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Two Ways Massage Therapy Can Help Sciatica

Table of Contents

Dr. Michael Derry is a Doctor of Physical Therapy and board certified in orthopedics. He is very passionate about treating lower back pain and helping people build their resiliency. He has spent time assisting at universities as well as managing large clinics before starting his own practice in Jacksonville, FL.

Two Ways Massage Therapy Can Help Sciatica

Two Ways Massage Therapy Can Help Sciatica

Updated:
March 10, 2025

Massage Can Be Beneficial for Sciatica

Sciatica is a pesky condition involving irritation of the sciatic nerve. It has no singular cause, as the culprit could range from a disc injury to stenosis. When experiencing sciatica, massage therapy often comes up in the conversation. The short answer is yes, massage can help, and it comes with very little risk. Most of the benefits are short-term, but they can make the recovery process so much better. The best-case scenario, and what I recommend, is to use massage therapy with movement-based recovery for sciatica.

Massage Therapy Benefits for Sciatica
Massage Therapy Benefits for Sciatica

2 Unique Benefits of Massage Therapy For Sciatica Relief

Massage therapy can provide immediate relief for sciatica considering positions and muscle relaxation.

Positional Comfort

The ideal approach is to combine massage therapy with movement-based recovery. Surprisingly, lying on your stomach during a massage can be incredibly comfortable and beneficial for sciatica from disc herniation. If you have sciatica from stenosis, that is a different story and I don't recommend lying on your stomach. My patients have more success with lying on their side. The moral of the story is that tell you massage therapist your preference and stick to that.

Don't let them force you into an uncomfortable position.

Relax Muscles Around The Sciatic Nerve

The sciatic nerve runs through several muscles in your leg, and while the pain often originates from the back, targeting these muscles can provide significant relief. Massaging the glutes, hamstrings, and calves helps release tension around the nerve, making it a soothing and effective approach to managing discomfort.

Why a Massage Could Be the Game-Changer for Your Sciatica Relief

A skilled massage therapist brings valuable expertise to make your session both healing and effective. By openly communicating about your symptoms and how the massage feels, you can significantly enhance your recovery. I've seen patients go from a 7/10 pain level to a 3/10 simply because they were able to move more easily and complete their exercises with less discomfort after the massage.

Where are the Trigger Points for Sciatica?

There isn’t a single trigger point that instantly relieves sciatic pain—it all depends on your unique experience. A skilled therapist will assess your symptoms, explore different areas, and address both what they observe and what you feel. The sciatic nerve powers key muscles like the hamstrings, adductor magnus (inner thigh), and calf, all of which can develop trigger points due to sensitivity and overuse. If these muscles become irritated by sciatica, they may form tender spots. Additionally, the sciatic nerve passes through or near muscles like the piriformis and glutes, which can also develop trigger points contributing to discomfort.

What About a Massage Gun for Sciatica?

In my experience, massage guns can be hit or miss when it comes to treating sciatica. For those with intense or easily triggered pain—what I refer to as "hot" symptoms—a massage gun may end up being more irritating than helpful. However, for individuals with longer-standing, less acute symptoms, these tools tend to be more effective and well-tolerated. While they may not work for everyone, massage guns offer an affordable alternative to professional therapy, and many people experience relief from their use.

Here is one I recommend! 

If you have a massage gun, I recommend using it to activate feel-good nerve fibers in the legs and glutes, which can help reduce pain signals. While the gun may not reach the depth of the nerve itself, it can still relax the surrounding muscles, easing radiating pain. Focus on the major muscle groups that the nerve passes through, such as the glutes, thighs, and calves, but avoid the lower back. It's harder to target effectively on your own and lacks the muscle mass needed for the massage gun to work properly. For the best results, use the softest, largest attachment that comes with your device.

Using A Massage Gun On Your Quad
Using A Massage Gun On Your Quad
Using a Massage Gun on Your Hamstrings
Using a Massage Gun on Your Hamstrings
Using A Massage Gun On Your Glute
Using A Massage Gun On Your Glute

A Quick Reminder About Sciatica

Education is a key part of treating any condition. Gaining even a basic understanding of what’s happening puts some control back in your hands, helping to reduce fear and uncertainty about your condition.

Understanding the Sciatic Nerve: Its Origins and Functions

The sciatic nerve originates from the L4-S4 nerve roots and plays a crucial role in both sensory and motor functions. It controls muscle contractions and transmits sensory information from various parts of the body to the brain. As it extends, the sciatic nerve branches into smaller nerves that further distribute these functions. Because of this branching structure, any impairment higher up along the nerve can potentially lead to issues in its downstream pathways, affecting movement and sensation in the lower body.

Sciatica Commonly Causes Pain In the Glute, Hamstring, and Outer Leg

It’s not unusual to experience pain, tingling, or numbness that extends from your back all the way down to your foot. If you trace those sensations, they can often be linked back to the sciatic nerve. Since the sciatic nerve also controls muscle contractions, you may also notice weakness in the muscles of your leg.

