Sciatica
Sciatica is a symptom pattern rather than a diagnosis in itself. Most cases settle with movement, time and physiotherapy, but I check carefully for the red flags that need urgent care, and for the smaller group where inflammatory back pain is the underlying issue.
What sciatica is
Sciatica happens when the sciatic nerve or nerve roots in the lower spine are irritated or compressed. It causes pain that travels from the lower back or buttock down the back of the leg, sometimes into the foot.
Symptoms to look out for
Sharp, burning or shooting leg pain
Pins and needles, numbness or weakness
Pain worse with coughing, sneezing or movement
Back pain that may be milder than leg pain
Symptoms usually affecting one side
Why this matters to a rheumatologist
A rheumatology review is more relevant if leg pain occurs with inflammatory back pain, arthritis symptoms or autoimmune disease. Many sciatica cases are managed through primary care, physiotherapy or spine pathways.
Signs I would like you to seek care for
For emergency symptoms please seek urgent or emergency care first rather than waiting for a WhatsApp reply.
Loss of bladder or bowel control (seek emergency care immediately)
Numbness around the genitals or saddle area (seek emergency care immediately)
Severe or worsening weakness in the leg
Pain after major injury or with fever or weight loss
What a specialist review looks like
I check whether the symptoms truly follow a nerve pattern, examine strength, reflexes and sensation, and guide whether conservative care, imaging or referral is needed.
Questions my patients often ask me
Speak with me
If your leg pain is not settling, or your back pain has inflammatory or nerve features, WhatsApp my clinic and we can help you decide whether a rheumatology assessment is the right next step.
Other conditions I treat
This page is for general education only and does not replace medical advice. Please consult a qualified healthcare professional for diagnosis and treatment.