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3a/352 South Street, O'Connor WA 6163  |  (08) 9337 6460
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Sciatica Physio Perth

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At Next Wave Therapy, our sciatica physio in Perth is led by Dr Jonathan Wray, FACP; one of a small number of Specialist Musculoskeletal Physiotherapists in Australia. Drawing on years of advanced training and experience, our team helps you regain control, reduce pain and get back to the activities you love. If you’re ready for a proven approach to sciatica relief, you’re in the right place.

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Physiotherapist doing manual therapy on a man's back

Book a Physio for Sciatica in Perth

At Next Wave Therapy, we’ve been helping people manage nerve-related pain since 2016. Led by Dr Jonathan Wray, one of fewer than 80 Specialist Musculoskeletal Physiotherapists in Australia, our clinic has a strong focus on spinal conditions, nerve compression and complex pain presentations.

Our experienced team takes a holistic, evidence-based approach to sciatica treatment. Depending on your needs, your physiotherapy plan may include manual therapy, dry needling, targeted nerve gliding, strengthening exercises, Clinical Pilates and postural education.

By addressing the underlying cause of your symptoms, we aim to reduce pain, restore movement and prevent flare-ups, so you can get back to doing what you love.

Opening Hours
Monday 9 am to 7 pm
Tuesday 8 am to 7 pm
Wednesday 8 am to 6 pm
Thursday 7 am to 7 pm
Friday 8 am to 12 pm
Saturday 8 am to 12 pm
Sunday Closed

Appointment Pricing

See appointment prices

Physiotherapy

Specialist Physiotherapist

  • Initial Consultation (45 min)$190
  • Follow up Consultation (30 min)$150
  • Extended Consultation (45 min)$190
  • Extended Consultation (60 min)$300

Senior Clinical Lead

  • Initial Consultation (45 min)$170
  • Follow up Consultation (30 min)$140
  • Extended Consultation (45 min)$170
  • Extended Consultation (60 min)$280

Senior Physiotherapist

  • Initial Consultation (45 min)$150
  • Follow up Consultation (30 min)$130
  • Extended Consultation (45 min)$150
  • Extended Consultation (60 min)$260

Physiotherapist

  • Initial Consultation (45 min)$130
  • Follow up Consultation (30 min)$110
  • Extended Consultation (60 min)$220

Exercise Rehabilitation

  • Physiotherapy Exercise Rehabilitation Classes (60 min)$69
  • GLA:D Classes (60 min)$58
  • Perform; For Her (60 min)$69

Telehealth consultations incur the same fee as in person consults. A $10 discount applies for pensioners and unwaged persons (not on classes).

Learn More About Our Fees

Sciatica Physio Techniques

Manipulative Physiotherapy

Manual therapy focuses on relieving pressure on the sciatic nerve through targeted joint mobilisation and soft tissue techniques. By gently manipulating the spine and surrounding muscles, we aim to improve mobility, reduce inflammation and decrease referred leg pain. This hands-on approach can provide immediate symptom relief and form the foundation for long-term functional recovery.

Manipulative physio appointment in O'Connor with a patient lying on their stomach

Exercise rehabilitation involves a customised program of targeted movements designed to build core strength, improve flexibility and support your spine through daily activity. Our expert physiotherapists may use elements like clinical pilates, resistance training and functional strength exercises to gradually restore movement, reduce pain and prevent future flare-ups. 

Person doing an exercise rehabilitation appointment

Dry Needling

Dry needling and acupressure techniques help calm irritated nerves and release deep muscle tension that may be contributing to sciatica symptoms. These methods are especially useful for reducing guarding, improving circulation and supporting tissue healing. Clients often experience noticeable pain relief, enhanced mobility and reduced sensitivity after just a few sessions.

Dry needling being performed

Education & Support

Understanding your condition is key to recovery, which is why we provide clear guidance on postures, daily habits and activity pacing. You’ll learn how to avoid aggravating movements, set realistic expectations and gradually return to the things you enjoy. This self-management focus empowers you to play an active role in your recovery and reduce the risk of future flare-ups.

