Sciatica — pain that runs from the lower back or buttock down the leg — can be miserable. Sitting hurts, standing hurts, and sleep gets ruined. The good news: most sciatica improves well with the right combination of hands-on treatment, movement and time.
What sciatica actually is
Sciatica is not a diagnosis in itself; it describes irritation of the sciatic nerve. The cause is often a disc bulge, joint irritation or tight, overworked muscles pressing on the nerve. Working out which matters, because the best treatment differs. That assessment is the first thing we do at OsteoRise.
How osteopathy helps
Treatment aims to take pressure off the nerve and calm the tissues around it: improving how your spine and hips move, releasing muscle tension in the lower back and buttock, and progressively rebuilding your tolerance for sitting, walking and exercise. Many patients experience real relief from radiating leg pain within a few targeted sessions — and you will always know the plan and the expected timeline.
When to seek medical help instead
Go to A&E or call 111 if leg pain comes with numbness around the groin, difficulty controlling your bladder or bowels, or rapidly worsening leg weakness. These are signs the nerve needs urgent medical attention, not manual therapy. We screen for them at every consultation.
Sciatica care in NW6
We treat sciatica daily at our clinic at 51 Mill Lane, West Hampstead — a short walk from West Hampstead station. Read more common questions about osteopathy, learn about back pain treatment, or book an assessment and let's work out what is irritating that nerve.
Tired of that pain running down your leg?
Same-day and evening appointments are often available at our West Hampstead clinic.
Book an appointment Call 020 4620 6458Common questions
How do I know if my leg pain is sciatica?
Sciatica typically causes pain that radiates from the lower back or buttock down the back of the leg, sometimes with tingling, numbness or weakness. Plenty of other things can mimic it, which is why a proper assessment matters before treatment.
How many sessions does sciatica usually take?
It varies with how long you have had it and what is irritating the nerve. Many people feel meaningful relief within a few targeted sessions; long-standing cases usually need a structured course. You will get an honest estimate at your first visit.
Can I still exercise with sciatica?
Usually yes — the right movement often helps recovery, while complete rest tends to slow it. Part of your treatment plan is knowing exactly what to do and what to avoid at each stage.