Sciatica is a broad term used to describe pain that is often felt down someone’s leg and originates from compression or dysfunction of the sciatic nerve. This condition is often very debilitating and quite often the highest degree of pain experienced by patients that we treat. The objective in helping someone with sciatica is to locate the source of this nerve dysfunction and reduce the pressure being put on the nerve. Manual and exercise therapy techniques are often used alongside modalities such as intramuscular stimulation (IMS) and spinal mobilisations to reduce pressure on the sciatic nerve. Pilates is often advised as a way to prevent its return, once someone is in a more stable state.