What We Treat

Sciatica treatment in Washington, DC.

The burning line down the back of your leg. The bad days you spend lying down, waiting for it to pass. Sciatica is the name for the pain, not the reason for it. We find your reason first.

Shooting leg pain Numbness and tingling Pain when sitting Schedule My Appointment

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Free 30-minute Discovery Session. Trupti calls you back herself.

Sound Familiar?

Does this sound like you?

  • A burning line down one leg that starts before you’re even out of the car
  • Pins and needles in your foot that turn up out of nowhere
  • Getting up from your desk in stages because sitting made it angry
  • Bad days where the plan is to lie in bed and wait for it to pass
  • Surviving a flight or a long drive by shifting every ten minutes
  • Passing on the tennis, the run, or the hike because you know what follows

Two or more? Keep reading.

Why It Happens

Sciatica is a symptom. Something is crowding that nerve.

Your sciatic nerve runs from your low back down into your leg. Pain travels along it when something upstream leans on it, and that something is usually one of a few culprits. A disc pressing on the nerve root. A narrowed opening where the nerve leaves your spine. Instability in the low back that lets a segment shift and pinch. Or a tight, overworked muscle deep in your hip that the nerve has to squeeze past.

Those causes need different treatment, which is why generic nerve glides help for an afternoon and then quit. Sometimes it isn’t a disc at all. That’s what a real hands-on evaluation is for: testing the nerve directly instead of guessing at it. And you’re the person other people count on, at work, on your team, at home. That’s exactly why you’ve been managing this for years instead of ending it.

A woman holding her lower back in pain outdoors

The Honest Truth

Nerve pain doesn’t get bored and leave.

If you keep waiting

  • The numbness and tingling start reaching further down the leg
  • You stop trusting that leg, and the whole side quietly gets weaker
  • Sitting, driving, and flying all turn into things you have to plan around

If you start now

  • You walk out of visit one knowing what is actually crowding the nerve
  • Hands-on treatment starts at that first visit, not a month later
  • You get a plan with an endpoint, not an open tab of appointments

The reviews for this practice are full of people who assumed the nerve pain would fade on its own. Years of it. Not one of them says the waiting helped.

How We Fix It

The same four phases. Built for a nerve.

Every plan here has an endpoint. These are the typical windows. Yours gets set at your evaluation, not by a template.

Weeks 1–2

Pain

Take the pressure off.

Hands-on work and manipulation open up room around the nerve and settle the leg down, starting your very first visit.

Weeks 2–6

Prime

Get your motion back.

Low back and hip mobility work returns the movement the nerve needs, so nothing keeps pinching it on the way past.

Weeks 6–10

Perform

Make it strong enough to trust.

Progressive core, glute, and hip strengthening steadies the segment that has been shifting and catching the nerve.

Weeks 10+

Prevent

Sit, drive, and train without bracing.

Long sitting, long walking, and your sport get tested under real load before you’re cleared. That’s the endpoint, not another appointment.

I had experienced some severe sciatica on a trip I took to Asia five years ago. … Within minutes of meeting Trupti, she went through the entire checklist telling me what was going wrong, that doctors took 2 weeks any many tests to figure out. … After working with Trupti, my sciatica was gone for the most part, which was great.

Shared by Kevin F. · Sciatica and spinal stenosis

Before: “when it was really bad, I could not move at all; I would just lie in bed and wait for it to subside”

After: “I have now been pain free in my lower back and sciatic nerve for more than a couple months”

Shared by Stephen B. Sciatica, 8 years

Questions, Answered

What people ask before booking for sciatica.

Usually not, and waiting on one can cost you weeks of leg pain. Scans of people with no symptoms at all routinely show disc bulges and wear and tear, so an image alone rarely names the thing leaning on your nerve. A hands-on evaluation tests the nerve directly and finds where the pressure is coming from. If imaging is genuinely the right next step we’ll help you get it, and if this isn’t a physical therapy problem you’ll hear that on day one, not after ten visits. You also don’t need a referral to start in DC.

Careful is fair, and this is where direction matters more than effort. Some movements crowd a nerve and some give it room, and which is which depends on your back, not on a printout. Lying still is what leaves the leg weaker and the next flare-up worse. So every exercise is picked for your nerve, taught in the room, and checked before it goes home with you, one-on-one with a licensed physical therapist, every visit. If something flares, the plan changes that same session.

Find out before you spend anything. Send us your plan details and we’ll run a free benefits check, then tell you plainly what your plan covers here and what an out-of-network visit would look like, so nothing surprises you on a statement later. Ahead of that, the 15-minute telephone consultation and the 30-minute Discovery Session are both free. You can hear what is likely going on and what a plan would involve before you commit to a single paid visit.

Book Your Visit

Ready when you are.

Request a time and Trupti calls you back herself. Not a front desk. Not ‘someone will reach out.’ The therapist who would actually treat you, on the phone, before you commit to anything.

  • Hours Monday–Friday: 8 AM–6 PM · Saturday & Sunday: Closed
  • (202) 670-8874 Rather just talk it through? The 15-minute phone consult is free.
  • Free 30-minute Discovery Session first, before you commit to anything

4.9 · 86 Google reviews

Trupti calls you back herself

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So we know who to look for when you walk in.

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Care this good, this close.

Manual Medicine Spine & Sports Physical Therapy