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Sciatica

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Monday - Friday (8am to 5pm)
Sunday - Closed
+00-123-254-963
Sciatica is not a diagnosis, but a *symptom*—specifically, pain that radiates along the path of the sciatic nerve. This nerve is the longest in your body, running from your lower back, through your buttocks, and down the back of each leg. At Best Physiotherapy Clinic Bopal, we specialize in diagnosing and treating the *root cause* of your sciatic nerve pain. This pain, which can range from a dull ache to a sharp, burning, or electric shock-like sensation, is a sign that the nerve is being compressed or irritated somewhere along its path. Our goal is to provide lasting sciatica pain relief, not just a temporary fix, by identifying and correcting this compression.
This radiating leg pain, known as radiculopathy, is one of the most common and debilitating conditions we treat. It can be caused by several different issues, and our Bopal physiotherapy team’s first job is to perform a comprehensive assessment to find out *why* your nerve is irritated. Is it a bulging disc in your lower back? Is it a tight muscle in your buttock (Piriformis Syndrome)? Or is it a joint issue? Our evidence-based sciatica treatment physiotherapy is a non-surgical, highly effective approach that combines hands-on manual therapy to “decompress” the nerve with a specific corrective exercise program to ensure the pressure *stays* off, giving you long-term relief.

Common Symptoms of Sciatica We Treat

The classic sign of sciatica is pain that radiates from your lower (lumbar) spine to your buttock and down the back of your leg. It is typically unilateral, meaning it affects only one side of your body. Our Bopal physiotherapy clinic is expertly equipped to diagnose and treat this complex set of symptoms. While the pain can vary widely, it’s crucial to tell your therapist your exact sensations, as this helps pinpoint the source of the nerve irritation.
  • Sharp, shooting, or "electric" pain down one leg.
  • Numbness or tingling ("pins and needles") in the leg or foot.
  • A constant burning sensation in the buttock or calf.
  • Weakness when lifting your foot or standing on your toes.
  • Pain that gets significantly worse when you are sitting.
  • Pain that is aggravated by coughing, sneezing, or bending.

What Is the True Root Cause of Your Sciatica?

Our Bopal physiotherapy team understands that “sciatica” is just a description of your pain. To cure it, we must find the “why.” Our expert therapists are trained to perform a detailed diagnostic assessment to differentiate between the common causes, as the treatment for each is completely different. For example, a “sciatica rehabilitation treatment” plan for a disc bulge is the opposite of one for piriformis syndrome, and performing the wrong exercises can make your pain worse. We find the correct source, first.
Common causes include: **1. Herniated or Bulging Disc:** This is the most common cause. The soft “jelly” center of a spinal disc pushes out and physically presses on the sciatic nerve root as it exits your spine. This responds exceptionally well to our non-surgical spinal decompression therapy. **2. Piriformis Syndrome:** The sciatic nerve runs directly under (and in some people, *through*) the deep piriformis muscle in your buttock. If this muscle becomes tight or spasms, it can “pinch” the nerve, perfectly mimicking disc-related sciatica. This is often misdiagnosed but responds rapidly to our advanced dry needling and trigger point therapy services. **3. Spinal Stenosis:** This is a narrowing of the spinal canal, often related to age-related arthritis. This narrowing can “choke” the nerve roots, causing pain in both legs, especially with walking. This is a common focus of our geriatric rehabilitation programs.

Our Diagnostic Approach to Sciatica in Bopal

At Best Physiotherapy Clinic Bopal, your first 60-minute appointment is a comprehensive diagnostic deep-dive. We don’t rely on MRIs alone, as studies show many pain-free people have disc bulges. Instead, we find the *mechanical* source of your pain through a clinical exam. We listen to your story, then perform a neurological screening (testing your reflexes, sensation, and muscle strength) and a series of specialized orthopedic tests like the “Straight Leg Raise” and “Slump Test.” These tests are designed to put gentle tension on the sciatic nerve. By assessing your pain response to these movements, we can confirm nerve involvement and identify the exact *location* of the compression. This is why our sciatica treatment physiotherapy is so precise.

We find the *mechanical cause* of your nerve pain, not just the symptom.

Diagnosis

A clinical diagnosis is more important than an MRI for effective treatment.

The 'Why'

Our Treatment Approach for Sciatica

Our non-surgical sciatica treatment in Bopal is a highly effective, multi-phase plan based on decades of clinical evidence. We don’t just use one technique; we combine them in a specific order. The goal is to first **Calm the Nerve Down**, then **Get it Moving**, and finally **Keep it Safe**. We immediately get you off of bed rest (which can make it worse) and start a specific, safe movement protocol. Our goal is not just to provide sciatic nerve pain therapy, but to deliver a long-term cure by correcting the underlying problem and giving you the tools to manage it for life.

Nerve Decompression

01

Our first step is to “create space” and take the pressure *off* the nerve. For a disc-related issue, we use specialized Mechanical Spinal Traction to gently decompress the spine. For a joint-related issue, we use hands-on Joint Mobilization to open the spinal (foraminal) space.

Nerve Mobilization

02

Once the nerve is no longer being actively “pinched,” we must get it *moving* freely. We will teach you a specific type of exercise therapy called “nerve flossing” or “neural gliding.” These are gentle, sliding movements that help the sciatic nerve glide smoothly through its tissue pathway from your spine to your foot, breaking down minor adhesions and calming its sensitivity.

