Back & Leg PainGonstead Method

Chiropractic Care for Sciatica

That electric pain running down your leg often has a mechanical source, and our job is to look for where it may start.

Understanding the Condition

What Is Sciatica?

Sciatica is pain, numbness or weakness that travels along the sciatic nerve, from the lower back through the buttock and down one leg; it describes a set of symptoms rather than a diagnosis in itself. The sciatic nerve is the longest nerve in the body, formed from the L4–S3 nerve roots. When any of these roots is compressed or irritated, most commonly by a herniated disc, a bone spur or a tight piriformis muscle, the typical shooting or burning pain follows the nerve's path, usually on one side. It is common in people who sit for long hours, and is often worse when sitting, bending or coughing. At Bewell's Novena clinic, opening soon, a Gonstead chiropractor assesses your lower back and pelvis by hand, segment by segment: observing your posture, checking for temperature differences along the spine with an instrument, and feeling how each level sits and moves, to look for where the nerve irritation may start. Adjustments are made by hand, and only where the findings support them. Leg weakness that is getting worse, numbness in the groin or saddle area, or any loss of bladder or bowel control needs urgent assessment by a registered doctor.

About this page

Before you book

Prepared by the Bewell Chiropractic team.

Care at Bewell Chiropractic Novena is led by DC Michiko Liew, founder and principal chiropractor and Ambassador of the Gonstead Chiropractic Society Australia, with DC Lim C. Y. Both hold Doctor of Chiropractic qualifications and are not registered medical practitioners in Singapore.

This page is educational and not a diagnosis. Seek urgent medical care for severe weakness, loss of bladder or bowel control, fever, or trauma.

Root Causes

What Causes Sciatica?

Sciatica usually has a mechanical source: a structure pressing on or irritating the nerve. Identifying that structure is the first step. These are the most common ones.

Herniated or Slipped Disc

The most frequent cause. A bulging or ruptured disc at L4–L5 or L5–S1 presses directly against the sciatic nerve root, triggering inflammation and the characteristic radiating pain.

Spinal Stenosis

Age-related narrowing of the spinal canal — often from bone spurs or thickened ligaments — compresses the nerve roots that form the sciatic nerve, causing pain that worsens with walking or standing.

Piriformis Syndrome

The piriformis muscle in the buttock can tighten and irritate the sciatic nerve as it passes beneath it. Common in people who sit for long hours or participate in running sports.

Spondylolisthesis

When one vertebra slips forward over another, the nerve exit (foramen) narrows, pinching the sciatic nerve root. Often linked to years of poor posture or repetitive spinal loading.

Prolonged Sitting & Poor Posture

Hours of sitting — especially on a hard wallet or with a forward-flexed posture — compresses the sciatic nerve through the buttock and contributes to progressive piriformis tightening.

Pregnancy

The growing uterus and shifted centre of gravity can press on the sciatic nerve in the second and third trimesters. Gonstead care in pregnancy uses gentle, pregnancy-adapted positioning, and we ask you to keep your obstetrician informed.

Progression

How Sciatica Progresses

Sciatica tends to follow a recognisable course. Knowing the stages helps you understand when to get assessed, and when to see a doctor urgently.

Stage 1Mild

Acute (0–6 Weeks)

Sharp, intense pain that may be constant or triggered by movement such as bending, coughing or prolonged sitting. Pain is usually one-sided, running from the lower back through the buttock to the calf or foot. Inflammation is high. Rest may ease it briefly; many acute episodes settle over several weeks, but some do not.

Stage 2Moderate

Subacute (6–12 Weeks)

Pain begins to fluctuate: some positions ease it, others make it worse. Flare-ups can become unpredictable and increasingly disruptive to work and sleep. This is often the point at which people look for an assessment of what is irritating the nerve.

Stage 3Severe

Chronic (3+ Months)

Persistent nerve irritation begins causing measurable changes: reduced reflexes, increasing weakness in the affected leg and areas of lasting numbness. The surrounding muscles may visibly waste. Symptoms at this stage generally take longer to settle, and a registered doctor should be involved.

Stage 4Critical

Progressive Neurological Loss

In severe cases, nerve signal loss becomes significant, causing foot drop, loss of bladder or bowel control, or complete loss of sensation in the saddle area. This is a medical emergency: see a registered doctor or go to A&E immediately.

Leg symptoms that are not settling are worth checking.

Numbness or weakness that lingers or spreads should be assessed rather than waited out, and sudden changes need a registered doctor straight away.

Recognition

Do You Experience These Symptoms?

These are typical signs of sciatic nerve irritation. If your pain travels down your leg rather than staying in your back, the nerve is likely involved, and it is worth having it assessed.

Electric pain down one leg

Shooting or burning pain following the sciatic nerve path

Numbness or tingling

Pins-and-needles sensation in the calf, ankle, or foot

Leg or foot weakness

Difficulty lifting the foot or controlling leg movements

Pain worse when sitting

Symptoms intensify during prolonged sitting or driving

Difficulty standing up

Sharp pain when transitioning from seated to standing

Visit Us

Where to find us in Singapore

Bewell offers precise, hands-only Gonstead chiropractic care at Novena Regency on Thomson Road, opening soon.

Bewell Chiropractic Novena

275 Thomson Road #01-19
Novena Regency
Singapore 307645

Book ahead

Opening soon in Novena

Bewell's Gonstead clinic opens soon at Novena Regency, 275 Thomson Road. WhatsApp or call +65 8859 7326 to enquire or book ahead.

Bewell Chiropractic Novena · 275 Thomson Road #01-19, Novena Regency · near Novena MRT (NS20)

Frequently Asked

Common questions

Normal back pain usually stays around the lower back. Sciatica often travels from the lower back or buttock down the leg, sometimes with numbness, tingling, burning or sharp pain.

Sciatica follows the pathway of the sciatic nerve. When the nerve is irritated at the spine or pelvis, the pain can travel down the buttock, thigh and calf, or even into the foot.

We first assess whether the irritation appears related to how the lower back and pelvis are moving, focusing on where it may start rather than only on the painful leg. Any adjustment is by hand and only where suitable, aimed at comfort and movement, and we will advise you if you should see a doctor instead.

If sciatica comes with worsening weakness, loss of bladder or bowel control, or numbness around the groin or saddle area, it needs urgent medical attention. Otherwise, a Gonstead chiropractor can assess whether the problem appears to be spinal and will suggest you see a doctor where needed.

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