What does “sciatica” mean?
Sciatica describes symptoms associated with irritation or compression of the sciatic nerve or its nerve roots. It commonly affects the buttock and one leg, sometimes reaching the foot, with pain, tingling or numbness. Weakness can also occur. Not all leg pain is sciatica: assessment helps distinguish it from other causes.
What we assess
- The symptom pattern: where pain starts, where it travels and how it changes.
- Nerve function: relevant strength, sensation, reflexes and movement tests.
- Changes over time: new weakness, spreading numbness or difficulties walking.
- The effect on your life: sitting, sleep, work, driving and activity.
Tell Dr Shahar about any bladder or bowel changes before a routine assessment. Some combinations of symptoms need immediate hospital care.
What care may involve
Options depend on the cause, examination and severity. Management may include explanation, tailored exercise, activity advice and, where appropriate, manual care as part of an active treatment plan. Persistent, worsening or significant nerve symptoms may require medical or specialist input.
A booking is an opportunity to assess suitability, not a commitment to a treatment course. We will discuss options and the need for referral in the context of your findings.
How chiropractic care may help
When the examination supports conservative care, the plan can focus on comfortable movement, graded activity and rebuilding function. Dr Shahar considers spinal and hip movement, positions that affect leg symptoms and relevant nerve findings. Suitable manual care may be included alongside exercise.
Changes to sitting, lifting or activity can help manage symptoms while capacity is rebuilt. Improvement does not prove that an adjustment has moved a disc back into place or removed nerve compression. New or worsening weakness and other significant nerve changes need prompt medical assessment.
Moving forward at a suitable pace
Many episodes improve over weeks to months, although some persist or recur. Staying active as tolerated is generally encouraged. Ask for individual advice if movement increases leg symptoms, rather than forcing a stretch or following a generic exercise programme.
Your questions.
Does sciatica always mean a disc problem?
No. Several problems can irritate a nerve, and some leg pain has a different source. Your history and examination guide whether further investigation is needed.
Will I need an MRI?
Not everyone needs imaging. It may be appropriate when findings suggest a serious cause, important nerve involvement or when the result would change the treatment plan. Bring any existing imaging reports.
Can I use a DVA referral or GP care plan?
Eligible DVA and GP care-plan patients are welcome, with no out-of-pocket fee for covered visits. A valid referral and available funded visits are required. See the funding information.
References & further reading
- Healthdirect Australia — Sciatica
- NHS — Sciatica
- NICE NG59 — Low back pain and sciatica: assessment and management
- NICE NG127 — Recognition and referral of suspected neurological conditions
General information. Suitability for care follows individual assessment. Read the health information disclaimer. Information updated 6 November 2026.
