Big Ideas, Real Impact.

Sciatica Support

When leg pain, nerve symptoms, or recurring back issues don’t fully settle

You might be here because…

You’ve been told it’s sciatica.
Or something “disc-related.”

You might be experiencing:

• pain travelling into your leg or foot

• tingling, numbness, or burning

• symptoms that come and go — or never fully settle

• flare-ups that seem to happen for no clear reason

You may have tried rest, stretches, treatment, or exercises…
and while things help a little, they don’t fully resolve.

When sciatica doesn’t go away, it’s rarely just the nerve

Sciatic-type pain is often explained as
“a nerve being trapped or compressed.”

And sometimes that’s part of the picture.

But when symptoms:

• keep returning

• move around

• don’t match scans

• or don’t improve in a straightforward way

…it’s usually more complex than that.

Your nervous system, movement habits, sensitivity, and past experiences
all influence how these symptoms behave.

That’s why focusing on just one structure
doesn’t always lead to lasting change.

What is sciatica?

Sciatica is a term used to describe pain that travels along the sciatic nerve —
usually from the lower back into the buttock, leg, or sometimes the foot.

It can feel like:

• a deep ache

• sharp or shooting pain

• tingling or pins and needles

• numbness

It’s often linked to irritation or sensitivity around the nerve,
sometimes associated with changes in the lower back, such as discs.

But it’s not always as simple as that.

Many people have changes on scans and no pain at all,
while others experience significant symptoms without anything clearly showing.

Which tells us something important:

Sciatica isn’t always a straightforward
“compression equals pain” situation.

What causes sciatica?

There isn’t always one single cause.

Sometimes symptoms begin after something obvious —
lifting, bending, or a flare-up of back pain.

But often, it’s more gradual or unpredictable.

In practice, sciatica is usually influenced by a combination of factors:

• sensitivity within the nervous system

• how the body has adapted around pain

• movement patterns and protective tension

• how long the symptoms have been present

This is why two people with similar findings can have very different experiences.

And why focusing on just one structure
doesn’t always resolve the problem.

A different way to approach it

Rather than trying to “fix” one part of the body,
we look at how your whole system is responding.

This includes:

• how your body has adapted

• where tension or holding may be contributing

• how you’re moving and loading day to day

• what might be driving flare-ups

From there, we work to gently:

• reduce sensitivity in the system

• improve how you move and load your body

• rebuild confidence in movement

• help you understand what’s happening, so it feels less unpredictable

What support might include

Your care is always individual, but may involve:

• clear, personalised explanation of your symptoms

• movement and rehabilitation tailored to you

• Clinical Somatics to improve awareness and reduce habitual tension

• hands-on support where helpful — not as the main solution

• guidance for managing flare-ups with more confidence

This isn’t about quick fixes.
It’s about helping things change in a way that actually lasts.

When this approach is helpful

This tends to suit people who:

• have ongoing or recurring sciatica

• feel stuck despite doing “all the right things”

• are unsure what’s safe to do

• want to understand their body, not just treat symptoms

• are ready to take an active role in recovery

When should you seek medical help?

Most cases of sciatica, while painful and frustrating, are not serious and can improve with the right support.

However, you should seek urgent medical advice if you experience:

• significant or worsening weakness in the leg or foot

• loss of sensation around the inner thighs or saddle area

• changes in bladder or bowel control

• severe, unrelenting pain that is not easing at all

These symptoms are rare, but they do need prompt assessment.

If you’re unsure, it’s always appropriate to check with your GP or contact NHS 111.

Start here

If you’re not sure where to begin, that’s completely normal.

You can:
→ Book a free discovery call to talk things through
→ Or start with The Tightly Wound Body guide to better understand what might be going on