Common Causes of Sciatica Include Herniated Discs and Spinal Stenosis

Sciatica can be caused by various types of dysfunction, essentially when something is compressing or irritating the nerve. Common causes include a herniated disc, spinal stenosis, or even a tumor. These conditions take up space where the sciatic nerve is located, limiting its ability to move and glide freely.

Piriformis Syndrome Can Also Cause Sciatica

While less common, a tight, stiff, or large piriformis muscle can cause sciatica. If you believe your sciatica is caused by your piriformis, then you will find this video useful.

What is Better for Sciatica? Physical Therapy, Massage Therapy, or Chiropractor?

When considering the best treatment for sciatica, a provider that incorporates exercise and movement-based therapy will offer the most comprehensive approach.

Massage Therapy vs. Physical Therapy for Sciatica Relief

Massage therapy can provide short-term relief by reducing muscle tension and improving circulation. However, it doesn't address the root causes of sciatica, such as strength imbalances, nerve mobility, or movement patterns that may contribute to the pain. While physical therapists focus on correcting these movement patterns and strengthening muscles, massage therapists don’t typically work on those aspects. This makes massage therapy an excellent complement to physical therapy, enhancing overall treatment.

Chiropractic Care vs. Physical Therapy for Sciatica Relief

Like massage therapy, chiropractic care can offer immediate relief, often through spinal adjustments that temporarily ease pain. It’s proven to be safe and effective. However, for those with chronic sciatica or long-lasting pain, addressing movement patterns and strength deficits is crucial. Many people experience temporary improvement from chiropractic adjustments, only to find their pain returns after a few days—this happened to me as well! Ultimately, the decision is yours, but trust your instincts and stick with what feels right. Many people do find relief from sciatica, but it takes time and effort. That’s why I created the Sciatica PDF—so you can take control and do as much as possible on your own!

In conclusion, consider downloading the Sciatica PDF

Recovering from sciatica can feel like a long journey, but the good news is that there are many effective ways to find relief. Massage therapy can be a valuable tool for reducing muscle tension and providing short-term comfort, especially when combined with movement-based recovery strategies. While no single treatment works for everyone, understanding your options and taking an active role in your recovery can make a significant difference. Healing takes time, but with the right approach, you can regain control and get back to doing what you love. For more practical tips and expert guidance, be sure to download my Sciatica Relief PDF—it’s packed with valuable information to help you on your journey to recovery!

Massage Can Be Beneficial for Sciatica

Sciatica is a pesky condition involving irritation of the sciatic nerve. It has no singular cause, as the culprit could range from a disc injury to stenosis. When experiencing sciatica, massage therapy often comes up in the conversation. The short answer is yes, massage can help, and it comes with very little risk. Most of the benefits are short-term, but they can make the recovery process so much better. The best-case scenario, and what I recommend, is to use massage therapy with movement-based recovery for sciatica.

Massage Therapy Benefits for Sciatica
Massage Therapy Benefits for Sciatica

2 Unique Benefits of Massage Therapy For Sciatica Relief

Massage therapy can provide immediate relief for sciatica considering positions and muscle relaxation.

Positional Comfort

The ideal approach is to combine massage therapy with movement-based recovery. Surprisingly, lying on your stomach during a massage can be incredibly comfortable and beneficial for sciatica from disc herniation. If you have sciatica from stenosis, that is a different story and I don't recommend lying on your stomach. My patients have more success with lying on their side. The moral of the story is that tell you massage therapist your preference and stick to that.

Don't let them force you into an uncomfortable position.

Relax Muscles Around The Sciatic Nerve

The sciatic nerve runs through several muscles in your leg, and while the pain often originates from the back, targeting these muscles can provide significant relief. Massaging the glutes, hamstrings, and calves helps release tension around the nerve, making it a soothing and effective approach to managing discomfort.

Why a Massage Could Be the Game-Changer for Your Sciatica Relief

A skilled massage therapist brings valuable expertise to make your session both healing and effective. By openly communicating about your symptoms and how the massage feels, you can significantly enhance your recovery. I've seen patients go from a 7/10 pain level to a 3/10 simply because they were able to move more easily and complete their exercises with less discomfort after the massage.

Where are the Trigger Points for Sciatica?

There isn’t a single trigger point that instantly relieves sciatic pain—it all depends on your unique experience. A skilled therapist will assess your symptoms, explore different areas, and address both what they observe and what you feel. The sciatic nerve powers key muscles like the hamstrings, adductor magnus (inner thigh), and calf, all of which can develop trigger points due to sensitivity and overuse. If these muscles become irritated by sciatica, they may form tender spots. Additionally, the sciatic nerve passes through or near muscles like the piriformis and glutes, which can also develop trigger points contributing to discomfort.

