Physical therapy
for sciatica

Does physical therapy help sciatica?

Yes. Physical therapy is one of the most effective, evidence-based treatments for sciatica — also known as lumbar radicular pain or radiculopathy. It helps by restoring movement, increasing stability and strength,easing nerve irritation, and teaching the body how to move in ways that reduce pressure on the affected nerve root.

Physical therapy improves:

  • Strength and control of your core and hips to support the spine
  • Mobility and flexibility to reduce stiffness and nerve tension
  • Pain regulation, helping calm inflamed or sensitive nerve roots

Clinical guidelines recommend physical therapy as a first-line treatment for most people with sciatica. Unlike passive treatments such as rest or pain medications, physical therapy builds long-term resilience through active recovery.

Research shows that structured exercise and education programs lead to meaningful reductions in pain and disability for sciatica1 2.

Goals of physical therapy for sciatica

Your physical therapist focuses on helping you return to normal life — increasing movement confidence, restoring function, sitting comfortably, walking longer, sleeping better, and working without flare-ups. Goals typically include:

  • Short-term: ease leg pain, improve flexibility, reduce inflammation
  • Medium-term: restore strength and nerve mobility, improve posture and movement habits
  • Long-term: prevent recurrence and help you feel confident in daily activity

Every program is individualized. The right pace, exercises, and duration depend on your starting point, symptom irritability, and progress.

What results can I expect with physical therapy?

Many people notice improvement within 4–6 weeks, and most recover within 12 weeks of consistent, active care3. Physical therapy can:

  • Decrease leg and back pain
  • Improve movement and activity tolerance
  • Reduce fear and frustration associated with flare-ups
  • Improve sleep, work ability, and overall quality of life

Recovery times vary. Some people feel rapid improvement as inflammation settles, while others progress more gradually depending on nerve healing and lifestyle factors3 4.

Sword's approach

Sword Health helps people manage pain and movement issues with expert-guided AI care you can use from home. Our model combines clinical support with modern technology, designed to work around your life.

Sword makes recovery easier and more accessible. You get high-quality care at home, guided by clinicians and supported by smart technology.

  • Care that adapts to your progress in real time
  • Licensed experts guiding every step
  • Simple, non-invasive, evidence-based programs
  • Proven results for pain relief, movement, and satisfaction
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Footnotes

1

Kilpikoski S, et al. The McKenzie Method vs Guideline-Based Advice in the Treatment of Sciatica. Clin Rehabil. 2024.

2

JOSPT Clinical Practice Guideline. Interventions for Acute and Chronic Low Back Pain. J Orthop Sports Phys Ther. 2021;51(11):CPG1–CPG60.

3

Springer. Systematic Review of Sciatica Recovery Patterns. 2023.

4

Peul WC, et al. Surgery vs Prolonged Conservative Treatment for Sciatica. N Engl J Med. 2007;356:2245–2256.

5

Cui D, et al. Randomized-Controlled Trial: Digital Care Program vs Conventional Physiotherapy for Chronic Low Back Pain. NPJ Digit Med. 2023;6:121.

6

Jiang H, et al. Incidence of Spontaneous Resorption of Lumbar Disc Herniation: Meta-analysis. Pain Physician. 2017;20:E45–E52.

7

Brinjikji W, et al. Imaging Features of Spinal Degeneration in Asymptomatic Populations. AJNR Am J Neuroradiol. 2015;36(4):811–816.

8

NICE. NG59: Low Back Pain and Sciatica in Over 16s: Assessment and Management. 2025.

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