
When sciatica flares, it can take over the day. The pain runs along the sciatic nerve, usually from the lower back or buttock down the leg. Our chiropractors and physiotherapists treat it together at our Isleworth clinic, for people across Osterley and West London.
Same day or next day appointments are often available, and we open six days a week, including evenings and weekends. We are rated 5.0 from 100 reviews and trusted by more than 1,000 patients.
Sciatica is leg pain caused by irritation or compression of the sciatic nerve. The nerve runs from the lower back through the hips and buttocks and down each leg, so the pain can show up anywhere along that route.
It is often sharp, shooting or burning. You might also feel numbness or tingling in the buttock, leg or foot, or notice weakness in the leg. Long periods of sitting, coughing and sneezing can make it worse, and standing or walking may become difficult.
Because the pain travels, it differs from general back pain, which tends to stay in the back. Sciatica is a symptom, and the cause matters. A herniated or bulging disc is one possibility. Others include spinal stenosis, degenerative disc disease, piriformis syndrome, pregnancy related changes and injury to the lower spine. You can read more on our sciatica page.
NICE guideline NG59 says manual therapy such as spinal manipulation, mobilisation or massage should only be offered for low back pain and sciatica as part of a package that includes exercise. We take that seriously. Hands on treatment settles the nerve, and exercise helps keep it settled.
Your plan may include chiropractic adjustments to reduce nerve pressure and restore movement, physiotherapy for stretching, strengthening and mobilisation, and nerve gliding. We also coach you on posture and on pacing your movement, so you stay active without flaring things up.
Follow up sessions take 15 to 30 minutes with one practitioner giving you their full attention. Our custom PhysiTrack app lets you message your practitioner, follow your exercises and track progress at home.
Sciatica rarely behaves the same way in two people. One needs more joint work, another more rehab, and many need both at different stages. Seeing a chiropractor and physiotherapist in one clinic means your plan can change without you changing practice.
Khalil Hussein, our clinic director, is dual qualified as a physiotherapist and chiropractor and specialises in chronic pain and injury rehabilitation. Malaika Hussain is a chiropractor with a focus on women’s health. Our practitioners are registered with the General Chiropractic Council (GCC) and the Health and Care Professions Council (HCPC).
Sciatica tends to catch you in ordinary moments, like sitting at a desk, driving, getting out of a chair or turning over in bed. Since long spells of sitting can aggravate it, the way you move through your day matters as much as what happens in the treatment room.
That is why we pair hands on care with posture and ergonomic guidance for work, home and daily activities. The aim is that you leave knowing what to change, not just feeling better for an afternoon.
Pregnancy related changes can bring on sciatica. We specialise in pregnancy and postpartum care, combining chiropractic care with rehab exercise. Tell us you are pregnant when you book, and we will plan your visit accordingly.
The first visit is a 60 minute initial consultation.
We treat you on day one if you are happy to, so you never leave with just a diagnosis. Later visits are shorter and focus on progress.
Most sciatica is painful but not dangerous. A few symptoms need urgent medical attention instead of a clinic appointment.
The NHS advises calling 999 or going to A&E if you have back or leg pain with changes in bladder or bowel control, loss of feeling around the genitals or anus, numbness, tingling or burning in both legs or feet, or new weakness in the legs or feet. It advises an urgent GP appointment or a call to NHS 111 if you feel hot, shivery or generally unwell, or if severe pain starts suddenly or gets worse quickly.
If any of that sounds like you, don’t wait for an appointment with us.
Our clinic is at 14B St John’s Road, Isleworth, London TW7 6NN. You can get directions from your postcode or call +44 20 3137 7198.
We open six days a week with evening and weekend appointments, and we accept insurance. Ask the team about your provider when you book. You can see what patients say on our patient reviews page, or browse our other services across Osterley.
Q. Can a chiropractor help with sciatica?
Yes, and it is one of the conditions we see most often. Chiropractic care aims to ease pressure on the irritated nerve, and we combine it with physiotherapy exercise to support lasting improvement.
Q. Do I need a chiropractor or a physiotherapist?
Either can help, and your assessment decides the approach. With both in our clinic, many people get a mix of hands on treatment and exercise.
Q. How long does sciatica take to clear up?
NHS advice is that it usually gets better in 4 to 6 weeks, though it can last longer. At your first appointment you will get an estimated recovery time for your own case.
Q. Do I need a GP referral?
In most cases you can book with us directly, online or by phone. If you plan to claim on private medical insurance, check your provider’s requirements first, as some have their own rules.
Q. Is treatment painful?
We explain what we plan to do before we do it, and adapt treatment to your assessment. Some people feel mild soreness for a day or so after hands on work, which usually settles. If anything worries you during a session, tell us and we will change course.
Ready to get on top of the leg pain? Book your 60 minute initial consultation online or call +44 20 3137 7198. Same day and next day slots are often available.
Don’t wait to feel better. Book your consultation now and let us help you move freely and live pain free.
Phone: +44 20 3137 7198
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