Competitive Edge Blog

How Performance PT Treats Sciatica the Right Way

Written by Dr. Taylor Wright PT, Cert-CMFA | Feb 25, 2026 4:30:01 PM

If you’ve been dealing with sciatica and have needed to reduce your workouts or modify movements, this is for you. Performance physical therapy doesn’t just aim to reduce pain—it focuses on restoring capacity, confidence, and performance. With one-on-one attention every visit, we can move beyond symptom chasing, uncover the true driver of your pain, and implement a progressive plan designed to return you to the gym as efficiently and confidently as possible.

Lasting recovery depends on addressing these three essential steps. Here’s how they work.

 

1. Identify the True Driver of Symptoms

Sciatica isn’t the same for everyone. An assessment looks at spinal and hip movement, strength and control of these areas, training history and volume, and how symptoms behave during and after activity. By performing a thorough assessment of these areas, we can tailor your treatment and progression specifically to you—not rely on a generic, one-size-fits-all approach.

2. Calm the Nervous System

Early treatment focuses on reducing nerve sensitivity so movement feels safer and less threatening. This often includes specific mobility work, graded exposure to positions or loads, and education around pain and symptom behavior. In addition to treatments in the clinic, we make sure you have everything you need to progress on your own. When you’re equipped with the right tools, you stay in control—and that’s when progress really starts to take off.

 

3. Restore Strength and Load Tolerance

Once symptoms settle, the focus shifts to rebuilding back, core and hip strength, tolerance to bending, lifting, and impact, and confidence under load. This phase is critical for preventing recurrence and often why most people's symptoms come back again and again.

 

Most people are skeptical that they can get back to 100%, and in most cases, yes, you can! Many of my patients with sciatica return to full training, competition, and active lifestyles once they understand their symptoms, address the root cause, and progressively rebuild their capacity instead of avoiding movement.

The bottom line: Sciatica can be frustrating—but it doesn’t have to sideline you long-term. Every individual case is completely different, and often requires constant reassessment and adjustment based on progress. As long as we continue to calm the main driver of the symptoms and build long term loading tolerance, symptoms and movement will continue to improve.

 

If sciatica is limiting your workouts or confidence, a cookie-cutter approach won’t cut it.

A one-on-one performance physical therapy evaluation can help you identify the root cause of your symptoms and create a plan tailored to your training goals while keeping you active while your pain improves.

Book a consultation today to work directly with a performance physical therapist who understands active lifestyles and strength-based rehab to give you a clear plan to get you back to 100%.