The most common cause is a herniated or bulging disc in the lower back that presses on the sciatic nerve. Other frequent causes include spinal stenosis, piriformis syndrome, spondylolisthesis, and prolonged poor posture or sitting.

Diagnosis usually starts with a detailed history and physical assessment. Your physiotherapist will test nerve mobility, strength, sensation, and reflexes. In some cases we may recommend imaging (MRI) if symptoms are severe or not improving.

Gentle activity is usually better than complete bed rest. Short walks and specific movements help reduce nerve irritation and speed recovery. Total rest can actually make sciatica worse. We’ll guide you on safe movements at Complete Recovery Physio Marple.

The best exercises focus on gentle nerve gliding, core stability, hip mobility, and posture correction. Common ones include the McKenzie extension, piriformis stretch, and bird-dog. We create a personalised programme because the right exercises depend on your specific cause.

Yes. Prevention involves strengthening your core and glute muscles, improving posture, using correct lifting techniques, and avoiding long periods of sitting. Our physiotherapists will give you a tailored maintenance plan to keep your back strong.

The sooner the better. If pain has lasted more than a few days, is getting worse, or you have leg weakness/numbness, book an assessment straight away. Early treatment often prevents chronic problems.

Walking is generally very good for sciatica when done in short, frequent bouts. It promotes blood flow, gently mobilises the nerve, and prevents stiffness. We’ll advise the right amount and posture for you.

Yes — targeted soft tissue release, joint mobilisation, and nerve mobilisation techniques are very effective at reducing muscle spasm and nerve pressure. Many patients feel noticeable relief after the first few sessions.

Physiotherapy is often enough for most people. However, short-term medication (prescribed by your GP) can be used alongside treatment to control pain while we address the root cause. Our goal is to reduce your reliance on medication.

Seek urgent medical attention if you experience loss of bladder or bowel control, severe weakness in both legs, or numbness in the saddle area (inner thighs and buttocks). These can indicate cauda equina syndrome, which needs immediate care.