What About a Massage Gun for Sciatica?

In my experience, massage guns can be hit or miss when it comes to treating sciatica. For those with intense or easily triggered pain—what I refer to as "hot" symptoms—a massage gun may end up being more irritating than helpful. However, for individuals with longer-standing, less acute symptoms, these tools tend to be more effective and well-tolerated. While they may not work for everyone, massage guns offer an affordable alternative to professional therapy, and many people experience relief from their use.

Here is one I recommend! 

If you have a massage gun, I recommend using it to activate feel-good nerve fibers in the legs and glutes, which can help reduce pain signals. While the gun may not reach the depth of the nerve itself, it can still relax the surrounding muscles, easing radiating pain. Focus on the major muscle groups that the nerve passes through, such as the glutes, thighs, and calves, but avoid the lower back. It's harder to target effectively on your own and lacks the muscle mass needed for the massage gun to work properly. For the best results, use the softest, largest attachment that comes with your device.

Using A Massage Gun On Your Quad
Using A Massage Gun On Your Quad
Using a Massage Gun on Your Hamstrings
Using a Massage Gun on Your Hamstrings
Using A Massage Gun On Your Glute
Using A Massage Gun On Your Glute

A Quick Reminder About Sciatica

Education is a key part of treating any condition. Gaining even a basic understanding of what’s happening puts some control back in your hands, helping to reduce fear and uncertainty about your condition.

Understanding the Sciatic Nerve: Its Origins and Functions

The sciatic nerve originates from the L4-S4 nerve roots and plays a crucial role in both sensory and motor functions. It controls muscle contractions and transmits sensory information from various parts of the body to the brain. As it extends, the sciatic nerve branches into smaller nerves that further distribute these functions. Because of this branching structure, any impairment higher up along the nerve can potentially lead to issues in its downstream pathways, affecting movement and sensation in the lower body.

Sciatica Commonly Causes Pain In the Glute, Hamstring, and Outer Leg

It’s not unusual to experience pain, tingling, or numbness that extends from your back all the way down to your foot. If you trace those sensations, they can often be linked back to the sciatic nerve. Since the sciatic nerve also controls muscle contractions, you may also notice weakness in the muscles of your leg.

Common Causes of Sciatica Include Herniated Discs and Spinal Stenosis

Sciatica can be caused by various types of dysfunction, essentially when something is compressing or irritating the nerve. Common causes include a herniated disc, spinal stenosis, or even a tumor. These conditions take up space where the sciatic nerve is located, limiting its ability to move and glide freely.

Piriformis Syndrome Can Also Cause Sciatica

While less common, a tight, stiff, or large piriformis muscle can cause sciatica. If you believe your sciatica is caused by your piriformis, then you will find this video useful.

What is Better for Sciatica? Physical Therapy, Massage Therapy, or Chiropractor?

When considering the best treatment for sciatica, a provider that incorporates exercise and movement-based therapy will offer the most comprehensive approach.

Massage Therapy vs. Physical Therapy for Sciatica Relief

Massage therapy can provide short-term relief by reducing muscle tension and improving circulation. However, it doesn't address the root causes of sciatica, such as strength imbalances, nerve mobility, or movement patterns that may contribute to the pain. While physical therapists focus on correcting these movement patterns and strengthening muscles, massage therapists don’t typically work on those aspects. This makes massage therapy an excellent complement to physical therapy, enhancing overall treatment.

Chiropractic Care vs. Physical Therapy for Sciatica Relief

Like massage therapy, chiropractic care can offer immediate relief, often through spinal adjustments that temporarily ease pain. It’s proven to be safe and effective. However, for those with chronic sciatica or long-lasting pain, addressing movement patterns and strength deficits is crucial. Many people experience temporary improvement from chiropractic adjustments, only to find their pain returns after a few days—this happened to me as well! Ultimately, the decision is yours, but trust your instincts and stick with what feels right. Many people do find relief from sciatica, but it takes time and effort. That’s why I created the Sciatica PDF—so you can take control and do as much as possible on your own!

In conclusion, consider downloading the Sciatica PDF

Recovering from sciatica can feel like a long journey, but the good news is that there are many effective ways to find relief. Massage therapy can be a valuable tool for reducing muscle tension and providing short-term comfort, especially when combined with movement-based recovery strategies. While no single treatment works for everyone, understanding your options and taking an active role in your recovery can make a significant difference. Healing takes time, but with the right approach, you can regain control and get back to doing what you love. For more practical tips and expert guidance, be sure to download my Sciatica Relief PDF—it’s packed with valuable information to help you on your journey to recovery!

Dr. Michael Derry is a Doctor of Physical Therapy and board certified in orthopedics. He is very passionate about treating lower back pain and helping people build their resiliency. He has spent time assisting at universities as well as managing large clinics before starting his own practice in Jacksonville, FL.

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