Check if you have sciatica
If you have sciatica, your:
- back of your leg
- foot and toes
- painful – the pain may be stabbing, burning or shooting
- tingling – like pins and needles
Your symptoms may be worse when moving, sneezing or coughing.
You may also have back pain, but it's not usually as bad as the pain in your bottom, leg or foot.
You probably do not have sciatica if you only have back pain.
How you can ease the pain yourself
Sciatica usually gets better in 4 to 6 weeks, but it can sometimes last longer.
To help relieve your pain and speed up recovery:
carry on with your normal activities as much as possible
regular exercises for sciatica
start gentle exercise as soon as you can – anything that gets you moving can help
hold heat packs to the painful areas – you can buy these from pharmacies
ask your pharmacist about painkillers (paracetamol is unlikely to help and it's not clear how much NSAIDs help with sciatica)
put a small, firm cushion between your knees when sleeping on your side, or several firm pillows underneath your knees when lying on your back
do not sit or lie down for long periods – even if moving hurts, it's not harmful and can help you get better faster
do not use hot water bottles to ease the pain – you could scald yourself if your skin is numb
Treatments from a GP
If you have sciatica, a GP may:
- suggest exercises and stretches
- prescribe painkillers
They might also refer you for:
- physiotherapy – including exercise advice and techniques like massage (manual therapy)
- psychological support – to help you cope with the pain
Physiotherapy is free of charge on the NHS throughout the UK, but waiting times can be long. You can also get it privately.
If your pain is severe and treatments from a GP have not helped, they may refer you to a hospital specialist for:
- painkilling injections
- a procedure to seal off some of the nerves in your back so they stop sending pain signals
- surgery – an operation called decompression surgery can sometimes help relieve sciatica
Causes of sciatica
Sciatica happens when something presses or rubs on the sciatic nerve.
- a slipped disc (the most common cause) – when a soft cushion of tissue between the bones in your spine pushes out
- spinal stenosis – narrowing of the part of your spine where nerves pass through
- spondylolisthesis – when one of the bones in your spine slips out of position
- a back injury
Symptoms of sciatica include shooting pain that starts in your lower back or bottom and runs down the back of your leg, often to your foot and toes.
Common treatments for sciatica include exercises and stretches. Other treatments like injections or surgery may help if it does not get better.
You get sciatica when something presses or rubs on the sciatic nerve. The most common cause is a slipped disc in your spine.
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