Sciatica affects many people in Pune, especially those who sit for long hours in IT parks, ride two-wheelers daily, or have physically demanding jobs. The good news is that most cases improve with the right care. Below are answers to the questions our patients at Sigma Spine and Pain Clinic in Baner, Pune ask most often. Understanding Sciatica What is sciatica? Sciatica is pain that follows the path of the sciatic nerve, the longest nerve in the body. It runs from the lower back through the buttocks and down the back of each leg. Sciatica is a symptom, not a disease in itself. It usually means something is pressing on or irritating the nerve. What are the symptoms of sciatica? Common symptoms include: • Sharp, burning, or shooting pain from the lower back or buttock down the leg • Numbness or tingling in the leg or foot • Muscle weakness in the leg • Pain that worsens when sitting, coughing, or sneezing • Pain usually on one side of the body What causes sciatica? The most common causes are: • Slipped (herniated) disc, the leading cause • Spinal stenosis, a narrowing of the spinal canal • Piriformis syndrome, where a tight buttock muscle presses on the nerve • Spondylolisthesis, where one vertebra slips over another • Poor posture and prolonged sitting • Pregnancy, obesity, or a sedentary lifestyle How is sciatica different from normal back pain? Regular back pain stays in the back. Sciatica travels, typically below the knee, and often comes with tingling or numbness. If your pain moves down your leg, it's worth getting assessed. Diagnosis and When to Seek Help How is sciatica diagnosed? A specialist will review your history and perform a physical examination, including strength, reflex, and nerve-stretch tests such as the straight leg raise. If symptoms are severe or persistent, an MRI or X-ray may be advised to find the exact cause. When should I see a doctor or physiotherapist? Consult a specialist if: • Pain lasts more than one to two weeks • Pain keeps getting worse or keeps coming back • You notice weakness in your leg or foot • Pain disturbs your sleep or daily routine What are the warning signs that need urgent care? Go to a hospital immediately if you have sciatica along with loss of bladder or bowel control, numbness in the groin or inner thighs, or sudden severe weakness in both legs. These can indicate cauda equina syndrome, a medical emergency. Treatment Options Can sciatica be treated without surgery? Yes. Most people recover with non-surgical care, usually within a few weeks to a few months. Surgery is generally considered only when conservative treatment fails or when there is serious nerve compression. How does physiotherapy help sciatica? Physiotherapy addresses both the pain and its cause. A personalised plan may include: • Manual therapy and soft-tissue release • Nerve mobilisation techniques • Core strengthening and stretching exercises • Posture and ergonomic correction • Electrotherapy or ultrasound for pain relief • Guidance on safe movement and lifting Which exercises help with sciatica? Gentle movements such as knee-to-chest stretches, pelvic tilts, and piriformis stretches often help. However, the right exercise depends on what is causing your pain, and the wrong one can make it worse. Get assessed before starting a routine. Should I rest in bed? Short rest is fine during a severe flare-up, but prolonged bed rest usually slows recovery. Staying gently active is generally better. How long does sciatica take to heal? Many cases improve within 4 to 6 weeks, though recovery time varies depending on the cause, severity, and how early treatment begins. Prevention and Daily Habits How can I prevent sciatica from coming back? • Take a short walking break every 30 to 45 minutes if you work at a desk • Keep your back supported and your feet flat while sitting • Strengthen your core and glute muscles • Lift with your knees, not your back • Maintain a healthy weight • Use a supportive mattress and avoid sleeping on your stomach Does riding a two-wheeler cause sciatica? Long daily rides on bumpy roads and poor posture can aggravate existing disc or nerve problems. Sit upright, avoid slouching, and take breaks on long trips. Sciatica Treatment in Pune Where can I get sciatica treatment in Pune? Sigma Spine and Pain clinic provides personalised sciatica assessment and treatment in Baner, Pune. Our team creates a plan based on your diagnosis, lifestyle, and goals. How do I book an appointment? Call us on 9823743726 or book online. Don't let leg pain slow you down. Book your sciatica consultation today. Disclaimer: This article is for general information only and is not a substitute for professional medical advice. Please consult a qualified healthcare provider for diagnosis and treatment.