Sciatica Physical Therapy: Treating the Root Cause and Restoring Normal Mobility
Experience reliable sciatica physical therapy at OneEssential. We prioritize identifying and addressing the root causes of your sciatica through professional clinical examinations. Utilizing manual therapy, modern dry needling, and nerve-specific stretching exercises, we alleviate unbearable lower limb numbness and pain. Our physical therapists provide personalized rehabilitation training based on each patient’s specific condition, helping you completely overcome sciatica.
What is Sciatica? How Does It Affect Your Feet?
Sciatica is caused by the compression or irritation of the sciatic nerve, the longest nerve in the human body, extending from the lumbar spine down to both legs. When the sciatic nerve is compressed, patients experience pain that radiates from the lower back to the buttocks, and may extend down to the legs and feet. If you experience similar pain, numbness in your legs, or weakness in your legs, it’s important to pay special attention. Studies compiling various reports have found that the incidence of sciatica ranges from 13% to 40%.
Book a One-on-One Physical Therapy Consultation at OneEssential to help us thoroughly identify the cause of your condition.
Causes of Sciatica
- Lumbar Degeneration
- Lumbar Sprain
- Herniated Disc
- Daily Life Overuse
- Incorrect Exercise Posture and Overuse
- Prolonged Sitting
- Internal Diseases Caused by Conditions like Tumors
Common Symptoms of Sciatica
- Lower Back Pain
- Numbness in the Legs
- Severe Weakness in Both Legs
- Pain Spreading from the Buttocks to the Legs
Potential Structures Compressing the Sciatic Nerve
Sciatica is caused by nerve compression. Accurately identifying the structures compressing the nerve and treating them accordingly is essential for effectively managing symptoms. We aim to share some clinical knowledge here to help you better understand your underlying issues and trust our professional expertise.
Piriformis Syndrome
When deep gluteal muscles, such as the piriformis muscle, become inflamed or tight, they can compress the sciatic nerve, leading to sciatica. Symptoms include pain or numbness in the buttocks and the back of the legs, which can occur on one or both sides of the body.
Herniated Disc
Among elderly patients with sciatica, herniated discs are one of the most common causes. Research data indicates that up to 41% of patients aged 65 to 85 experience sciatica due to herniated discs. Discs are the soft tissues between spinal bones, and when they rupture or shift due to excessive pressure or aging, they can compress the sciatic nerve, causing intolerable pain.
Lumbar Degeneration or Joint Sprain Inflammation
Bone spurs formed from degenerative lumbar joints or acute sprain-induced inflammation can compress the sciatic nerve emerging from the lumbar joints. Symptoms include lower back and buttock pain, nerve pain from the thighs to the calves, numbness in the lower limbs, and even weakness.
Hear from Customers with Sciatica
I highly recommend Alan. It’s not easy to estimate injuries. The tail of your hand is very long. I have introduced 5-6 friends to seek treatment for Alan’s syndrome. I first understand the main cause of the injury, and then decide on the treatment method. I have seen orthopedic surgery for everything. Okay, I think this is the safest way. What I appreciate most is that Alan’s diagnosis examination is very detailed, his explanations are clear and detailed, and his prediction of the recovery period is very accurate, which makes me feel at ease. I was injured three times, once by a shin splint, once by a knee, and once by an ankle. Each time I was diagnosed with the disease, it made me better understand the cause of my lack of muscle strength and the cause of the injury. Then I gradually strengthened my muscle strength according to his rehabilitation training to avoid repeating it. The position was injured again, but my sports performance has improved significantly. I highly recommend Alan👍🏻

I learned so much from just a few sessions with him and felt reassured every step of the way, working towards completely healing my back pain and resuming my training.
He is very attentive and checks in regularly after your appointment to make sure you're doing well. A great experience overall!
Thanks to Alan's detailed treatment plan, I regained strength in my tricep and learned effective strategies to prevent this injury from happening again. I highly recommend Alan for anyone in need of physiotherapy. His expertise and care made a significant difference in my recovery!
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Diagnosing Sciatica
To effectively treat sciatica, precise diagnosis and thorough examination are essential to identify the true cause and formulate an effective treatment plan. Only through detailed examinations can physical therapists clearly understand the severity of the problem and provide targeted treatment plans based on each patient’s specific condition.
One-on-One Consultation
Sciatica symptoms often persist for a long time and significantly impact daily life. Detailed consultations help us better understand the patient’s discomfort and symptoms, providing targeted solutions. Additionally, many underlying causes of sciatica are related to lifestyle habits, such as work stress, routines, and lack of exercise, all of which can affect the severity of pain and treatment effectiveness.
Clinical Examination
In addition to medical imaging, clinical examinations are also an effective way to assess sciatica. Physical therapists will test various movements and areas, observing the location of pain to determine your condition. Examples include:
- Specific Tests, such as the Straight Leg Raise Test (SLR Test)
- Lumbar Range of Motion Assessment
- Strength Testing
- Palpation
- Posture Assessment
Surrounding Joint and Fascia Evaluation
Medical Testing
Although the diagnosis of plantar fasciitis is mostly based on symptoms, if the symptoms persist and are severe, or if physical therapists suspect other underlying issues, further medical examinations such as X-rays, MRI (Magnetic Resonance Imaging), or ultrasound may be recommended to rule out other causes.
Why Choose OneEssential's Sciatica Physical Therapy?
One-on-One Treatment for Sciatica
We arrange personalized physical therapy and rehabilitation plans based on the causes of your sciatica and the affected structures, providing one-on-one guidance from professional physical therapists throughout all stages. This ensures that the treatment effectively improves symptoms and addresses the root cause.
One-Stop Prevention of Sciatica
Understanding the severe pain caused by sciatic nerve inflammation, OneEssential employs various treatment methods to quickly alleviate patients' symptoms. We also provide corresponding rehabilitation exercises and long-term prevention strategies to avoid recurrence, handling all stages in a one-stop manner.
Professional and Reliable
Through comprehensive clinical evaluations, we accurately identify the causes of your sciatica and underlying structural issues. Using evidence-based scientific methods combined with clinical experience, we design reliable treatment plans tailored to your symptoms and causes. You can fully trust our professional team without worrying about other issues. Our goal is to help you thoroughly resolve your sciatica problems.
How Does OneEssential Treat Your Sciatica?

