Osteopathy in Central London

Types of Sciatica

Sciatica is generally classified based on its origin and the symptoms it produces. The most common types include:

Acute Sciatica

This type usually results from a temporary injury or strain. The pain is often intense but short-lived, typically lasting a few weeks. With proper treatment and rest, the symptoms resolve on their own.

Chronic Sciatica

Sciatica that lasts more than three months is considered chronic. It can result from a herniated disc, spinal stenosis, or other long-term conditions. Managing chronic sciatica often requires ongoing therapy and lifestyle changes to control symptoms.

Alternating Sciatica

This rare sciatica affects both legs, although typically not simultaneously. It can indicate an underlying issue like sacroiliac joint dysfunction.

Bilateral Sciatica

In this form, sciatica affects both legs simultaneously. Bilateral sciatica is often caused by more severe spinal issues like central disc herniation or multiple nerve compressions and requires immediate medical attention.

Which type of sciatica do I have?

The labels above describe how long symptoms last and which legs they affect, not how severe they are. Only an assessment can tell you which applies to you and what is behind it. Your osteopath can examine you and explain what they find in plain terms.

You may also want to read about the causes of sciatica or whether an osteopath can help with sciatica.

Get urgent medical help (call 999 or go to A&E) if you have numbness around your genitals or buttocks, new difficulty controlling your bladder or bowels, or weakness in both legs that is getting worse. These can be signs of a serious spinal condition and should not wait for an appointment.

Can an Osteopath Help with Sciatica

How sciatica is assessed

Sciatica is a set of symptoms rather than a condition in itself. Your osteopath will ask where the pain travels, test the strength, feeling and reflexes in your legs, and check how your back and hips move. This helps find where the nerve is being irritated and how best to treat it.

Signs you need urgent help

  • See a GP or call NHS 111 straight away if you have sciatica in both legs
  • Get urgent help if you have numbness around your bottom or genitals
  • Seek help if you have trouble controlling your bladder or bowels
  • Seek help if weakness in a leg or foot is getting worse

How we can help

Most sciatica improves with time, movement and the right care. Your osteopath will treat the areas putting pressure on the nerve and give you positions and exercises that help. If we think you need a scan or specialist, we will tell you.

Book an appointment or call 020 3305 6186.