When is exercise therapy recommended for sciatica?

Sciatica refers to pain or altered sensation travelling along the path of a nerve from the lower back into the buttock or leg. A physiotherapist may check spinal movement, leg strength, reflexes, sensation and walking. The plan can include comfortable mobility, trunk and hip strengthening, nerve-friendly movement and advice on sitting, lifting and pacing. The right direction and dose vary between people.

Arrange an assessment if leg pain is restricting walking, sleep, work or household tasks. Keep gently active within tolerable limits and use the prescribed movements rather than forcing a stretch into leg pain. Change position regularly and explain any worsening symptoms, weakness or numbness. A clinician may coordinate exercise with other treatment if pain is preventing participation.

Seek emergency care for new difficulty passing urine or controlling bowel movements, numbness around the genitals or inner thighs, or rapidly worsening weakness in both legs. Prompt medical review is also needed for progressive foot weakness, severe pain after major trauma, fever or unexplained illness with back pain.

Ask which findings support sciatica, which movements are appropriate now, how to distinguish a normal exercise response from deterioration, and when strength or sensation should be rechecked.