Preventing sciatica

Why prevention matters

For many people, sciatica can flare up suddenly and make daily life activities difficult. While the pain often improves naturally, small everyday choices can make a big difference in how often symptoms return. Staying active, building strength in your back and hips, and learning how to manage daily loads all help protect your spine and nerves over time.

Preventive care matters because sciatica isn’t just about pain—it affects how you move, work, and rest. Regular movement, good posture, and early attention to warning signs can reduce irritation on the nerve root and help you stay confident and mobile1 2. Research shows that healthy habits and guided exercise can lower the risk of recurrence, especially when combined with stress management and quality sleep3.

Managing sciatica: what can trigger flare-ups?

Flare-ups can happen when pressure or inflammation increases around the nerve root. Common triggers include:

  • Prolonged sitting or slouched posture, especially at work or while driving4
  • Sudden overexertion such as heavy lifting, twisting, or intense workouts after a break5
  • Lack of movement or long periods of inactivity, which can stiffen joints and weaken support muscles6
  • Stress and poor sleep, which can heighten pain sensitivity and slow recovery7
  • Whole-body vibration, often from driving or operating machinery for long periods8

Learning to notice these triggers early helps prevent small irritations from turning into full flare-ups.

Habits that help prevent flare-ups

  1. Take regular movement breaks. Stand, stretch, or walk every 30–45 minutes if you sit for work. Even brief changes in position can reduce nerve pressure and stiffness9.
  2. Strengthen your core and hips. Gentle exercises that build back and hip strength support your spine and reduce strain on the discs and nerves2 10.
  3. Lift and bend mindfully. Keep loads close to your body, hinge at your hips, and avoid twisting. Using both legs and planning movements helps protect your back11.
  4. Stay active—don’t fear movement. Light, regular exercise such as walking or swimming promotes healing and prevents deconditioning. Resting too long can actually slow recovery12.
  5. Prioritize good sleep and stress care Chronic stress and fatigue can amplify pain signals. Breathing exercises, mindfulness, or short relaxation breaks can make a difference7 13.
  6. Watch for early warning signs If you feel new leg tingling, burning, or numbness after activity, scale back and use gentle mobility work. Early attention helps you recover faster14.

How Sword supports ongoing strength and mobility

Move is a guided movement program designed to help you stay active by building strength, improving mobility, and supporting stable movement patterns over time. It’s often used after recovery from a flare-up to help maintain progress and support long-term movement health.

Sword offers movement support that fits into daily life, helping you continue building strength and mobility over time. Programs are guided by expert insight and supported by technology designed to help you stay consistent.

  • Focus on strength, mobility, and stability
  • Designed to support movement between flare-ups
  • Guided programs you can follow on your schedule
  • Non-invasive, evidence-informed approach
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Footnotes

1

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

2

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

3

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

4

van Rijn RM, et al. Occupational Risk Factors for Sciatica: Systematic Review. Nature Sci Rep. 2019.

5

Shiri R, et al. Obesity as a Risk Factor for Sciatica: Meta-analysis. Am J Epidemiol. 2014;179(8):929–937.

6

Springer. Systematic Review of Sciatica Recovery Patterns. 2023.

7

JOSPT CPG & NICE 2025 recommendations on psychosocial factors and recovery.

8

van Rijn RM, et al. Whole-body vibration and sciatica risk. Springer, 2019.

9

Cochrane Review. Exercise for Low Back Pain and Sciatica. Cochrane Database Syst Rev. 2020.

10

Kilpikoski S, et al. McKenzie Method vs Guideline-Based Advice for Sciatica. Clin Rehabil. 2024.

11

Amundsen R, et al. ACR Appropriateness Criteria: Low Back Pain. 2023.

12

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

13

Jordan JL, et al. Interventions to Improve Adherence to Exercise for Chronic Pain. Cochrane Database Syst Rev. 2010.

14

JOSPT CPG, 2021. Early recognition and self-management for radicular pain.

15

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

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