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Lower back · Leg pain

Back pain& sciatica.

Lower back pain, pain down the leg, and disc problems: found at the source, treated by hand, and made to hold with the right exercise.

What it is

Most low back pain is mechanical: it comes from the joints, discs, muscles and ligaments of the spine, and it changes with position and movement. Sciatica is different. It is pain that travels down the leg along the sciatic nerve, often past the knee and sometimes with tingling or numbness, and it usually comes from an irritated nerve root in the lower back, most often beside a bulging or herniated disc. Both are very common, and most cases settle with the right conservative care.

How we treat it

  1. 01A full assessment: how the pain behaves, which movements change it, and a check of strength, sensation and reflexes in the legs.
  2. 02Manual therapy to restore movement to stiff spinal segments and ease protective muscle guarding.
  3. 03Neurodynamics when the nerve itself is sensitised, to restore its glide and settle leg symptoms.
  4. 04A graded exercise programme, with clinical Pilates for spinal control, so the result holds once sessions end.
  5. 05Advice on sitting, lifting, sleep and work set-up, specific to your day.

When to see a doctor first. See a doctor urgently, before physiotherapy, if back pain comes with numbness around the groin or inner thighs, new difficulty passing or controlling urine or stool, weakness that is getting worse in one or both legs, fever, or unexplained weight loss.

From patients who had it

  • I am grateful to Dr. Vaishali who treated my disc problem. There was a time when I wasn’t able to walk because of pain, but now after multiple sessions and her constant guidance on exercises, I am able to walk again. Forever grateful.

    Rajeev ShuklaDisc problem · Google review

  • I am very thankful to Viva Physio Clinic, Kamothe, for the excellent physiotherapy treatment given to my mother for her lower back pain and left leg pain due to L5-S1 PIVD and osteopenic changes.

    Shruti SonawaneL5-S1 disc prolapse · Google review

  • I had been suffering from back pain, and after visiting Dr. Vaishali Vijay Rauniyar for physiotherapy, I felt significant relief. She is very professional, knowledgeable, and explains the treatment properly.

    Arun SinghBack pain · Google review

Commonquestions.

Do I need an MRI before physiotherapy for back pain?
Usually not. Most back pain and sciatica can be assessed and managed from a clinical examination, and scans often show changes that are common in people with no pain at all. If anything in the assessment points to a scan or a specialist opinion, we will tell you and refer you.
Can physiotherapy help a disc bulge or PIVD?
In many cases, yes. Disc-related back pain and sciatica commonly improve with conservative care. Treatment aims to settle the irritated nerve, restore movement and build the strength and control that protect the back. How quickly depends on how severe it is and how long it has been going on, which the assessment will tell us.
Should I rest in bed until it settles?
A short rest during a bad flare is fine, but long bed rest tends to slow recovery. Staying gently active within comfort is usually better, and we will show you which movements are safe for your back.

Treatments we use for it

Other conditions