Focused Shockwave Therapy
Using “electroacoustic shockwave” technology, stable high-energy shockwaves penetrate deeply into the sciatica-affected areas, passing through the back or gluteal muscle layers. This stimulates cellular self-repair in deep structures, effectively and quickly relieving pain and accelerating recovery.

Rehabilitation Exercises
Guiding appropriate rehabilitation exercises based on the clinical examination results to address the root causes of sciatica. Depending on the situation, we guide different rehabilitation movements, including nerve-specific stretching and lumbar strengthening exercises, to help you improve the core issues of sciatica and effectively prevent its recurrence. Exercise instruction focuses on gradual progression, starting with basic movements and gradually leading patients to higher-intensity training.

Manual Therapy
Manual therapy combines joint mobilization techniques and soft tissue relaxation methods, focusing on restoring the mobility of the lumbar spine and hip joints, and effectively alleviating sciatica symptoms. When patients experience severe sciatica, it often affects their sitting and walking posture, and manual therapy can relieve the muscle soreness caused by these changes.

Acupuncture Therapy
Dry needling, also known as modern acupuncture, is a commonly used technique in professional physical therapy to alleviate musculoskeletal pain. During treatment, fine needles are inserted into the deep back muscles and gluteal muscles to stimulate local blood circulation and healing responses, effectively relieving discomfort caused by sciatica.
Cure Sciatica with the Best Physical Therapy
Sciatica differs from general lower back pain. If left untreated, symptoms may gradually worsen, and this type of pain is often accompanied by structural issues like herniated discs, which should not be taken lightly. However, encountering this problem does not require excessive worry. It is recommended to book a one-on-one physical therapy consultation at OneEssential. Our physical therapists can assess the severity and causes of your condition and design appropriate treatment plans to prevent worsening or recurring symptoms.
If you wish to have a preliminary consultation, please fill out the form below. Our physical therapists will assess your current condition and provide you with the most professional advice.
Frequently Asked Questions about Sciatica
Piriformis Syndrome is one of the causes that can lead to sciatica. It typically presents with radiating numbness and pain from the piriformis muscle in the buttocks down to the legs. Piriformis Syndrome occurs when the piriformis muscle (a small muscle located above the sciatic nerve in the buttocks) becomes overly tight or spasms, directly compressing the sciatic nerve and causing inflammatory and nerve pain symptoms.
In contrast, sciatica can also be caused by herniated discs, spinal stenosis, or other spinal issues. Differentiating between these causes requires professional diagnosis, and treatment methods will vary accordingly. If you experience related symptoms, please consult a professional.
Massage therapy is a common relief method. However, for patients with sciatica, we do not recommend seeking massages from non-professionally trained therapists, as incorrect massage techniques may exacerbate nerve compression symptoms, worsening the condition. Additionally, local massages have limited effectiveness in treating root causes. It is more important to identify the injured structures and causes, then learn corresponding stretching and strengthening exercises. During treatment, combining massage and other methods can further reduce discomfort.
Commonly available pain creams or patches can provide some relief for mild sciatica as they contain anti-inflammatory and pain-relieving ingredients that temporarily alleviate muscle and nerve pain. However, for long-term or severe sciatica, these topical products have very limited pain-relief effects and cannot fundamentally address nerve compression issues.
Sciatica can potentially heal naturally over time, especially if the pain is caused by short-term muscle trauma and inflammation. Patients with mild symptoms can gradually alleviate their symptoms within a few weeks through proper rest and stretching exercises. However, if the pain is severe or persists for more than a month, it is recommended to seek professional examination from OneEssential physical therapists to prevent the condition from worsening and ultimately requiring more time to treat the root cause.
Frequently Asked Questions about Sciatica Physical Therapy
Effective. OneEssential provides comprehensive physical therapy programs, including immediate relief (manual therapy, instruments, acupuncture), and targets the root causes of pain based on clinical examinations. We guide you through various strengthening exercises at appropriate stages to improve your condition and prevent recurrence, ensuring the effectiveness of the treatment from the root cause.
The duration of treatment depends on the underlying causes. Some sciatica caused by muscle and joint inflammation, without severe nerve compression, can show significant improvement within two to four weeks with targeted treatment and appropriate nerve-stretching exercises. Conversely, sciatica caused by chronic conditions, herniated discs, or bone spurs requires longer recovery periods, often needing three to six months.
Sciatica pain can significantly impact daily life, making it difficult for some patients to sleep or causing pain after short periods of sitting or walking. In such cases, taking anti-inflammatory drugs can temporarily control symptoms. At the same time, OneEssential strives to minimize patients' dependence on painkillers by using instruments, manual therapy, and exercise treatments to improve symptoms, and guiding patients to adjust their lifestyle habits. The ultimate goal is to return to a pain-free, comfortable life without the need for painkillers.