Core Stabilization

03

This is the most critical step for long-term prevention. Once your pain is gone, we begin a progressive core stabilization and functional training program. We strengthen the deep abdominal and back muscles that create a “natural corset” to protect your spine, correcting the instability or weakness that led to the compression in the first place.

Why Choose Us for Sciatica Treatment in Bopal?

When you are suffering from the debilitating pain of sciatica, you need a therapist with advanced diagnostic skills. Our Bopal clinic is a leader in spinal care because our therapists are COMT-certified (Certified Orthopaedic Manual Therapists), meaning they have post-graduate training in diagnosing and treating complex spinal and nerve conditions. We have the advanced tools for any scenario: if your problem is a disc, we use Spinal Traction. If your problem is a muscle (Piriformis Syndrome), we use advanced Dry Needling for a rapid release. This ability to accurately diagnose and provide the *correct* advanced treatment is what makes our sciatica pain relief bopal program so successful and helps our patients avoid injections and surgery.
“I had shooting leg pain for 6 months and was told I needed an injection. Dr. Sagar diagnosed it as piriformis syndrome in one session. After dry needling and specific stretches, my ‘sciatica’ is completely gone. They saved me from an unnecessary procedure.”
  • Non-surgical solutions.
  • Advanced nerve pain diagnostics.
  • Dry needling for piriformis.
  • Spinal traction for discs.

Advanced Sciatica Treatment Options

Our Bopal clinic is equipped with the most advanced, evidence-based tools for treating sciatic nerve pain therapy. We can go far beyond a general exercise sheet. For our patients with discogenic sciatica, we offer state-of-the-art **Mechanical Lumbar Traction**, a computer-controlled system that provides a precise, gentle, and effective decompressive force to the lumbar spine, helping to “suck” the bulging disc material back in and away from the nerve. For patients whose sciatica is caused by deep gluteal tension (Piriformis Syndrome), we offer **Dry Needling Therapy**. This technique uses a fine needle to directly target and release the deep, knotted piriformis muscle, providing an immediate “release” of the entrapped sciatic nerve that hands-on massage simply cannot achieve.
  • Dry Needling for Piriformis
An effective way to “release” the deep glute muscle that can trap the nerve.
  • Releases deep muscle knots.
  • Provides immediate pain relief.
  • Restores muscle function.
  • Clinically proven results.

When Is Sciatica an Emergency?

It is critical to know that while 99% of sciatica is mechanical and safely treated with physiotherapy, there is a rare, serious condition called **Cauda Equina Syndrome** that is a true medical emergency. Our therapists are trained to screen for this at your first visit. These “Red Flags” mean you should go to the hospital *immediately*.

Cauda Equina

"Seek URGENT medical help if you have leg pain PLUS new loss of bowel/bladder control or numbness in your "saddle" area."

Progressive Weakness

"If your foot "drops" when you walk or your leg is getting progressively weaker, see a doctor immediately to rule out severe nerve damage."

Frequently asked question

Sciatica is caused by the compression or irritation of the sciatic nerve. The most common cause, accounting for over 90% of cases, is a **herniated or bulging lumbar disc** in your lower back that presses on the nerve root. However, it can also be caused by **Piriformis Syndrome**, where a deep buttock muscle (the piriformis) spasms and pinches the nerve as it passes through. Other less common causes include **Spinal Stenosis** (age-related narrowing of the spinal canal) or **Spondylolisthesis** (a slipped vertebra). Our Bopal physios are experts at performing a detailed assessment to determine *which* of these is the exact cause of your pain.

In the vast majority of cases, no. An MRI is not needed to start physiotherapy. We can provide an accurate mechanical diagnosis for your sciatica treatment physiotherapy with a thorough clinical examination, including neurological tests and movement analysis. In fact, research shows that MRIs have a very high rate of "false positives"—they often find disc bulges in people who have *zero pain*. We treat the *patient* and their *symptoms*, not the picture. We will only refer you for an MRI if we suspect a serious "red flag" condition or if your symptoms are severe and not improving after 4-6 weeks of our evidence-based treatment.

Your recovery timeline depends entirely on the *cause* and *severity* of your nerve compression, as well as your consistency with your home exercise program. For **acute, mild sciatica** (e.g., from a minor disc bulge or piriformis spasm), you can expect significant relief within **2-4 weeks** of starting our targeted sciatica rehabilitation treatment. For **chronic, severe sciatica** (pain lasting 3+ months or with a large herniation), the recovery will be longer, often taking **6-12 weeks** of consistent therapy. Our goal is to provide a long-term cure, not just a quick fix, by correcting the underlying mechanical problem.

No. This is an outdated and incorrect piece of advice. While you may need to rest for the first 1-2 days of an *acute* attack, prolonged bed rest (more than 48 hours) is actively harmful. It will cause your supportive core muscles to weaken, your joints to stiffen, and will *not* help the nerve heal. "Movement is medicine" is the modern, evidence-based approach. Our Bopal physios will prescribe *safe*, specific movements (like gentle nerve glides or pelvic tilts) that you can do *without* aggravating the nerve. This gentle, active recovery promotes blood flow, calms the nerve, and speeds up your healing process significantly.

Medical Disclaimer

This information is for educational purposes only and should not replace professional medical advice. Always consult with a qualified healthcare provider or your physiotherapist at Best Physiotherapy Clinic Bopal for a diagnosis and treatment plan tailored to your specific condition.

Meet the experts behind your recovery journey

Dr Sagar

Dr. Sagar Vyas

Physiotherapist
Dr Kanaiya

Dr. Kanaiya Gadhavi

Physiotherapist

Trusted by many through patient stories

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