Active X Clinics

Sciatica Treatment in Edinburgh

Specialist Sciatica Treatment Edinburgh

Our aim at Active X is to provide you with relief from pain as quickly as possible and then prevent it from coming back. Having delivered effective sciatica treatment in Edinburgh for over three decades, we are well positioned to help you.
Osteopath Gavin Routledge standing exam sidebending from back
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How common is sciatica?

Sciatica affects around 1 in 4 people at some time in their lives. Though, it’s more common among those over 40.

What is Sciatica?

“Sciatica” is a description, not a diagnosis. It describes where your symptoms are but not what’s causing them.

It’s like going to the doctor and telling them you have a sore head, and them telling you that you have a headache.

Basically, sciatica is pain and/or pins and needles in the distribution of the sciatic nerve. You may also have weakness in one of the muscles supplied by the nerve.

The sciatic nerve covers from the buttock, through the back and outside of the thigh, and everything below the knee.

Different types of sciatica

Due to Underlying Disease

This is very rare. See the screening questions below to find out whether or not you should see a doctor for sciatica.

Non-nerve Compression Sciatica

We often refer to this as “referred pain”. You can experience pain in the sciatic area if a muscle/ligament/joint in your lower back is hurting. This is because it has a common spinal nerve. So, let’s say you’ve strained a muscle in your back. The nerve supplying that muscle has a tributary from the L5 spinal nerve. But the L5 spinal nerve also supplies a tributary to the sciatic nerve. So, you feel pain in the sciatic area, but there’s nothing wrong there.

Nerve Compression Sciatica

This is when the nerve or one of its tributaries is compressed/irritated. Nerve compression sciatica is fairly common. The most common cause of this is a disc prolapse/herniation. We specialise in the non-surgical rehabilitation of people with disc prolapses and herniations.

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What causes sciatica?

There are a number of risk factors for sciatica. Common risk factors include:

Sciatica relief

Stay active

Movement is medicine. While it’s tempting to rest, remaining active as your pain permits is vital. The type and intensity of activity is dependent on whether your pain is new or chronic, our team can help you build a comfortable but healing exercise plan.

Should you use painkillers for sciatica relief?

Clinical guidance on medication is shifting. Recent evidence suggests anti-inflammatories (NSAIDs) may actually interfere with the body’s natural healing process and prolong recovery. Opioids present a risk of dependency and mask symptoms rather than resolving the root cause. There are, however, other drugs that your doctor may prescribe for nerve pain.

Professional Treatment

There is strong clinical evidence that manual therapies, including osteopathy, physiotherapy, and massage therapy, are highly effective for relieving neck pain.

TENS

Transcutaneous Electroneural Stimulation might help ease the symptoms. This is a little battery driven pack that is often given to labouring women. If you’re interested in trying this, we sell TENS units in the clinic. They are only £40.

Immediate relief for sciatica pain

Our aim at Active X is to provide you with rapid relief and then help you reduce the risk of another episode. Relief is not enough. Over 90% of our clients opt for prevention as well as relief to manage their sciatica.

Sciatica Diagnosis Versus Functional Assessment

While we help you understand the likely causes, it’s arguably more important for you to know what to do to get better and what to avoid. This is where the Functional Assessment comes in. At Active X we provide a Functional Assessment at your first appointment.

Sciatica treatment near me

If you’re searching for sciatica treatment near you, you are likely looking for rapid, lasting relief from radiating pain. At Active X, we specialise in the assessment and management of sciatic and lower back pain, focusing on restoring movement, relieving pain, and preventing its return, all to keep you active for life.

Ready to start your recovery? Click the “start with an assessment” button below to book an initial assessment with our specialist team.

Understanding Sciatica: Essential Insights

While the video above was recorded some time ago, the information remains extremely relevant and important.

When to see a doctor for your sciatica

If you answer “Yes” to the following questions, we recommend you see a clinician specialising in this area:

Active X has specialised in relief AND prevention since 1993. Our team, based in the West End of Edinburgh, are keen to help you.

Secure your appointment today, by clicking the link below.

Why Patients Choose Active X for Sciatica

  • Sciatica Specialists: leading Edinburgh’s nerve-related back pain recovery for over three decades.
  • Disc Prolapse Expertise: Non-surgical rehabilitation for herniated discs and nerve compression.
  • Holistic & Integrated Care: A powerful combination of osteopathy, physiotherapy, massage therapy, and functional assessment.
  • Rapid Relief: Same-day and emergency appointments for acute relief available in Edinburgh.
  • Trusted Locally: Hundreds of 5-star reviews from patients who regained their mobility and comfort.
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Osteopath Gavin Routledge meeting male client min

Our Approach

Our method is built on more than 30 years of clinical experience, developed by our Clinic Director, a best-selling author who has written three books on lower back pain and sciatica. These publications, along with national clinical guidelines, form the foundation of the protocol we apply every day.

