Sciatica Treatment in Hackney
Our physio-led team in Hackney assesses the underlying cause and works with you on a treatment plan to reduce irritation and get you moving comfortably again.
- No GP referral needed
- Physio-led assessment
What is sciatica
Sciatica describes pain that travels from the lower back down through the buttock and leg, and it can range from a mild ache to sharp, limiting pain that affects walking, sitting and sleep. Most sciatica improves over several weeks with the right guidance, and NHS guidance suggests staying gently active and avoiding prolonged bed rest supports recovery for most people.
- A shooting or burning pain down one leg
- Numbness or pins and needles in the foot or calf
- Lower back stiffness that can make certain positions uncomfortable
- A disc bulge or tightness in the surrounding muscles and joints
- A sudden increase in lifting or training load
- Prolonged sitting
- General wear in the lower spine that develops over time
- Numbness around the genitals or buttocks. Seek urgent medical assessment
- New loss of bladder or bowel control. Seek urgent medical assessment
- Rapidly worsening weakness in one or both legs. Seek urgent medical assessment
How we assess it
At your first appointment we take a detailed history of when the leg pain started and what it feels like, then carry out a thorough nerve and movement assessment to identify which structures are likely involved and how irritable your nerve currently is. We explain our findings clearly, flag anything that needs onward referral, and agree a treatment plan with you based on what you need to get back to.
How we treat sciatica
Treatment is built around you and usually combines:
Reduce pain and restore movement.
Progressive exercise built around how irritable your symptoms are.
For some patients, as part of a broader pain management plan.
Bridge you from pain relief back into strength training.
Sciatica can improve gradually or fluctuate before it settles. Many people see a noticeable reduction in leg pain within a few weeks of consistent treatment, with strength and confidence building over the following months as we progress your exercise plan.
What our patients say
“I cannot recommend Joana highly enough. From my first appointment, Joana was professional, knowledgeable and genuinely invested in my recovery. She took the time to thoroughly assess my injury, explained the cause and created a tailored plan which resulted in a full recovery.”
Posted on Google“Joana is a wonderful physio! She guided me through my entire rehabilitation following ankle surgery. I started out in a wheelchair, and within just a handful of weeks, I was back to exercising thanks to her extensive hands-on treatment.”
Posted on Google“Sajj is honestly second to none! I'm a runner and work in finance so suffer from various pains from hip bursitis to neck pain due to stress and everything in between… Sajj (unlike many physios) takes a holistic approach and really reads into the root cause.”
Posted on GoogleFrequently asked questions
Can I see a physio for sciatica without a GP referral?
Will exercise make my sciatica worse?
How long does sciatica usually take to settle?
Do I need a scan before I can be treated?

Better Flow Physio
Unit 3, 430 Hackney Road, London E2 6QL
Let's get you moving again
Book an appointment online, or get in touch and we will come back to you the same working day.