or affect bladder or bowel function

What is the difference between back pain and sciatica?

Back pain may remain in the lower back, while sciatica involves symptoms that travel below the buttock, often into the back of the thigh, calf, foot or toes. Sciatica may occur with back pain, but it can also occur with little or no back pain.

How long does sciatica take to settle?

Recovery time varies from person to person. Some people improve within a few weeks, while others have symptoms for longer. Seek advice from your GP or NHS 111 if your symptoms have not improved after a few weeks of self-care, are getting worse, or are significantly affecting your daily life.

Should I rest if I have sciatica?

Prolonged bed rest is generally not recommended. Staying gently active within comfortable limits, pacing your activities and avoiding long periods of sitting or lying down can support recovery. I can advise you on suitable movement and activity modifications based on your assessment.

Can I exercise with sciatica?

In many cases, gentle movement and tailored exercise can be helpful. However, avoid activities that significantly increase leg pain, numbness or weakness. I can provide individualised exercises and advise you on how to build activity gradually as your symptoms allow.

Can osteopathy help sciatica caused by a disc problem?

Sciatica can have several causes, including disc-related irritation of the sciatic nerve. Osteopathy may be appropriate for some people, depending on your assessment and symptoms. If your symptoms suggest a more significant problem, or if you develop severe or worsening neurological symptoms, I will advise you to seek medical assessment.

How many appointments will I need?

This varies from person to person. It depends on how long you have had symptoms, the cause and severity of your symptoms, your general health, activity levels and how you respond to initial care. After your assessment, I will discuss a suitable plan and review your progress with you.

Osteopathy in Rotherfield and Crowborough

TQ Osteopathy is based in Rotherfield, East Sussex, conveniently located for patients travelling from Crowborough and surrounding villages.

Appointments are available at the clinic, with home visits also available by arrangement.

About Thomas Snook

Thomas Snook is an osteopath registered with the General Osteopathic Council.

At TQ Osteopathy, the emphasis is on individual care: taking time to understand your concerns, explaining the assessment clearly and discussing appropriate options with you.

Arrange an appointment

If you would like to discuss your sciatica symptoms and whether an osteopathic assessment may be appropriate, please get in touch.

Telephone: 07493 796676

Email: tqosteo@gmail.com

TQ Osteopathy
Rotherfield, East Sussex

References

NHS. Sciatica.
https://www.nhs.uk/conditions/sciatica/

National Institute for Health and Care Excellence. Low back pain and sciatica in over 16s: assessment and management. NICE guideline NG59. https://www.nice.org.uk/guidance/ng59

NHS inform. Sciatica.
https://www.nhsinform.scot/illnesses-and-conditions/muscle-bone-and-joints/neck-and-back-problems-and-conditions/sciatica/

Sussex Community NHS Foundation Trust. Sciatica: management and self-help.
https://www.sussexcommunity.nhs.uk/patients-and-visitors/resources/patient-resources/sciatica/management-and-self-help

General Osteopathic Council. What is osteopathy?
https://www.osteopathy.org.uk/for-patients/about-osteopathy/what-is-osteopathy/