Managing sciatica without surgery: 9 ways physical therapy may restore mobility

If you’ve ever felt the sharp, sometimes searing pain that travels from your lower back, through your buttocks and down one leg, you know the debilitating pain of sciatica. This condition happens when the sciatic nerve, the longest and thickest nerve in your body, gets pinched or irritated. Millions of Americans deal with sciatica every year, and it often leads people to consider drastic measures. 

The good news is, for most people, physical therapy (PT) is a highly effective, nonsurgical way to help manage and often resolve sciatica. PT focuses on treating the root cause of your pain, not just masking the symptoms. Your physical therapist will work with you to create a plan that fits your life, body and goals. 

9 ways physical therapy may help restore mobility

A physical therapist will guide you, helping you gently and progressively return to your normal activities. They have a toolkit of techniques aimed at decreasing pain and restoring movement, including:

• Stretching and strengthening exercises — Gentle, targeted movements can help relieve tension in the lower back and legs while strengthening the core and gluteal muscles to support better posture and stability. 
• Acupuncture — This traditional therapy can help stimulate nerves and muscles, promoting pain relief and improved circulation to the affected area. 
• Dry needling — Similar to acupuncture, dry needling releases tight muscle knots, improving mobility and reducing pain along the sciatic nerve pathway. 
• Nerve gliding exercises — These help the sciatic nerve move freely through surrounding tissue, reducing irritation and improving function.
• Joint mobilization — A physical therapist uses controlled movements to increase the range of motion in the spine and hips, helping to relieve nerve pressure.
• Soft tissue mobilization — This hands-on technique targets tight muscles and fascia to enhance flexibility, reduce inflammation and promote healing.
• Gait training — Learning new walking patterns can reduce strain on the lower back and prevent recurring sciatic pain. 
• Ergonomic techniques — A therapist may teach adjustments for your workspace or daily habits to maintain better alignment and prevent future flare-ups. 
• Electrical stimulation — Electrical stimulation uses gentle currents to relax muscles, improve blood flow and decrease nerve pain. 

Take the next step toward healing with REPAIR SI

Living with sciatica can be frustrating, but surgery isn’t your only option. Physical therapy offers effective, proven treatments focused on reducing pain and improving mobility. The dedicated team of professionals at REPAIR SI is committed to helping you understand your body and regain your mobility using these empathetic, accessible methods. If sciatica is keeping you from doing what you love, let us help you explore how physical therapy can work for you. 

Contact our team today for more information or to schedule an initial appointment.