
Sciatica has a way of taking over your day. A burning or electric pain that runs from your lower back through your hip and down your leg can make sitting through a meeting, driving across town, or getting a good night’s sleep feel impossible. And because it so often comes back, many people end up living with it far longer than they need to.
In this guide, we will explain what sciatica actually is, what causes it, the difference between nerve-root sciatica and the muscle-driven pain that often mimics it, and how massage, especially deep, broad-pressure ashiatsu massage, can help. We will also be clear about the warning signs that mean you should see a doctor first. At Inspire Movements in Colorado Springs, sciatica is one of the most common reasons clients come to see us.
What You’ll Learn in This Guide
- What sciatica is and what causes it
- Spine-related sciatica vs. piriformis and muscle-related pain
- Why sciatica often flares in winter
- How ashiatsu, cupping, and red light therapy help
- Self-care that supports recovery
- Red flags that mean you need a doctor first
- 1. What Is Sciatica?
- 1.1 Common Symptoms
- 2. What Causes Sciatica?
- 3. Why Sciatica Often Flares in Winter
- 4. How Massage Helps Sciatica
- 4.1 Ashiatsu: Deep Pressure Without the Poking
- 4.2 Cupping for Stubborn Tension
- 4.3 Red Light Therapy for Recovery Support
- 4.4 A Fair Word on the Evidence
- 5. Self-Care That Supports Recovery
- 6. When to See a Doctor First
- 7. What to Expect in a Sciatica Session
- 8. Why Clients Choose Inspire Movements
- 9. Frequently Asked Questions
- 9.1 Is massage good for sciatica?
- 9.2 Is ashiatsu safe if I have sciatica?
- 9.3 How many sessions will I need?
- 9.4 What is the difference between sciatica and piriformis syndrome?
- 10. Sciatica Relief in Colorado Springs
What Is Sciatica?
Sciatica is not a diagnosis on its own. It is a set of symptoms. As MedlinePlus from the National Library of Medicine describes it, sciatica refers to pain, weakness, numbness, or tingling in the leg caused by pressure on or damage to the sciatic nerve. That nerve is the longest in the body, starting in the lower back, running through the buttock, and continuing down the back of each leg.
It is also very common. Harvard Health Publishing notes that sciatica affects as many as 40% of people at some point in their lives.
Common Symptoms
- Pain that usually affects one side, running from the lower back or buttock down the leg
- A burning, tingling, or electric quality, or a deep, dull ache
- Numbness or weakness in parts of the leg or foot
- Pain that gets worse after sitting or standing for long periods, at night, or when you cough or sneeze
What Causes Sciatica?
According to MedlinePlus, the most common causes include a herniated (slipped) disc, spinal stenosis (a narrowing of the spinal canal), and piriformis syndrome, a pain disorder involving a narrow muscle deep in the buttock. Less common causes include pelvic injury, spondylolisthesis (a vertebra slipping forward), and, rarely, tumors.
That range of causes is important, because not all leg pain that feels like sciatica comes from the same place, and the right approach depends on the source.
| Type | What Is Going On | Where Massage Fits |
|---|---|---|
| Spine-related sciatica | A disc, bone spur, or narrowing in the spine presses on a nerve root | Supportive care for the muscle guarding and tension around the problem, alongside your doctor’s plan |
| Piriformis and muscle-related pain | Tight or irritated muscles deep in the buttock and hip affect the nerve as it passes through | A primary focus: releasing the deep glute and hip muscles directly |
Only a doctor can determine the exact cause of your symptoms. What we can tell you is that in both cases, the surrounding muscles tend to tighten and guard, and that tension adds to the pain. That is where skilled bodywork comes in.
Why Sciatica Often Flares in Winter
Many of our clients notice their sciatica acting up once the weather turns. Winter tends to mean more sitting, longer drives, less walking, and sudden bursts of heavy effort like shoveling snow. Long stretches of sitting load the lower back and keep the hip muscles in a shortened position, which can irritate a sensitive sciatic nerve. We cover the seasonal side of this in our guide to winter back and neck pain, and the sitting side in our post on reversing sitting disease.
Ready to Get Sciatica Under Control?
Book a session at Inspire Movements and let us work on the deep muscles behind your pain. Located in Briargate, Colorado Springs.
How Massage Helps Sciatica
The muscles most often involved in sciatica-type pain, including the piriformis, the deeper glute muscles, the hip rotators, and the muscles of the lower back, sit deep beneath other tissue. They are hard to reach with a foam roller or self-stretching alone. Hands-on work can help release that deep tension, ease protective guarding, and improve how comfortably you move.
Ashiatsu: Deep Pressure Without the Poking
Ashiatsu is a barefoot massage technique where the therapist uses overhead bars for balance and applies broad, flowing pressure with the feet. Because a foot spreads pressure over a much larger area than a thumb or elbow, it can reach deep glute and hip muscles with a pressure many clients describe as deep but surprisingly comfortable. That makes it a natural fit for sciatica, where the tension tends to sit deep and the area is often too sensitive for sharp, pointed pressure. You can learn more in our guide to what ashiatsu massage is.
