Sciatica is a symptom, not a diagnosis. The important question isn't "is it sciatica?" — it's "what's driving it?" We assess properly, treat the cause hands-on, and give you a clear plan to get you moving again.
What you might be experiencing
The sciatic nerve is the longest nerve in the body — so when something irritates it, the symptoms can vary quite a bit. Here's what we commonly see:
What's behind it
This is one of the most important things to understand. "Sciatica" describes the pain — it doesn't tell you what's causing it. Getting the cause right is what determines whether treatment works. Common causes we see include:
Sometimes it's one clear cause. Sometimes it's a combination. That's why guessing doesn't help — assessing properly does. Sciatica symptoms are often connected to underlying back pain, and in active people can also be linked to sports injuries and movement pattern issues.
How we work
Your first appointment covers both assessment and treatment. You won't spend the whole session being asked questions and sent home to wait.
Not just where it hurts — we look at how your spine, hips and nervous system are functioning to work out what's actually driving the symptoms.
Where clinically appropriate, we start hands-on treatment in the same session. This may include chiropractic adjustments, soft tissue work around the lower back and glutes, and movement-based rehab.
The aim isn't just short-term relief — it's getting you back to normal movement without symptoms constantly returning. As things improve, appointments space out and we give you the tools to manage long term.
I'd been suffering with low back pain for years and thanks to Michelle am now able to get on with my life.
Verified Google Review · Right Track Chiropractic
What to expect
We're straightforward about timelines. Sciatica varies quite a bit depending on what's causing it and how long it's been there — but here's a general picture:
Most patients notice some reduction in acute symptoms and improved understanding of what's going on. Some notice more significant relief early on — it depends on the cause.
Leg symptoms typically reduce before back symptoms fully settle. We adjust the plan as you respond and keep you informed throughout.
As symptoms resolve, appointments space out. We'll give you a self-management plan and let you know honestly when you no longer need us.
Results vary significantly depending on the cause and duration of symptoms. We'll give you an honest, specific picture at your first appointment.
When to act
Sciatica that's left untreated often becomes harder to shift. The longer the nerve has been irritated, the longer recovery can take. Get it assessed if:
Seek urgent medical attention if you experience loss of bladder or bowel control alongside your symptoms — this is rare but requires immediate assessment.
Right Track Chiropractic · Paddington · West London
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Chiropractor in West London helping with back pain, neck pain, sciatica, disc problems, headaches, and sports injuries.
Clear answers. Hands-on treatment. Long-term results.
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