Up to 90% Success Rate
Sciatica is a condition characterised by pain that usually originates in the lower back and radiates down the leg. It occurs when the sciatic nerve, the longest nerve in the body, becomes compressed or irritated. This compression or irritation can result in varying degrees of pain, numbness, and weakness. It can affect the lower back, buttocks, legs, and feet.
It is estimated that approximately 40% of people will experience sciatica at some point in their lives.
The most common cause of sciatica is compression or irritation of the sciatic nerve. Several conditions can lead to sciatica.
One of the most common causes of sciatica is a herniated or bulging disc in the spine. When a disc in the spine ruptures or protrudes, it can put pressure on the adjacent nerve roots, including the sciatic nerve.
This condition involves the narrowing of the spinal canal, which puts pressure on the spinal cord and nerve roots, including the sciatic nerve.
As discs in the spine naturally degenerate with age, they may lose their cushioning effect, causing increased pressure on the nerves, including the sciatic nerve.
This occurs when a vertebra slips forward over the vertebra below it, causing compression of the nerves, including the sciatic nerve.
The sciatic nerve may run through the piriformis muscle in the buttocks. If the muscle spasms or becomes tight, it can compress the sciatic nerve, leading to pain. It is worth to mention that only 10% of the population have their sciatic nerve running through the piriformis muscle. The other 90% involves the nerve running safely under this muscle.
Trauma to the lower back, such as a fall or car accident, can cause compression or irritation of the sciatic nerve.
Rarely, tumours or infections within the spine or pelvis can compress the sciatic nerve and cause sciatica.
In some cases, the growing uterus during pregnancy can put pressure on the sciatic nerve, causing sciatica.
Treatment for sciatica will depend on the underlying cause of the condition. MSK Therapy is one of the most popular and effective non-invasive options for treating sciatica.
Typically our interventions for sciatica may include:
Corrective Interventions that will help to re-align the body’s movement and take excess pressures off all relevant structures, including the impinged nerve. Some examples of corrective interventions we carry out are:
Special Orthopaedic Interventions that will instantly reduce the pressure on the impinged nerve. Some examples of Special Orthopaedic Interventions are:
MSK Physical Therapy to boost the body’s natural healing power by promoting nutrient reach blood to the affected areas and by improving the body’s Functionality (Balance, Strength, Flexibility and Coordination). This is achieved with the use of Therapeutic Exercises.
Life style advice. There are activities that could make your sciatica symptoms worse and prevent healing, and some other activities that could help you recover. We will go through your daily routine and provide tailored advice on how you could modify the different activities, finding a golden mean between practicality and best possible outcomes.
At Optimove Clinic we look at the whole picture and because we use different modalities to address the issue and not just one modality or just a method, we have all of the tools to help you.
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.
At our clinic in Marylebone, our team of Advanced therapists use a variety of non-invasive treatment techniques to help our patients with sciatica. Whether you’re dealing with acute or chronic sciatica, we can provide the care and support you need to get back to living pain-free.
Posted on Mandorlata IM2 May 2026 Highly recommend this clinic. It was recommended to me by the doctor I had steroids injections with, and I couldn’t be happier. I’ve been going to this clinic for the last 2 years and Adonis has looked after my condition with incredible knowledge and professionalism.Posted on LINA ALREJAEE17 April 2026 Had a great experience with my physiotherapist very professional, knowledgeable, and attentive. They took the time to understand my issue and created a clear treatment plan that really helped my recovery. Highly recommend! Adonis and audryPosted on Alex Venetidis10 April 2026 After having done a bunch of sessions with Ascenti optimove is in a league of its own, it's night and day compared to ascenti and I'm actually excited to go in to work with Audrey every time. Back in Greece there's too much focus on manual in-clinic therapy and not enough on exercises, in the UK it's generally the reverse. Optimove has a happy middle ground approach which balances both sides. Thanks a lot to the optimove team for having such a great approach to physio!Posted on Ben Nicholas24 March 2026 I found Optimove online as I had a sore neck and wanted to a convenient location close to my work. Optimove has a base on Cavendish Square which was ideal for me and I was treated over 3 sessions. Adonis was fantastic and offered a personal service. We kept in contact in between sessions to analyse my improvements and I was provided with videos for various exercises. I intend to go have follow up MOT sessions to ensure I remain in good shape.Posted on Mauro Sandoval11 March 2026 I have known Adonis for many years now and the service is always of the highest quality. I also have a few clients who always speak very highly of Adonis and his work.Posted on Nahid Choudhury26 February 2026 I went to see Adonis for my appointment, could not have asked for a better experience. From start to finish he was very attentive and really listened to my concerns and he was able to give me clear and confident answers as to how my treatment plan will help me. Will be recommending to my friends and family for sure. Thank you Adonis!Posted on J S23 February 2026 I have been exercising with Adonis for 10 years. He is meticulous in his approach and deeply attentive to his clients’ specific needs. Above all, he is a humble, passionate professional who stays up-to-date on the latest research in his field. His extensive knowledge of human anatomy, combined with years of experience in fitness and injury prevention, makes him a cut above other instructors.Posted on Abbas Dhami16 February 2026 OPTIMOVE Clinic is a highly professional physiotherapy clinic that we have had the pleasure of working with for over two years. We confidently and wholeheartedly recommend their services. ScanAlign 19 Harley StreetPosted on Nata Guliyeva3 February 2026 Posted on Beata Lawniczak - Lizon19 January 2026 I had several visits at Optimove Clinic for my knee problem, and I’m extremely happy with the care I received. Adonis was very professional, knowledgeable, and supportive throughout my treatment.He took the time to explain everything clearly and made me feel comfortable at every stage. Thanks to his help, my knee has improved significantly. I highly recommend Optimove Clinic
Cavendish Square Gardens – 33 Cavendish Square
Walking Directions from Oxford Circus
Parking Information
Travel by public transport
The nearest Tube stations to 57 Wimpole Street are Oxford Circus and Bond Street. Both are about a 10-12 minute walk away.
Parking
Short-term meter parking in surrounding streets and long-term car parking, at Q-Park Oxford Street and Q-Park Harley Street is available.
By Tube / Train
Kensington (Olympia) is the nearest tube station to Blythe Road (7-min walk).
By Bus
Kensington Olympia (P) is the nearest bus stop, covered by routes 9, 27, and 110. It’s approximately 4-min walk from the clinic.
By Car & Parking Nearby
Our clinic sits in the London Borough of Hammersmith & Fulham, within the Controlled Parking Zone (CPZ), so on-street parking along Blythe Road itself may be restricted during certain hours — always check the signage.
For off-street parking, the closest options are:
Marylebone
33 Cavendish Square
W1G 0PW, London
West Kensington
VisitHealth
1 Blythe Rd
W14 OHG, London