Understanding Sciatica

Sciatica is the common name for pain that radiates down the back of the leg, however, the site of pain is not the site of injury.

Swelling of local ligaments or joints, muscle spasm or direct pressure from a disc bulge or herniation causes irritation and inflammation of the Sciatic nerve. This, in turn, causes pain and, depending on the amount of pressure on the nerve, can also cause pins and needles or numbness

The Sciatic nerve is made up of the last 3 nerves exiting the lumbar spine. These nerves merge, run through the buttock muscles, into the low leg providing the nerve supply for that area. Due to its long course, pressure can come from one of several areas. Joint or muscle inflammation in the low back can cause irritation. A disc herniation causes constant pressure and severe pain in the nerve. Also, as the sciatic nerve passes through the buttock, it is possible for a muscle spasm in that area to cause pain.

It is essential to do a thorough examination of the low back, pelvis and leg as well as relevant tests to isolate the site of the nerve irritation. Only then, we can plan an effective Sciatica treatment program.

 

Why Choose Balanced Body Clinic for Sciatica Treatment?

  • Over 25 years’ experience diagnosing and treating nerve-related pain conditions.
  • Registered with the General Osteopathic Council (GOsC), ensuring safe, professional care.
  • Expertise in combining osteopathy, dry needling, kinesio taping and rehabilitation exercises for effective relief.
  • Thorough assessments to identify the root cause of sciatic irritation rather than only treating symptoms.
  • Trusted by athletes and the local community alike for long-term results.

Meet Your Sciatica Specialists

Our sciatica treatment is led by Moira Mulvey, a GOsC-registered osteopath with decades of experience in back and nerve-related pain. Moira has supported elite athletes and everyday patients alike, providing hands-on treatment and tailored exercise programmes.

Moira Mulvey

Together, Moira deliver’s safe, evidence-based care for the Twickenham community

Frequently Asked Questions – Sciatica

  • What causes sciatica?
    Sciatica is usually caused by irritation of the sciatic nerve from a disc bulge, muscle spasm, or inflammation in the lower back or pelvis.
  • How is sciatica diagnosed?
    Your osteopath will carry out a thorough case history, physical examination and relevant tests to identify where the nerve is being irritated.
  • Is osteopathy safe for sciatica?
    Yes. Osteopathy is a safe, regulated treatment option that uses gentle, hands-on techniques and tailored advice to relieve pressure and improve function.
  • How many sessions will I need?
    It depends on the cause and severity of your symptoms. Some patients improve in 1–2 sessions, while others need a short course of treatment.
  • Can sciatica resolve on its own?
    Mild cases can settle, but without treatment, symptoms may return. Early intervention often shortens recovery time and reduces recurrence.