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Sciatica Treatment in West Wickham

Sciatica

Understand the cause of your nerve pain and take clear steps towards recovery.

Sciatica refers to pain that travels along the sciatic nerve, usually from the lower back through the buttock and down into the leg. It can feel sharp, burning, or tingling, and may be accompanied by numbness or weakness.

At West Wickham Chiropractic, we assess sciatica carefully to understand what may be irritating the nerve and how best to manage it safely and effectively.

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What Causes Sciatica?

Sciatica is not a diagnosis on its own, but a description of nerve-related symptoms.
It is commonly linked to:

  • Irritation or compression of a nerve in the lower back
  • Disc-related changes in the spine
  • Joint or movement dysfunction
  • Muscle tension affecting surrounding structures

It is often associated with low back pain, although some people experience leg symptoms more than back pain.

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Symptoms of Sciatica

Sciatica can present differently depending on the individual and the underlying cause.

Common symptoms include:

  • Pain radiating from the lower back into the leg
  • Tingling or pins and needles
  • Numbness in part of the leg or foot
  • Weakness when standing or walking
  • Discomfort when sitting for long periods

Symptoms may vary in intensity and can come and go or persist over time.

How We Assess Sciatica

A proper assessment is important to understand what may be contributing to your symptoms.

During your appointment, we will:

  • Discuss your symptoms and medical history
  • Assess your movement, strength, and nerve function
  • Identify patterns that may be affecting the nerve
  • Consider whether further investigation is needed

Where appropriate, Diagnostic Ultrasound may be used to assess surrounding soft tissue structures, although not all cases require imaging.

If your presentation suggests a need for medical referral, we will guide you appropriately.

Treatment Options

Treatment is tailored to your individual presentation and may include:

  • Chiropractic care to improve movement and reduce irritation
  • Exercise rehabilitation to support strength and control
  • Advice on posture, sitting, and daily activities
  • Gradual return to movement and activity

In some cases, additional options such as shockwave therapy may be considered where soft tissue involvement is relevant.

The aim is to reduce irritation to the nerve and help you regain normal, confident movement.

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What to Expect

Initial Appointment

We take time to understand your symptoms and explain what may be happening in a clear, straightforward way.

You will leave with:

  • A better understanding of your condition
  • Clear guidance on next steps
  • Advice on what to do and what to avoid

Ongoing Care

If treatment is appropriate, we create a structured plan that progresses as your symptoms improve.

This may include hands-on care, exercise, and ongoing advice.

Your Role in Recovery

Consistency matters. Following guidance and gradually returning to activity plays an important role in recovery.

When to Seek Urgent Advice

While most cases of sciatica can be managed conservatively, you should seek urgent medical attention if you experience:

  • Significant weakness in the leg
  • Loss of sensation in the saddle area
  • Changes in bladder or bowel control
  • Severe or rapidly worsening symptoms

If needed, we will direct you to the appropriate healthcare pathway.

Our Approach

We combine clinical assessment with practical, evidence-informed care.

You can learn more about our clinicians on the Meet The Team page and read more about the clinic on our About Us page.

We focus on:

  • Understanding your specific presentation
  • Providing clear, realistic guidance
  • Supporting long term improvement, not just short-term relief

Patient Feedback

Visit Our West Wickham Clinic

Our clinic is based at 11 Beckenham Road in West Wickham, providing a professional and welcoming environment for assessment and treatment.

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Frequently Asked Questions

What is sciatica?
Sciatica refers to nerve-related pain that travels from the lower back into the leg, usually due to irritation of the sciatic nerve.
What is sciatica?
Sciatica refers to nerve-related pain that travels from the lower back into the leg, usually due to irritation of the sciatic nerve.
How long does sciatica last?
This varies. Some cases improve within a few weeks, while others may take longer depending on the underlying cause.
Is sciatica serious?
Most cases are not serious, but some symptoms require urgent assessment, particularly if there is weakness or changes in bladder or bowel function.
Should I rest with sciatica?
Prolonged rest is usually not recommended. Gentle, guided movement is often more helpful.
Can exercise help sciatica?
Yes, when tailored appropriately. Exercise rehabilitation focuses on improving strength, control, and movement.
Do I need a scan for sciatica?
Not always. Many cases can be assessed clinically. Imaging is used when it adds useful information.
Can sciatica come back?
It can, particularly if underlying factors are not addressed. Part of care focuses on reducing recurrence.
Is treatment painful?
Most treatments are adapted to your comfort level and are generally well tolerated.
Can I still work with sciatica?
Often yes, with some modifications. We provide guidance based on your situation.
Do I need a referral?
No, you can contact the clinic directly to arrange an appointment.

Book Your Appointment

If you would like your symptoms assessed, you can contact us or book your appointment online.
You can also view appointment options and fees on our Pricing page.

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