Sciatica
Sciatica is nerve pain that travels from the lower back into the leg. Physiotherapy and chiropractic care ease the pain and get you moving freely again.
Understanding sciatica
Sciatica is pain that radiates along the sciatic nerve, from the lower back or buttock down through the leg, sometimes as far as the foot. It usually comes from irritation or compression of a nerve root in the lumbar spine, often due to a bulging disc, tightness in the deep hip muscles, or age related narrowing of the space around the nerve. The pain can be sharp, burning or electric, and may come with numbness, tingling or weakness.
Most sciatica settles well with the right guidance and rarely needs surgery. What matters is understanding why the nerve is irritated, because that shapes the plan. A clear assessment tells us which structures are involved and screens for the small number of cases, such as progressive weakness or bladder changes, that need urgent medical review rather than conservative care.
Signs to look out for
- Pain radiating from the lower back into the buttock and leg
- Sharp, burning or electric shock like pain
- Numbness or tingling in the leg or foot
- Weakness in the leg or foot
- Pain that worsens when sitting, coughing or sneezing
- A constant ache on one side of the buttock
Why it happens
- A bulging or herniated lumbar disc
- Tightness or spasm in the piriformis and deep hip muscles
- Age related narrowing around the nerve (stenosis)
- Prolonged sitting and poor posture
- Sudden lifting or twisting under load
- Weak core and gluteal muscles
Treating sciatica at Rehoboth
Every plan starts with a thorough assessment and a written plan you can actually read. Same-week appointments across five Grand Cayman clinics.
Your first visit is a full assessment of your spine, hips, nerves and movement to confirm the source of your pain and screen for red flags. Early treatment focuses on calming the irritated nerve: hands-on physiotherapy and gentle spinal mobilisation restore movement, while techniques such as dry needling, TENS and heat ease the muscle spasm that often makes sciatica worse.
As symptoms settle we progress to specific nerve mobility work and a graded programme of core, gluteal and hip strengthening to take pressure off the nerve and prevent flare-ups. We coach posture, sitting setup and safe lifting so the relief lasts, and we coordinate with your doctor for imaging or referral when it is warranted. Same-week appointments are available across our five Grand Cayman clinics.
Services that treat sciatica
Physiotherapy
Magnetotherapy, robotic rehabilitation, shockwave, ultrasound and electrical stimulation, calibrated to your exact diagnosis.
Chiropractic Care
Consultation, spinal adjustment and spinal mobilisation for the spine, pelvis and extremities.
Dry Needling
Western-medical trigger-point release for myofascial pain, headaches and muscular knots that won't release with massage alone.
General Practice
General health consultations, work-permit & taxi medicals, statutory certificates and annual health checks, with same-week appointments.
Sciatica questions, answered
Yes. Physiotherapy is a first line treatment for sciatica, using hands-on therapy, nerve mobility work and targeted exercise to calm the irritated nerve and restore movement, while addressing the causes so the pain does not keep returning.
Many cases of sciatica ease noticeably within a few weeks of the right treatment and exercise. More stubborn cases take longer, and your physiotherapist sets realistic goals and tracks your progress along the way.
No referral is needed to see our physiotherapists, and most sciatica does not require a scan. Our assessment screens for the few cases that do, and we arrange imaging or refer to a doctor when it is warranted.
Gentle, guided movement usually helps sciatica more than bed rest. We show you which positions and exercises ease your symptoms and which to avoid in the early days, then progress you safely as the nerve calms down.
Yes. We treat sciatica at all five of our Grand Cayman clinics, including George Town, Savannah, Seven Mile Beach and West Bay, with same-week appointments and direct billing to CINICO and major insurers.
Other musculoskeletal conditions we treat
Back and Neck Pain
Back and neck pain can make everyday movement, work and sleep difficult. Physiotherapy and chiropractic care ease pain and restore movement so you can get back to normal.
Joint Pain
Joint pain in the knees, hips, shoulders or hands can limit the things you love. Physiotherapy eases pain and rebuilds the strength that keeps your joints moving well.
Muscle Pain
Muscle pain, tightness and stubborn knots can nag for weeks. Hands-on physiotherapy and dry needling release tense muscles and help you move freely and comfortably again.
Strains and Sprains
A strain or sprain can happen in an instant and needs the right care from day one. Physiotherapy settles pain and rebuilds strength for a safe return to activity.
Osteoarthritis
Osteoarthritis causes joint pain and stiffness as cartilage wears over time. Physiotherapy helps you stay active, build strength and manage symptoms long term.
Rheumatoid Arthritis
Rheumatoid arthritis is an autoimmune condition that inflames the joints. Alongside your doctor, physiotherapy helps keep you mobile, strong and functioning well.