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Condition guide · Pain management

Sciatica

Pain that radiates from the lower back down into the leg — what it is, why it happens, and how our consultant in pain management can help.

Sciatica assessment at Bridge House Clinic
What is sciatica?

Sciatica is nerve pain that travels from the lower back, through the buttock and down the leg, when the sciatic nerve is irritated or compressed.

It's a very common problem and, reassuringly, most cases settle with time and the right support. When the pain is persistent or severe, there are effective treatments to calm the nerve and get you moving comfortably again.

01Symptoms

Symptoms of sciatica.

The pain usually follows the path of the nerve — typically down one leg rather than both.

01Pain down the legA sharp, shooting or burning pain that travels from the lower back or buttock down the back of one leg.
02Tingling or pins and needlesA prickling sensation along the leg or into the foot, following the path of the irritated nerve.
03Numbness or weaknessPart of the leg or foot can feel numb or weak, making the leg feel heavy or harder to control.
04Worse with sitting or movementThe pain often flares with prolonged sitting, bending, coughing or sneezing, and can ease with gentle movement.
Sound familiar?Book an assessment with a consultant and get a clear picture — usually the same or next week.
02Causes & risk factors

Why it happens.

Sciatica is a symptom of pressure on the sciatic nerve rather than a condition in itself. Several things can be behind it, and some make it more likely.

A slipped (herniated) disc pressing on the nerve
Age-related wear in the spine
Narrowing of the spinal canal (spinal stenosis)
Heavy lifting or twisting
Prolonged sitting or a sedentary routine
More common in people who are overweight or during pregnancy
03When to get it checked

Don't wait for it to settle.

Early assessment helps you get the right treatment sooner. See a specialist if:

I.The pain is severe or not settlingLeg pain that is intense, or that hasn't begun to ease after a few weeks of self-care, is worth having assessed.
II.There's weakness or spreading numbnessGrowing weakness in the leg or foot, or numbness that is getting worse, should be looked at promptly.
III.Get urgent care for warning signsNumbness around the back passage or genitals, problems controlling your bladder or bowel, or numbness and weakness in both legs are rare but need urgent medical attention rather than a routine appointment.
Book an assessment
Sciatica examination by a consultant
Diagnosing sciatica at Bridge House Clinic
04How it's diagnosed

Diagnosed by a thorough clinical examination.

Sciatica is usually diagnosed in clinic by a consultant taking your history and examining your back, legs and the pattern of your symptoms — including simple movement and reflex checks. Dr Mohamed Khafaga, Consultant in Anaesthesia & Pain Management, will confirm what's behind your pain and talk you through the options at your appointment.

05Treatment

How sciatica is treated.

We start with the least invasive option that's likely to work for you, and only step up if it's needed.

01Self-care & staying active

Many cases settle with time, gentle movement, simple pain relief and keeping active within comfort — often the sensible first step rather than resting completely.

02Nerve block injection

A targeted injection to calm the irritated nerve and ease the pain, helping you move and rehabilitate more comfortably. Dr Khafaga can often assess and treat in the same visit.

03Radiofrequency nerve ablation

For longer-lasting nerve pain, a precise treatment that uses radiofrequency energy to quieten the nerves carrying the pain signal. Whether it's right for you is decided together at your consultation.

See pain management options & pricesConsultant-led assessment from £200, with every price published upfront — and Dr Khafaga can often diagnose and treat in the same visit (you pay for the consultation plus the procedure).
Why Bridge House
I.
Same or next-week appointments

Seen in days — not months on a list.

II.
Consultant-led care

A named specialist, not a junior — all the way through.

III.
Transparent, fixed pricing

Every price published and confirmed in writing.

IV.
No NHS waiting list

Seen privately, without the wait.

V.
Private insurance accepted

We bill major UK insurers directly.

07FAQ

Common questions.

Can't find your answer? Call us — a real person picks up.

01244 982032
Will sciatica go away on its own? +

Often, yes. Many cases of sciatica ease over a few weeks with gentle movement, staying active and simple pain relief. If the pain is severe, persistent or coming with weakness, that's the point to have it assessed rather than waiting it out.

Can sciatica be treated in one visit? +

In many cases, yes. Dr Khafaga can assess your pain and, where appropriate, carry out a nerve block injection at the same appointment. You pay for the consultation plus the procedure, and the cost is clear before anything goes ahead.

How much does sciatica treatment cost? +

An initial consultation with the consultant is £200, with a follow-up at £134. A nerve block injection is £450 and radiofrequency nerve ablation is £1,100. Every price is published upfront, so you always know where you stand.

Do I need a scan for sciatica? +

Not always. Sciatica is usually diagnosed by a careful history and clinical examination. If the consultant feels imaging would add useful information for your particular case, this is discussed with you at your appointment.

Take the first step

Don't put up with it.

Book an assessment with a consultant and get a clear picture — and a plan.