Lower Back Pain & Sciatica
Evidence-informed assessment and treatment for lumbar pain, nerve-related leg symptoms, and recurrent flare-ups — with clear, graded plans.
What we assess
Lumbar mechanics
Range of motion, segmental control, provocative and relieving movements.
Neural involvement
Leg pain patterns, neural tension tests and strength/sensation checks.
Drivers & habits
Desk set-up, lifting patterns, training load and recovery factors.
Your care plan
Relieve & settle
Positioning, pacing, gentle mobility, analgesic advice pathways.
Restore movement
Directional preference work, hip/lumbar control, progressive loading.
Stay better
Back-to-gym guidance, conditioning and flare-up strategy.
Self-care tips
Keep gently active, avoid prolonged bed rest, change positions often, and build up walking. Heat or cold may help symptoms.
Red flags
New bladder/bowel changes, saddle numbness, severe progressive weakness, unexplained weight loss or fever — seek urgent medical help (999 in an emergency).
Related conditions
Frequently asked questions
Do I need an MRI before starting physio?
Usually no. Most lower back and sciatica cases respond to assessment and guided rehab. If we spot red flags or poor progress, we can discuss imaging with your GP/consultant.
How many sessions will I need?
It varies. Many people improve over 2–6 sessions alongside a home plan. We’ll set clear review points and taper as you progress.
Is it safe to exercise with sciatica?
Yes—within a plan that respects pain limits. We’ll guide directional preference moves, pacing and graded loading so you can build confidence safely.
Will manual therapy fix it?
Hands-on care can ease pain and stiffness, but lasting change comes from combining it with targeted movement and strength work.
What should I bring/wear?
Wear comfortable clothing that allows movement. Bring any scan/report letters and a list of medications if relevant.
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