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Nerve pain

Sciatica physiotherapy

Sciatica is leg pain from an irritated nerve in the lower back, and most cases improve over weeks to months. Physio helps you keep moving and recover with confidence.

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Understanding the condition

Sciatica is pain that travels from the lower back or buttock down the leg, sometimes to the foot, often with numbness, tingling or weakness.1 It happens when the sciatic nerve or one of its roots is irritated, inflamed or under pressure (lumbar radicular pain), most commonly from a bulging or herniated disc.2 It usually affects one side and may flare with coughing, sneezing, bending or twisting.1 Most cases improve within weeks to months, although some last a year or longer.2

Physiotherapy focuses on keeping you moving. The Australian Low Back Pain Clinical Care Standard advises staying active and returning to usual activities, including work, as soon as feasible.3 Imaging is not routinely needed: leg pain from a nerve root is not considered serious pathology unless there is severe or progressive neurological loss, and scans are used only if they will change management.3 Opioids are for carefully selected people, at the lowest dose for the shortest time.3

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Sciatica physiotherapy

What to look out for, and how we help

Symptoms are a guide, not a diagnosis. Your GP confirms the diagnosis; our team helps you manage it day to day.

What you might notice

  • Pain that radiates from the lower back or buttock down the leg, sometimes to the knee or foot
  • Usually one side only, often with some lower back pain
  • Numbness, pins and needles or weakness in the leg or foot
  • Pain that worsens with coughing, sneezing, bending or twisting
  • Symptoms that settle gradually over weeks, though some people have them for longer
  • Go to an emergency department or call 000 for new trouble controlling your bladder or bowels (including being unable to pass urine), reduced feeling around the genitals, anus or saddle area, or weakness in both feet or legs that keeps getting worse (possible cauda equina syndrome), and see your doctor promptly for severe pain at night, fever, unexplained weight loss or a history of cancer

How our team helps

  • Assessment and diagnosis: a full back and nerve assessment, red flag screening, and referral for imaging or a specialist opinion only when it is likely to change your care
  • Hands-on therapy: manual techniques to ease back and buttock tension and stiffness, used alongside exercise, not on its own
  • Individual exercise programs: graded walking, mobility and strengthening that you can progress as your leg pain settles
  • Hydrotherapy: low-impact water exercise when land-based exercise is too painful
  • Return to work planning: staged duties and practical advice for sitting, lifting and driving
  • Reports and coordination: reports for GPs, insurers and WorkCover WA, and liaison with your pharmacist or exercise physiologist

Your PDC care team

The teams and services that most often support people with this condition. They work from one shared plan, and one GP referral reaches all of them.

Allied health teams

Physiotherapy
Physiotherapy
Allied health team
Physiotherapy
Musculoskeletal treatment and rehabilitation to help you move better and manage pain.
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Related services

Related conditions

Terms explained

Plain English explanations for this condition are being added.
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Sources and clinical review

Our care follows the ACSQHC Low Back Pain Clinical Care Standard (2022), which covers low back pain with or without leg pain, and current Australian physiotherapy guidance.

  1. Healthdirect Australia. Sciatica symptoms [Internet]. Healthdirect Australia; 2024 Dec [cited 2026 Oct 4].
  2. Healthdirect Australia. Sciatica [Internet]. Healthdirect Australia; 2024 Dec [cited 2026 Oct 4].
  3. Australian Commission on Safety and Quality in Health Care. Low Back Pain Clinical Care Standard. Sydney: ACSQHC; 2022.
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Common questions

How long does sciatica last?
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Most sciatica improves over weeks to months, though some people have symptoms for a year or longer. See your doctor if symptoms last beyond four weeks despite treatment, and sooner if they are severe or getting worse.

Should I rest or keep moving with sciatica?
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Guidelines advise staying active and returning to usual activity, including work, as soon as feasible. Walking and swimming are commonly suggested, while high-impact activity such as running is best avoided until symptoms settle. Your physio will help you find a comfortable starting level.

Do I need an MRI or scan for sciatica?
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Usually not early on. The Australian Low Back Pain Clinical Care Standard says imaging should be used only if it will change management, such as when serious pathology is suspected. Your physio will tell you if a scan or specialist review is warranted.

What are the emergency warning signs with sciatica?
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Go to an emergency department or call 000 for new trouble controlling your bladder or bowels (including being unable to pass urine), reduced feeling around the genitals, anus or saddle area, or weakness in both feet or legs that keeps getting worse. These can be signs of cauda equina syndrome and need emergency assessment.

Do I need a referral for sciatica physio in Perth?
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No referral is needed for private appointments. With a GP Chronic Condition Management Plan, Medicare rebates apply to up to five eligible allied health services a calendar year. Work-related back injuries may be covered by workers compensation (WorkCover WA), and private health extras or DVA may also contribute.

Not sure where to start?

Tell us what is going on and we will point you to the right discipline, or to more than one. Most people start with a single appointment and leave with a plan the rest of the team can see.

Or go straight to a service

Phone (08) 6110 0570 · Medicare, NDIS, DVA and private options across our services

For GPs and health professionals

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