First Assessment
Free
45 minutes, at home
- Full clinical examination at the patient's home
- The likely cause explained in plain language
- A realistic recovery plan and what it will cost
- No obligation to book any further sessions
People often describe sciatica as a pain that follows them to every seat: the scooter, the classroom bench, the chair at the counter and the sofa at home. For those living and working around Tilak Road, long hours of sitting and the vibration of a ride are two of the most common reasons the nerve becomes irritated.
The nerve pain itself is explained on our sciatica treatment page. What follows covers how sitting posture and everyday routines in this part of Pune connect to leg pain, and how a home visit works through them.
Why sitting makes sciatica worse
When you sit, the pelvis tips back and the lower spine rounds, which loads the discs in the lower back and can press on the nerve roots that form the sciatic nerve. Hard seats, a wallet in the back pocket, a low scooter seat and long periods without moving can all add to it. The result is typical: a deep ache or burning from the buttock down the back of the thigh, sometimes into the calf or foot, that is worse after sitting and eases when you get up and walk.
Seats that people on this road commonly use for long periods:
- a two-wheeler seat during a stop-start journey;
- a classroom or coaching-class bench with no back support;
- a shop stool or counter chair at the wrong height;
- a low sofa or bed that the person sinks into at home.
How a physiotherapist assesses leg pain
The physiotherapist will ask exactly where the pain travels, whether there is numbness or tingling, and what makes it better or worse. Simple tests, such as lifting each leg while lying down and checking strength, sensation and reflexes, help show which nerve root is involved and how irritated it is. Most sciatica improves with time and the right movement, and the aim of the early plan is to reduce irritation while keeping you active.
At home the assessment can include the seat you actually use. The physiotherapist can look at the chair, check whether you sink into the sofa and see how you lift your leg into the bed. If a disc is the likely cause, slip disc physiotherapy explains how that diagnosis changes the plan, and IFT therapy is sometimes used to ease pain enough to start exercising.
Treatment and small changes to your seats
- Movement that calms the nerve. Gentle positions and repeated movements chosen from your assessment, rather than a fixed set for everyone.
- Nerve gliding. Gentle sliding exercises for the nerve, used only if they do not provoke the pain.
- Trunk and hip strengthening. This builds support for the spine once pain is calmer.
- Seat adjustments. A rolled towel at the lower back, a firmer cushion, or a break every twenty to thirty minutes to stand and walk.
- Riding adjustments. Moving the wallet, sitting back on the seat and planning a short walk after a long ride.
Leg symptoms that need urgent attention
Go to an emergency department if sciatica comes with numbness around the groin or genitals, difficulty passing urine or controlling the bowels, or rapidly worsening weakness in the leg or foot. These are signs that the nerves are under serious pressure and need urgent assessment.
You can request a visit on the booking page, or read about physiotherapy visits on Tilak Road.