The Today Show features a Virginia Spine Institute patient who speaks out about her inspiring journey to overcome her spinal condition! Click to watch.

Insights To Help Get You Back To Your Life.

About The Author

Share This Post

How Physical Therapy Can Jumpstart Your Sciatica Treatment

Authored by Larry Grine. November 20, 2020

As an interdisciplinary spine-specialized practice, we are fortunate to be able to offer our patients in-house nonsurgicalcare to often begin their treatment. One of the most effective nonsurgical methods is spine-specialized physical therapy. As the only spine-specialized physical therapy practice in the metro-Dc area, we not only serve our own patients but also care for patients coming from other orthopedic doctors as well. 

With approximately 40% of the population deals with symptoms of sciatica every day; that’s over 130 million people in the United States alone, and we are almost always treating many patients suffering with this debilitating condition. Recent research has shown the best first treatment to treat Sciatica is–you guessed it — Physical Therapy. The earlier you start physical therapy, the better results, and the faster you can get back to your life. Typically, your surgeon will recommend physical therapy as part of treatment, but be sure to seek a diagnosis from your surgeon before heading straight to PT.

Sciatica, also known as lumbar radiculopathy, has symptoms of pain, tingling, numbness, or weakness traveling down the sciatic nerve from the lower back into the buttocks/hip, and radiates down the back of the leg. In a recent study by author Julie Fritz in the Annals of Internal Medicine, she looked at 220 patients, ages 18 to 60, who suffered sciatica pain for an average of one month and less than three months. Half were assigned physical therapy and the other half to a wait-and-see approach with a general education pamphlet and a suggestion on staying active. The early physical therapy group performed four weeks of physical therapy, including therapeutic exercise, manual therapy, and an individualized home exercise program.

Physical therapy heals.

When surveyed with a standard questionnaire on difficulties with daily activities such as walking, sitting, and lifting objects, both groups showed improvement. However, the physical therapy group showed a significantly greater improvement than the non-physical therapy group. One year later, 45% of the early PT group stated they felt ‘a great deal better’ whereas the comparison group was just under 28%. Physical therapy heals.

Dr. Salvador Portugal, a physical medicine and rehabilitation specialist at NYU Langone Orthopedic Center in New York City, said it best when he said, “Low back pain is complicated. Even when the source can be traced to Sciatica, there can be different “pain generators” for different people.” Sciatica is often caused by:

There is no one-size-fits-all therapy for sciatica.

Julie Fritz’s article demonstrates that early physical therapy is a key factor in many individuals getting faster results and better functional improvement. The study suggests a potential benefit of early PT is that it requires less effort to gain a benefit. With current research, we also know movement is better than rest. There is no one-size-fits-all therapy for sciatica. We also know targeted therapeutic exercise and specialized manual therapy in combination together will provide a more optimal outcome for most patients.  

Physical Therapy and Exercises Techniques for Treating Sciatica:

Sciatica and low back pain can be challenging to treat, which is why it’s beneficial to carefully select a spine-specialized physical therapist. The physical therapists at Virginia Therapy and Fitness Center have the skill set to perform a comprehensive evaluation and determine the patient’s Sciatica pain generator. Additionally, the VTFC PTs have the treatment skills to provide targeted therapeutic exercises and specific manual therapy techniques to specifically treat each patient’s unique issues. The ability to treat patients specifically to their needs will provide a superior and optimal functional outcome to improve the lives of their patients. If you are believe you are one of the millions of Americans suffering from sciatica pain, schedule an initial consultation with a spine surgeon to get properly diagnosed. If you are have been diagnosed with sciatica, schedule a consultation with VTFC

Reviewed by: Larry Grine.

Reviewed by: Larry Grine.

About The Author

Larry Grine, Physical Therapist

Share This Post

Other videos on this topic

Hear Why Patients Chose Virginia Spine Institute to Get Their Life Back

The Today Show Features Patient Who Found Relief to Chronic Pain at Virginia Spine Institute

As Seen on ABC News: Virginia Spine Institute Among 1st in the World to Perform Augmented Reality Surgery

Overcoming Back Pain: New Patient Process

Tips to Alleviate Back Pain While Working from Home

Low Back and SI Joint Pain Relief Series with Physical Therapist, Casey & Physician Assistant, Catherine!

Cardio/Core Challenge with Physical Therapist, Casey & Physician Assistant, Eileen!

The Risks of Waiting to Get Spine Treatment

As Seen on WUSA9: How to properly set up an at-home work station to avoid back pain

Common Reasons to Visit a Spine Surgeon

Dr. Schuler Provides Hope for Those Suffering With Back or Neck Pain.

What is Degenerative Disc Disease?

What is a Lumbar Spinal Fusion?

What is Flatback Syndrome?

Adult Scoliosis Treatments

What is Spinal Stenosis?

What is Spondylolisthesis?

What is Sciatica?

What is a Lumbar Disc Replacement?

Tips to Avoid Back Pain During the Winter Months

3 Most Common Causes of Back Pain

Spinal Champion, Katie and the Hydroworx 300

Spinal Champion, Rita

Spinal Champion Omar’s Medical Diagnosis & Treatment

What is a Disc Herniation?

EMG for Diagnostic Testing

Sacroiliitis: Back Pain, Hip Pain, or Radiating Pain

What is Scoliosis?

Surgical Scoliosis Treatments

The Spine Surgery that Helped Tiger Woods Get Back on the Golf Course

When Is Spinal Surgery Necessary For Back or Neck Pain?

Schedule a consultation