Back2Health spine clinic logospinaldecompression.inA Back2Health spine speciality centre

Lumbar · Non-surgical treatment in Delhi NCR

Sciatica

Also called: Lumbar radiculopathy · Nerve root pain · Leg pain from the back

Sciatica is a symptom, not a diagnosis. The entire clinical value lies in identifying which structure is compressing the nerve — and treating that, not the leg.

Quick answer

How is Sciatica treated?

Sciatica is pain travelling along the sciatic nerve from the lower back into the buttock and leg, almost always caused by a disc herniation, stenosis or piriformis compression rather than by the nerve itself. Back2Health treats sciatica by removing the source of compression with spinal decompression and chiropractic correction, calming the nerve with Class 4 laser, and then restoring nerve glide and hip strength.

Symptoms patients describe

  • Burning or electric pain from the buttock down the back of the leg
  • Pain worse on sitting, driving or standing from a chair
  • Numbness or tingling in the calf, ankle or specific toes
  • Cramping and heaviness in the leg after short walks
  • Difficulty finding a comfortable sleeping position

Why it happens

  • L4-L5 or L5-S1 disc herniation compressing the nerve root
  • Lateral recess or foraminal stenosis narrowing the nerve exit
  • Piriformis syndrome — deep gluteal muscle irritating the nerve
  • Spondylolisthesis shifting one vertebra over another
  • Sacroiliac joint dysfunction referring pain down the leg

Assessment

How we confirm the diagnosis before touching your spine.

No two patients with the same MRI need the same plan. This is the examination sequence used at the first visit.

  1. 01Straight leg raise, slump and Braggard's tests to confirm nerve tension
  2. 02Dermatome and myotome mapping to identify the exact level
  3. 03Piriformis and SI joint provocation tests to rule in or out non-disc causes
  4. 04Gait and single-leg stance assessment
  5. 05MRI correlation where symptoms and examination disagree

Treatment protocol

How Back2Health treats sciatica.

Phased, measured and time-bound. Your exact schedule is set after the first assessment.

Phase 1 — Take pressure off the nerve

Weeks 1–2

Spinal decompression targeted to the involved level and side, laser over the root and along the nerve tract, plus positional relief coaching for sleep and driving.

Phase 2 — Centralise

Weeks 3–5

Adjustments and soft-tissue work to the lumbar spine, SI joint and piriformis; neural glide exercises so the nerve moves freely inside its sheath again.

Phase 3 — Reload

Weeks 6–8

Glute and core strengthening, hip mobility and return to running, gym or long-haul travel without flare-ups.

Realistic outlook

Most sciatica patients report the leg pain retreating towards the back (centralisation) within the first 5–8 sessions — the strongest predictor of a good outcome.

When not to wait

  • Numbness around the groin or genitals, or loss of bladder control
  • Both legs affected simultaneously with weakness
  • Progressive foot drop

Answers

Sciatica: common questions.

How long does sciatica take to heal?+

Acute sciatica often settles in 4–6 weeks with correct care; long-standing sciatica with a large disc herniation may need 8–12 weeks of structured decompression and rehab.

Should I rest or move with sciatica?+

Movement wins. Extended bed rest weakens the stabilisers and dehydrates the disc. We prescribe specific, tolerable movement from day one.

Book an assessment

Get your sciatica properly diagnosed.

Bring your MRI or X-ray. You'll leave the first consultation knowing exactly what is wrong, whether decompression is right for you, and how many sessions it should take.

Related lumbar conditions