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
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/