Lower back pain & sciatica physiotherapy
Most back pain isn't a one-off — it's posture, a weak core or an old injury catching up with you. We find which, and fix the cause.
Most lower back pain is mechanical — driven by posture, a weak core, or an irritated disc or nerve — and responds well to physiotherapy without surgery. At Ajira we assess what is actually causing your pain, settle it with hands-on treatment, then rebuild the strength that keeps it from coming back.
Understanding lower back pain & sciatica
Lower back pain is one of the most common reasons people visit a physiotherapist — and one of the most treatable. Whether it crept in after years at a desk or arrived suddenly when you bent to lift something, the pain usually has a clear mechanical cause that a thorough assessment can identify.
Sciatica — sharp pain, tingling or numbness travelling down the leg — happens when the sciatic nerve is compressed or irritated, often by a disc or tight muscle. It can feel alarming, but most cases settle with the right physiotherapy and rarely need surgery.
Signs you might recognise
- A dull ache that worsens after sitting at a desk for long periods
- Sharp pain, tingling or numbness shooting down one leg (sciatica)
- Stiffness that is worst first thing in the morning
- Pain when bending forward, lifting, or standing up from a chair
Common causes we treat
- Disc bulges or irritation pressing on a nerve root
- Weak deep-core and gluteal muscles that overload the spine
- Prolonged sitting and poor desk posture
- Old injuries that never fully rehabilitated
How we treat it
- AssessA full movement screen plus posture and core testing to pinpoint the source.
- RelieveManual therapy and dry needling to calm the pain and release tight tissue.
- RebuildA progressive core and mobility programme so the pain does not return.
Frequently asked questions
How long does it take to recover from lower back pain?
Many people feel meaningful relief within 2–4 weeks of starting physiotherapy, though the full programme to rebuild strength and prevent recurrence usually runs 6–12 weeks depending on the cause and how long the pain has been present.
Do I need an MRI or scan before physiotherapy for back pain?
In most cases, no. A physiotherapist can assess the cause of mechanical back pain through a clinical examination. We refer for imaging only when specific signs suggest it is needed, and can advise you on whether a scan would change your treatment.
Is physiotherapy effective for sciatica?
Yes. The large majority of sciatica cases improve with physiotherapy — combining hands-on treatment to settle nerve irritation with targeted exercises — and resolve without surgery.
Let's find out what's really going on.
Book an assessment and we'll map a clear plan to get you moving freely again — at the clinic in Domlur or at home across South-East Bengaluru.