Adding a Manual Therapy Technique to Standard Physical Therapy for Sciatica

This trial is testing whether adding a hands-on manual therapy technique called two-leg rotation to standard physical therapy can better relieve sciatica pain caused by disc problems in your lower back. Sciatica is pain that radiates down your leg from pressure on the sciatic nerve. The study will compare a group receiving standard physical therapy alone (which includes electrical nerve stimulation, ultrasound, heat, and exercises) with a group receiving the same standard care plus the additional two-leg rotation technique.

Sciatica can cause severe pain and limit your ability to walk, stand, and do daily activities. While several treatments exist, recent research suggests that certain hands-on manual therapy techniques may be particularly helpful, and this trial wants to see if adding this specific technique to standard care makes a real difference for patients.