Sciatica happen when the sciatic nerve is irritated or compressed. It usually gets better in 4 to 6 weeks but can last longer. The sciatic nerve runs from your lower back to your feet.
Check if you have sciatica
Sciatica can affect:
- your bottom
- the back of your leg
- your feet and toes
These areas may feel:
- painful – the pain may be stabbing, burning or shooting
- tingly – like pins and needles
- numb
- weak
Your symptoms may be worse when you move, sneeze or cough.
You may also have back pain. But back pain is usually not as bad as pain in your bottom, leg or foot.
You probably do not have sciatica if you only have back pain.
How you can ease the pain yourself
Sciatica usually gets better in 4 to 6 weeks, but it can sometimes last longer.
To help relieve your pain and speed up recovery:
Do
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continue your normal activities as much as possible
-
do regular exercises for sciatica
-
start gentle exercise as soon as you can, anything that gets you moving can help
-
hold heat packs to the painful areas - you can buy heat packs in pharmacies
-
ask your pharmacist or GP about painkillers - paracetamol on its own may not relieve pain, they may recommend NSAIDs
-
put a small, firm cushion between your knees when you sleep on your side
-
put several firm pillows underneath your knees when you lie on your back
Don't
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do not sit or lie down for long periods – even if moving hurts, it's not harmful and can help you get better faster
-
do not use hot water bottles to ease the pain – you could scald yourself if your skin is numb
Non-urgent advice: See a GP if the pain:
- does not improve after a few weeks of home treatments
- gets worse
- stops you doing your normal activities
Urgent advice: Go to your emergency department (ED) or call 999 or 112 if you:
- have sciatica on both sides
- have weakness or numbness in both legs that's severe or getting worse
- have numbness around or under your genitals, or around your bottom (anus)
- find it hard to start peeing, cannot pee or cannot control when you pee – and this is not normal for you
- do not notice when you need to poo or cannot control when you poo – and this is not normal for you
These could be symptoms of a serious back problem that needs to be treated in hospital as soon as possible.
Do not drive to the ED. Ask someone to drive you or call 112 or 999 and ask for an ambulance. Bring any medicines you take with you.
Treatments from your GP
If you have sciatica, your GP may:
- suggest exercises and stretches
- prescribe painkillers that help with nerve pain like sciatica
They might also refer you for:
- physiotherapy – including exercise advice and techniques such as massage (manual therapy)
- psychological support – to help you cope with the pain
Other treatments for sciatica
If your pain is very bad and treatments from your GP have not helped, they may refer you to a hospital specialist for:
- painkilling injections
- a procedure to seal off some of the nerves in your back so they stop sending pain signals
- surgery – a type of decompression surgery called microdiscetomy can normally help relieve sciatica
How to stop sciatica coming back
To reduce the chances of getting sciatica again:
Do
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stay active – do regular physical activity
-
use a safe technique when you lift heavy objects
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make sure you have a good posture when sitting and standing
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sit correctly when you use a computer
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lose weight if you have excess weight
-
get support to quit smoking if you smoke - smoking increases the risk of getting sciatica
Causes of sciatica
Sciatica happens when something presses or rubs on the sciatic nerve.
Causes include:
- a slipped disc (the most common cause) – when a soft cushion of tissue between the bones in your spine pushes out
- spinal stenosis – narrowing of the part of your spine where nerves pass through
- spondylolisthesis – when one of the bones in your spine slips out of position
- a back injury
Content supplied by the NHS and adapted for Ireland by the HSE
