10 years of professional experience
- Updated on 11 November 2026
Sciatica Treatment in Marylebone & West Kensington, London
That shooting pain down your leg — from your lower back through your hip and all the way to your foot. You shouldn’t have to live with it.
Our HCPC-registered specialists find the exact cause and treat it at the source — with a 90% success rate.
Our approach aims to identify and treat the underlying cause, providing prompt relief and a comprehensive treatment plan for long-term results.
Bupa · Bupa Global · AXA · Allianz · Cigna · Aviva · Vitality · UnitedHealthcare · WPA · Freedom Health Insurance · Healix · April International · Medigo · Tricare
No GP referral needed for most insurance plans. Call us and we’ll confirm your cover before you book.
Holistic Approach
We firmly believe in overall physical fitness as such we take a holistic approach to treating you.
Hands-on Treatment
We are experienced in a range of manual techniques to immediate pain relief from your symptoms.
Hands-on Treatment
Featured treatment
Shockwave therapy for sciatica caused by piriformis syndrome
When sciatica is caused by piriformis muscle tension — rather than disc compression — shockwave therapy (ESWT) can significantly reduce muscle tension, relieve sciatic nerve irritation, and restore pain-free movement. Clinical trials show ESWT is as effective as corticosteroid injection for piriformis-related sciatica, without the side effects. Available at both Marylebone and West Kensington — assessed at your first appointment.
Client reviews
What Our Clients Say
Your experience
Your first visit — exactly what to expect
Full assessment
We examine your spine, hips, and lower limbs — including neurological testing to identify whether the cause is disc, muscle, or nerve-related.
Clear diagnosis and plan
You leave knowing the exact cause, a realistic recovery timeline, and a personalised treatment plan — not “rest and see.”
Treatment starts today
Manual therapy, nerve glides, shockwave, or targeted exercise — your first treatment happens at this visit if appropriate.
Advanced Musculoskeletal Recovery
Conditions we treat
Our physiotherapists treat the full range of musculoskeletal problems.
- Sciatica
- Lower Back Pain
- Neck Pain
- Shoulder Pain
- Knee Pain
- Elbow, wrist and hand pain
- Hip and groin pain
- Plantar fasciitis
- Migraines and Headaches
- Fibromyalgia
- Sports injuries and post-operative rehabilitation
How we treat Plantar Fasciitis
Some Interventions we use
At Optimove Clinic, we take a different approach compared to other clinics. While they tend to “chase the pain” by focusing solely on treating the actively painful area, we take a holistic approach to pain management. We understand that pain in one area may be linked to dysfunction in another part of the body. By addressing the root cause of the pain, rather than just the symptoms, we can provide more effective and long-lasting relief.
Our method incorporates different techniques such as Manual Therapy, Corrective/Therapeutic Exercise, and Pilates, to alleviate pain and enhance athletic performance. We strive to assist individuals in reducing or eliminating discomfort while also supporting athletes in optimizing their abilities.
For the Muscle System
- Soft tissue mobilisation and manipulation.
- Trigger point therapy.
- Vibration therapy.
For Joints
- Arthrokinematic optimisation (movement of joint surfaces)
- Osteokinematics optimisation (gross movements of bones at joints).
For Connective Tissue
- Fascia and connective tissue treatment/ optimisation.
For Nervous System
- Neural Drive optimisation.
- Muscle firing rate and synchronisation encasement.
- Inter and intramuscular coordination optimisation.
Meet Your Clinicians
HCPC Registered Physiotherapist
Audrey Lam
Responsible for managing a caseload of 30+ patients per week and delivering group rehabilitation classes
Actively involved in supervising physiotherapy students and contributing to multidisciplinary team care
Utilises therapeutic exercise, movement-based rehabilitation, patient education, and functional training to achieve optimal outcomes
Brings additional expertise in movement analysis, injury prevention, and patient engagement through a professional dance background
Doctor of Physical Therapy
Danyal Riaz
12+ years of clinical experience in Physiotherapy
Background in specialist MSK physiotherapy, including roles as Senior MSK Physiotherapist at Fleximove Physiotherapy and MSK Physiotherapist at Myokinetics, Chester.
Responsible for clinical supervision, training, and operational oversight of 6 clinics in the South-East region
Experienced in treating:
Musculoskeletal conditions
Orthopaedic injuries
Sports injuries rehabilitation
Neurological conditions
Post-operative rehabilitation
Utilises manual therapy, therapeutic exercise, electrotherapy, and patient education to achieve optimal outcomes.
Physiotherapist
Dhruvil Shah
HCPC-registered Physiotherapist with a strong background in musculoskeletal rehabilitation, sports injuries, and exercise-based rehabilitation
Postgraduate training in Sports & Exercise Medicine, combining evidence-based physiotherapy with performance-focused rehabilitation
Experienced in treating:
Spinal pain
Sports injuries
Tendon disorders
Muscle injuries
Joint pain
Post-operative rehabilitation
Combines hands-on therapy with tailored exercise programmes to restore movement, improve function, and help patients return confidently to work, sport, and everyday activities
Transparent pricing
NEW CLIENT OFFER
* New patients only • First promotional treatment purchase only • Packages paid in full in advance • Standard 48-hour cancellation policy applies.
