Illustration of the sciatic nerve running from the lower spine down the back of the leg

Sciatica Treatment in Malleshwaram

Pain that travels down the leg, with pins and needles or weakness, usually means a nerve is being compressed or irritated. Where along its path that happens changes what helps. We test for it directly rather than treating the back in general.

  • Neurological testing to locate where the nerve is being irritated
  • Traction, manual therapy and nerve mobilisation as indicated
  • Clear guidance on what to avoid while the nerve settles
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KPME-licensed clinic in Malleshwaram · IAP-recognised physiotherapists · Open Mon–Sat, 7am–9pm

Sciatica isn't one condition — which is why generic treatment fails

Pain down the leg has several common causes: a disc pressing on a nerve root, the piriformis muscle compressing the nerve behind the hip, narrowing where the nerve exits the spine, or referred pain from the sacroiliac joint that is not nerve pain at all. They can feel identical to you. They are not identical to treat — traction helps one of them and aggravates another. This is the most common reason people arrive here after weeks of physiotherapy elsewhere with nothing to show for it.

The sign we look for: centralisation

When sciatica improves, the pain does not fade evenly. It retreats up the leg toward the spine — the foot clears first, then the calf, then the thigh. Your back may feel worse for a few days while that happens. It is the most reliable early sign treatment is working, and it is also why people abandon treatment that was working. We track it session by session so you can see it.

What happens in your free first assessment

  • Straight leg raise and slump testing to confirm the nerve is mechanically involved, plus reflex, power and sensation testing to map which root
  • A red-flag screen — bladder or bowel changes, saddle numbness or weakness in both legs mean you leave with a referral, not a treatment plan
  • Finding your directional preference: the movement that eases the nerve and the one that provokes it

What treatment involves

Traction where a disc is compressing the nerve, neural mobilisation to restore the nerve's ability to glide, manual therapy for the joints and muscle contributing to it, dry needling when the piriformis is the culprit, and progressive loading so the surrounding structures are strong enough to stop it recurring. You will also get specific instructions on what to avoid while the nerve settles.

If it doesn't work, you don't pay

Ten sessions, with your pain scored on a 0–10 scale at the start and tracked throughout. If your score hasn't improved, we refund the full amount.

KPME-licensed clinic in Malleshwaram. Every therapist is IAP-recognised and experienced. Open Monday to Saturday, 7am to 9pm.