Sciatica Treatment β€” Physiotherapy in Paraparaumu, Kāpiti Coast

Sciatica describes pain that travels from the lower back down through the buttock and into the leg β€” often as far as the foot. It can range from a dull ache to sharp, burning, or shooting pain, and is sometimes accompanied by tingling or numbness. Physiotherapy is one of the most effective treatments for sciatica, and early, accurate diagnosis makes a significant difference to how quickly you recover.

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Sciatica is caused by irritation or compression of the sciatic nerve, most commonly from a disc problem in the lower back. Correctly identifying the source is critical β€” not all leg pain is sciatica, and the treatment depends on what is actually driving the symptoms.

Bart uses the McKenzie Method (MDT) to assess and treat sciatica. MDT is recognised internationally as one of the most effective diagnostic and treatment frameworks for this type of problem. In many cases, the right movement programme β€” performed consistently β€” can remove symptoms within a few days, or significantly reduce sciatica without surgery or medication.

What Bart Treats β€” Sciatica

β€’       Sciatic pain from disc prolapse or herniation

β€’       Referred leg pain from the lumbar spine

β€’       Piriformis syndrome

β€’       Numbness and tingling in the leg or foot

β€’       Sciatica that has persisted for weeks or months

β€’       Post-surgical sciatica recovery

Clinical Approach

Your first appointment will include a movement assessment to identify what is driving your symptoms and which movements help. Bart will create a specific programme for you and monitor your progress against clear baselines so you can see what is changing.

Frequently Asked Questions

Q: How long does sciatica take to resolve?

A: Most sciatica improves significantly within 3–12 weeks with appropriate physiotherapy. Chronic cases may take longer, but most people see meaningful progress within the first few appointments.

Q: Can physio help if I've been told I need surgery?

A: Often yes. Many people told they need surgery for sciatica recover fully with physiotherapy. Bart can assess whether your case is suitable for conservative management and refer you appropriately if surgery is genuinely needed.

Q: Should I rest or keep moving with sciatica?

A: This depends on the cause and your symptoms. Complete rest is rarely the answer, but not all movement is helpful. Bart will give you specific guidance after your assessment.

Book your sciatica assessment at Limber Physio β€” clear diagnosis and a practical treatment plan.

Bart de Vries is a physiotherapist with over 15 years of clinical experience across elite sport, dance, and musculoskeletal practice. He holds a Bachelor of Physiotherapy from the University of Otago and a Certificate in Mechanical Diagnosis and Therapy (MDT) from the McKenzie Institute. Bart practises at Limber Physio, located at Paraparaumu Beach Golf Club on the Kāpiti Coast.