For sciatica, ashiatsu sessions at Inspire Movements focus on the piriformis and the “deep six,” the small hip rotator muscles beneath the glutes where the sciatic nerve passes, along with the lower back and hamstrings. Want to see what that looks like in real life? Read how ashiatsu helped a Briargate teacher with 10 years of sciatic nerve pain.
Cupping for Stubborn Tension
Where massage presses tissue down, cupping uses gentle suction to lift it. Many clients find that adding cupping therapy around the lower back and hips helps loosen areas that feel stuck. We explain how the two work together in our post on combining ashiatsu and cupping for low back pain.
Red Light Therapy for Recovery Support
Some clients add a red light therapy session after their massage as a gentle, non-invasive way to support recovery. It is a complement to hands-on work, not a replacement for it.
A Fair Word on the Evidence
Research on massage specifically for sciatica is still limited, and results vary from person to person. We see massage as one part of a good recovery plan, alongside gentle movement, smart daily habits, and care from your doctor or physical therapist when needed. Our goal is to help the muscles around the problem relax so you can move, sleep, and recover more comfortably.
Self-Care That Supports Recovery
MedlinePlus notes that sciatica often gets better on its own, though it commonly recurs. These steps, drawn from its self-care guidance, can help:
- Avoid bed rest. Cut back on activity for a couple of days if needed, then gradually return to normal movement.
- Use ice, then heat. Ice for the first 48 to 72 hours, then switch to heat.
- Start gentle movement early, then add core strengthening and flexibility work as you improve.
- Go easy on heavy lifting and twisting while you recover.
- Break up long periods of sitting with short walks and position changes.
For a deeper look at the lower back side of the picture, see our chronic low back pain massage therapy guide.
When to See a Doctor First
Massage is a supportive tool, not a substitute for medical care. Contact a doctor right away if you have:
- Loss of bladder or bowel control
- Numbness or weakness in the buttocks, thigh, leg, or pelvis
- Back pain with a fever, or pain after a severe fall or blow
- Severe pain that keeps you from getting comfortable
- Unexplained weight loss, or pain that feels different and worse than past episodes
MedlinePlus also recommends seeing a provider if symptoms last longer than four weeks. If you are already working with a doctor or physical therapist, let us know so your massage can support their plan.
What to Expect in a Sciatica Session
Your first visit is more than a massage. It is the start of a plan for your body’s recovery. Please arrive a few minutes early so we have time for your assessment. Here is how each session works:
- Assessment: We review your pain history, any new flare-ups, your activity level, your posture, and any diagnosis or care you already have.
- Therapeutic plan: Targeted work along the lower back, hips, deep six hip rotators, glutes, and legs, with pressure adjusted to your comfort. We avoid anything that sends pain shooting down the leg.
- Combination therapy: Ashiatsu, with cupping and mobility work added when they will help.
- Progress tracking: Recommendations for follow-up frequency and self-care at home.
We offer 90-minute targeted sessions and 2-hour appointments for more thorough work. For sciatica, we generally recommend a session every two weeks, since consistency is what helps relief last.
Why Clients Choose Inspire Movements
Our clients range from nurses and engineers to busy parents and CrossFit athletes, and we often hear the same thing: “I wish I had found this sooner.” Every session is customized to your pain pattern and your mobility goals. We are located off Kelly Johnson Blvd. and N. Academy Blvd. in Briargate, which makes it easy to fit appointments around work, family, and training.
Frequently Asked Questions
Is massage good for sciatica?
Massage can help relax the deep glute, hip, and lower back muscles that often tighten around sciatica, which many people find eases their discomfort. It works best as part of a plan that includes movement and, when needed, medical care.
Is ashiatsu safe if I have sciatica?
For most people, yes. Ashiatsu’s broad, even pressure is often more comfortable on sensitive areas than pointed pressure, and we adjust it to your comfort. If you have any of the red flags above, see your doctor first.
How many sessions will I need?
It depends on the cause, how long you have had symptoms, and how your body responds. For sciatica, we generally recommend a session every two weeks, then adjust as things improve.
What is the difference between sciatica and piriformis syndrome?
Sciatica describes the symptoms of an irritated sciatic nerve. Piriformis syndrome is one possible cause, where a muscle deep in the buttock affects the nerve. Other causes, like a herniated disc, start in the spine. A doctor can help pinpoint which is behind your symptoms.
Sciatica Relief in Colorado Springs
Sciatica does not have to run your life. With the right mix of movement, daily habits, and skilled bodywork, many people find real relief. At Inspire Movements, we serve clients throughout Briargate, Research Parkway, and the greater Colorado Springs area. Learn more about our low back pain and sciatica therapy, or book a session and let us help you move more comfortably again.
Ready to Find Relief from Sciatica?
Book your session at Inspire Movements today. Located in Briargate, Colorado Springs.