Dr. Vatsal Parmar  |  Spine & Orthopaedic Care

Sciatic nerve pain illustration

Targeted nerve-pain care

Care for
Sciatica.

Clear assessment and a personal treatment plan for pain travelling from the lower back into the leg.

Understanding the symptom

What is
Sciatica?

Sciatica describes pain that follows the path of the sciatic nerve—from the lower back through the buttock and down the back of one leg. It is a symptom rather than a diagnosis on its own.

It can be associated with irritation or compression of nerve roots in the lower spine. Symptoms may include pain, tingling, numbness, or weakness, and can vary from mild discomfort to severe shooting pain.

Common signs

Lower-back pain · Leg pain · Tingling · Numbness · Weakness

Illustration of lower back pain associated with sciatica
One pathway, many causes Care begins by finding the source of nerve irritation.

Possible causes

Common
Sciatica.

Sciatic nerve symptoms can come from several conditions in or around the lower spine. A clinical assessment helps identify the likely source.

01 Herniated Disc

A herniated or bulging disc in the lumbar spine can irritate nearby nerve roots, including the roots that form the sciatic nerve.

02 Spinal Stenosis

Narrowing within the spinal canal or nerve passages can place pressure on nerves and may contribute to leg pain or walking-related symptoms.

03 Degenerative Disc Disease

Age-related disc changes can affect disc height and stability, sometimes leading to irritation of a nearby nerve root.

04 Spondylolisthesis

This is a forward slip of one vertebra relative to another, which can narrow the nerve pathway and cause symptoms in selected cases.

05 Piriformis Syndrome

Irritation around the piriformis muscle in the buttock can produce pain that resembles sciatica, even when the source is outside the spine.

Personalised treatment options

Treatment of
common Sciatica.

Care is tailored to the cause, intensity of symptoms, neurological findings, and response to previous treatment.

01 Pain Medication

Medication may be considered to help manage pain and inflammation, under advice from an appropriate clinician.

02 Physical Therapy

Guided movement, strengthening, and flexibility work can support recovery and help patients return to activity safely.

03 Heat & Cold Therapy

Heat or cold may offer short-term symptom relief for some people as part of an overall management plan.

04 Epidural Steroid Injections

For selected patients, injections may be considered to reduce inflammation around an irritated nerve root.

05 Lifestyle Modifications

Activity guidance, posture, ergonomics, and weight management may help reduce strain on the lower spine.

06 Surgical Intervention

Surgery may be considered when symptoms are severe, progressive, or do not improve with appropriate non-surgical care.