 

Each member of our team is fully trained in this trusted system. That means no matter which practitioner you see, you’ll receive the same evidence-based care that has already helped thousands of people to:

Sciatica FAQ’s

WHAT IS SCIATICA PAIN?

Sciatica is a description of symptoms, not a diagnosis. It describes pain, tingling, or numbness felt along the path of the sciatic nerve, which travels from your lower back and buttocks down the back of your thing to your lower leg or foot.

There are primarily three causes of sciatica pain: medical causes (rare), nerve compression (often lumbar disc prolapse), and referred pain.

Relief depends on identifying the specific cause of the nerve irritation. What helps one person may aggravate another, so a tailored approach is essential. Stay gently mobile and take note of which movements increase your pain and gently move in the opposite direction. See an osteopath to determine the root cause and develop a relief plan.
Sciatica buttock pain is the most common, and without thigh or lower leg pain, it is more likely caused by referred pain than nerve entrapment. Referred pain is the feeling of pain in one place, due to injury/irritation in a different area (for sciatica, this is commonly the lower back).
No. The sciatic nerve does not supply the groin, therefore groin pain is not caused by sciatic nerve irritation. The groin area is supplied by the obturator nerve originating from spinal levels L2, L3, and L4. Groin pain may be due to local muscular/tendon strain, hip joint problems, or referred pain from other areas, such as sacro-iliac joint problems.
Sciatica symptoms may include pain, tingling, pins and needles, numbness, feelings of running water, cramping muscles, twitching, or weakness in the leg. The severity of symptoms is dependent on the cause of the sciatica. Referred pain is typically less severe than an irritated or compressed nerve, which typically presents as shooting or stabbing pain radiating along the pathway of the affected nerve.
Sciatica can resolve in days, or last weeks to months depending on the cause and management. Sciatica caused by lumbar disc prolapse can take 3-6 months to resolve. Sciatica caused by local muscular strain can be resolved as quickly as 2-3 weeks with effective treatment.
Finding and treating the root cause of your sciatica is key. Consulting a clinician specialising in the diagnosis and management of sciatica is the best course of action. Osteopathy has been shown to be highly effective in treating sciatica. Minimising activities which aggravate your sciatica is important – especially with acute sciatica. If your sciatica is due to disc prolapse, surgical intervention can be beneficial if necessary.
Osteopaths will diagnose the root cause of your sciatica by combining your explained history, medical tests, and their comprehensive assessment findings. The osteopath will provide treatment to alleviate sciatic pain and provide advice for managing, relieving, and preventing sciatica. Oftentimes, therapeutic exercises and lifestyle advice will be prescribed.
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Will Hean
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I can highly recommend Graham for a great sports/ deep tissue massage. He is a highly skilled practitioner and it is always manages to sort out my aches and pains incredibly well!
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Fred Barns
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I am very happy with Jordan's massages of my painful shoulder and arm, he did a great job and gave me some exercices to do at home to maintain the positive results long term. A lovely man I also had pleasure to chat with along our 5 sessions. Thank you for a zen welcome and your good care.
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Tom Guillen
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I’ve been getting regular deep tissue massages from Graham for the past couple of years and he’s my favorite therapist in town. Can’t recommend him enough!
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Cara H
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I had a great experience with Graham Logan. I came in with a hip injury that had been bothering me for a while and he quickly identified the root cause. What really stood out was how clearly Graham explained what was going on and how confident and targeted the treatment was. After my session I noticed a significant improvement and I’m now back to moving comfortably again. Graham is professional, knowledgeable, and genuinely focused on getting you back to full health. I wouldn’t hesitate to recommend his services.
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Gillian Richardson
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Gavin and Zoe are a fantastic, supportive team who are helping me recover after months of back pain and sciatica. They are based in Edinburgh near Haymarket and I am so glad I found them. Gavin is a very experienced Osteopath, which is clear from his knowledge of back issues and pain management. I felt immediately that I was in safe hands. He is calm and reassuring, and his manual therapy, coupled with helpful information, significantly reduced my pain after only a few sessions. Gavin also shares podcasts that complement the sessions, which I enjoyed listening to between appointments. Zoe is a Physiotherapist who is working in collaboration with Gavin. She is very approachable and addresses all my concerns with patience. Her manual therapy is excellent, and she has introduced rehabilitation exercises gradually with very clear guidance. The exercises are helping me build strength and confidence to support my long-term recovery. I also really appreciate how they have advised on my wider health issues, which makes the care feel genuinely personalised. I would confidently recommend them to anyone dealing with back pain and sciatica.
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Michael Basoco
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Sam Jones took time to know ME and the custom exercise program is working nicely. My body is stronger and so is my golf game!
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jamie scott
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I had my first appointment with Casper and he was able to help with the pain and recommend a course of action to help relieve the pain.