** Direct Debit: 4 sessions per month • Minimum 3-month commitment • Paid monthly in advance. From £55 per session based on the 30-minute plan.
No membership required. All prices inclusive. Courses are non-expiring.
Interest
Spread the cost with PayItMonthly
We partner with PayItMonthly, a UK interest-free Buy Now, Pay Later provider, so you can start your programme immediately and pay in instalments:
£500 to £899: 3 monthly instalments|£900+: 6 monthly instalments
Find us in London
Visit Us in London
Our clinic at 33 Cavendish Square is conveniently located for patients across Central London. We regularly treat patients from Marylebone, Mayfair, Fitzrovia, Bloomsbury, Soho, and Regent’s Park. Oxford Circus and Bond Street underground stations are both within 2 minutes’ walk, making us easily accessible from anywhere in London.
Marylebone
33 Cavendish Square, London W1G 0PW
Mon–Sat: 8:30 AM – 7:30 PM · Sunday: Closed
Moments from Oxford Circus & Bond Street stations. Get Directions
West Kensington
VisitHealth, 1 Blythe Rd, London W14 0HG
Mon–Fri: 10:00 AM – 7:00 PM · Saturday & Sunday: Closed
Close to West Kensington & Barons Court stations
Phone: 0203 538 8057
Sessions: By appointment — all sessions 1-on-1
Marylebone: Enter postcode W1G 0PW. Short walk from Oxford Circus (Central, Bakerloo, Victoria lines) and Bond Street (Central, Jubilee lines).
West Kensington: Enter postcode W14 0HG. A short walk from West Kensington station (District line) and Barons Court station (District, Piccadilly lines).
Whether you’re coming from Mayfair, Fitzrovia, Westminster, Regent’s Park, Soho, Paddington or the City, our Central London clinic is easy to reach.
Contact
Request your appointment
We’ll call back within 2 hours to confirm a slot — including evenings and Saturdays.
- 33 Cavendish Square W1G 0PW, London
- 57 Wimpole Street, Marylebone
- 1 Blythe Rd, West Kensington
Thank you for your enquiry
Please provide the details below, and we will contact you within the day to discuss your enquiry.
Enquiry received
Thank you, your enquiry has been submitted successfully. We'll be in touch within the day to discuss your enquiry.
Common questions
Sciatica Treatment — Frequently Asked Questions
The most effective approach combines manual therapy, targeted physiotherapy exercises, and lifestyle modifications. At Optimove Clinic, our physiotherapists assess the underlying cause — whether a herniated disc, spinal stenosis, or muscle imbalance — and create a personalised treatment plan. Research consistently shows that active rehabilitation combined with manual techniques produces better long-term outcomes than rest alone. According to the NHS, most cases of sciatica improve within 4–6 weeks with appropriate treatment.
Most patients notice a meaningful reduction in pain within 3–6 sessions. Acute cases (symptoms present less than 6 weeks) typically respond faster than chronic sciatica. At our Marylebone clinic, 90% of patients report significant improvement within their treatment programme. Your physiotherapist will provide a realistic timeline during your initial assessment, based on the severity and duration of your symptoms.
Yes — Optimove Clinic offers specialist sciatica physiotherapy at three London locations: Marylebone (33 Cavendish Square, 2 minutes from Oxford Circus), Wimpole Street (10 minutes from Bond Street), and West Kensington (Blythe Road, near Kensington Olympia). All clinics are staffed by HCPC-registered physiotherapists with experience in musculoskeletal and nerve pain conditions.
Your initial consultation lasts approximately 60 minutes and includes a detailed discussion of your symptoms and medical history, a physical examination of your spine, hips, and lower limbs, neurological testing to assess nerve function, and movement analysis. Based on these findings, your physiotherapist will explain the likely cause of your sciatica and outline a personalised treatment plan with a clear recovery timeline.
Yes — the vast majority of sciatica cases resolve with conservative treatment. Surgery is considered only when there is significant structural damage, loss of bladder or bowel control, or when conservative treatments have failed after 6–12 weeks. Physiotherapy, manual therapy, and targeted exercises are the recommended first-line treatments. The Chartered Society of Physiotherapy supports physiotherapy as the primary intervention for musculoskeletal sciatic pain.
Acute sciatica usually improves within 4–6 weeks with appropriate treatment. Chronic sciatica (symptoms lasting more than 12 weeks) requires a more comprehensive rehabilitation approach. Without treatment, symptoms can persist for months or worsen. Early physiotherapy intervention significantly reduces recovery time and the risk of the condition becoming chronic.
Most patients report improved sleep quality within 2–4 weeks of starting treatment. Improvement depends on the duration and severity of symptoms, the underlying cause, and adherence to your treatment plan. We typically see the fastest improvements when combining professional manual therapy, personalised sleep position advice, and targeted evening stretching exercises. Your physiotherapist will set a realistic sleep-recovery timeline at your first appointment.