25/02/2026
Sciatica is a common pain that we see in clinic, so this story is not unusual!
It's worth telling because whilst back pain symptoms can present severely when a nerve is irritated, the fix can be pretty quick once we understand which levers & pulleys are stressed, & we begin to address those mechanics 🙌🏽
On this occasion, our client booked in for an assessment with Joe. A keen badminton player, he'd extended whilst playing a shot, twisted his back, & ended up with typical sciatica symptoms (pain in his back, around the sides of his hips, & down one leg) 🏸
Our assessment:
Joe examined movement patterns to find there was an underlying mechanical strength issue that could be addressed with bespoke programming.
Clinic Director and Musculoskeltal Specialist Kelly Marshall agreed.
The back is made up of multiple levers & pulleys attached to the spine, & these have the ability to influence the mechanics of the back that can lead to overworking of a muscle, a muscle not being strong enough, or simply being unable to cope with what was asked of it in a particular movement ⛏️
This is exactly what happened here. And when those 3 things happened at once, the pain signals were scarier than the actual issue 😭
Our treatment:
Kelly wrote a 6wk bespoke exercise prescription that included a series of functional movements designed to put strength where this was lacking (in the levers & pulleys required to take a shot with force at speed)
This was not a repeat of the same set of exercises each day, but a series of different & progressive exercises across the block specifically designed to target the range of movement required to extend at speed 🏸
Progress was monitored via app based programming, where our client was able to speak with Kelly along the journey.
The Outcome:
Within 6 weeks, the sciatica eased, & whilst a further bespoke program wasn't required (from a pain perspective) our client asked to continue a new block having seen the benefits of giving his body the exercises required (to get stronger) to be able to better participate in the sport he loves (with a lower likelihood of future injury).
Key takeaway in the comments 🙌🏽