Most sciatica resolves within 6–12 weeks with appropriate rehabilitation. A minority of cases — those with progressive neurological deficit, severe persistent symptoms despite conservative treatment, or cauda equina warning signs — need spinal surgery. Knowing which group a patient is in is the clinical judgment that matters at first assessment.
What we treat
We treat a broad range of spine and nerve conditions, including lumbar disc-related sciatica, foraminal stenosis, and lateral recess narrowing. Our practice also manages non-spinal causes of sciatic pain—such as piriformis syndrome—as well as post-discectomy and post-spinal surgery recovery. Additionally, we provide targeted rehabilitation for persistent radicular symptoms after epidural injections.
Our approach
Care begins with a detailed neurological examination—evaluating muscle power, sensation, reflexes, and specialized neural tension tests (such as Slump and Straight Leg Raise) to identify the affected nerve root and rule out red flags. Treatment features a graded exercise program with targeted neurodynamic work, complemented by manual therapy to address related structural dysfunction. Throughout recovery, we emphasize patient education so you understand your condition and know movement is safe, alongside practical pacing and structured return-to-activity planning.p>
When surgical referral makes sense
Progressive neurological deficit (worsening weakness, expanding numbness). Failed conservative management at 6–12 weeks with significant ongoing disability. Cauda equina warning signs — bilateral leg symptoms, saddle anaesthesia, bladder or bowel dysfunction. We refer promptly when any of these are present.
Outcome measures we use
- Oswestry Disability Index
- Visual Analogue Scale
- Numeric Pain Rating Scale
- Roland-Morris Disability Questionnaire
- Specific neurological testing
- Straight Leg Raise
- Patient-Specific Functional Scale
Who leads this work at Kent
Sciatica and lumbar radiculopathy treatment at Kent is delivered by Jerom C Reji senior physiotherapists with specific training in spinal rehabilitation.
Frequently asked questions
How long does sciatica usually take to resolve?
Most sciatica resolves substantially within 6–12 weeks of appropriate rehabilitation. A minority of cases take longer or require additional treatment.
I've been told I need disc surgery — should I get a second opinion?
Generally yes, particularly if symptoms are stable rather than worsening. Most disc-related sciatica resolves without surgery. We refer for surgical opinion when clinically appropriate but encourage structured rehabilitation first in most cases.
What about epidural injections?
Spinal injections can be useful for some patients, particularly with severe radicular pain. We refer for injection consultation where indicated and continue rehabilitation around any procedures.
Will I get sciatica again?
Recurrence is possible. The strongest protection against recurrence is staying active, maintaining strength and conditioning, and addressing any persistent contributing factors. We build prevention into the discharge plan.