Jonathan giving ergonomic advice to a patient during a musculoskeletal physio appointment

Clinical Pilates

Clinical Pilates combines strength, control and flexibility work to support spinal health and prevent recurrence of sciatica. Conducted in a safe, supervised environment, these sessions target postural alignment, core stability and functional movement patterns. Over time, this practice helps reinforce the benefits of hands-on therapy and creates a more stable foundation for long-term recovery.

Carleen doing a pilates session with a client

Common Presentations of Sciatica

Sciatica symptoms vary depending on which nerve root is affected and how the nerve is being irritated. Some people experience sharp pain, while others feel more like numbness or tingling.

• Pain radiating from the lower back or buttock into the leg
• Tingling, numbness or burning sensations in the thigh, calf or foot
• Muscle weakness in the affected leg or difficulty lifting the foot
• Symptoms worsened by sitting, bending or standing too long
• Relief when lying down or walking short distances

In some cases, the pain is constant; in others, it comes and goes. If your symptoms are worsening or affecting your mobility, our physiotherapists can help guide you to recovery.


Man bending forward holding his lower back

Common Causes of Sciatica

Sciatica is most often caused by irritation or compression of the sciatic nerve, either at the nerve root in the lower back or along its path through the buttock and leg. This can develop gradually from repetitive strain or suddenly from an injury.

• Lumbar disc herniation or bulging placing pressure on nearby nerves
• Spinal stenosis, often from age-related changes in the spine
• Spondylolisthesis, where a vertebra slips out of alignment
• Piriformis syndrome, when a muscle in the buttock compresses the sciatic nerve
• Postural overload from prolonged sitting or poor movement habits
• Pregnancy, due to increased pressure on the pelvis and lower back

Understanding the root cause is key to selecting the right treatment and avoiding future flare-ups.

Sciatica pain or nerve weakness as leg lumbar radiculopathy outline diagram. Labeled educational back inflammation, piriformis syndrome and degenerative spinal disc problem

Our Sciatica Physio Team

Dr Jonathan Wray FACP

Dr Jonathan Wray FACP

Specialist Musculoskeletal Physiotherapist · Principal Physiotherapist

Jonathan is a specialist musculoskeletal physiotherapist (as awarded by the Australian College of Physiotherapists 2020). He has a special interest in treating neck pain, shoulder pain, low back…

Read Jonathan’s bio

Rushil Shah

Rushil Shah

GLa:D Certified Instructor

Rushil is a physiotherapist with experience treating musculoskeletal injuries, chronic pain and neurological disorders. He has a special interest in treating injuries and helping to build athletic performance…

Read Rushil’s bio

FAQs

What is sciatica physiotherapy?

Sciatica physiotherapy is a focused treatment designed to relieve pain and improve function for those suffering from sciatica, a condition caused by irritation or compression of the sciatic nerve. Our expert therapists at Next Wave Therapy utilise a combination of targeted exercises, manual therapy and posture correction to alleviate discomfort and promote healing. Through personalised treatment plans, we aim to reduce pain, enhance mobility and prevent future flare-ups. Our compassionate team is dedicated to helping you manage sciatica effectively, ensuring you can return to your daily activities with confidence and ease.

Can physio help sciatica?

Absolutely. Physiotherapy is often the first-line treatment for sciatica. Our tailored approach reduces inflammation, supports healing and prevents recurrence.

Do I need a scan for sciatica?

In most cases, imaging like MRI is not required. If symptoms persist beyond 8 weeks or there are signs of nerve damage (e.g. numbness, bladder/bowel issues), further investigations may be needed.

How long does recovery take?

Most people improve within 4–8 weeks with the right treatment. Severe cases may take longer, especially if weakness or nerve changes are present.

What if my pain returns?

We focus on long-term outcomes. Your rehab plan includes strategies to minimise flare-ups and build resilience. Clinical Pilates or ongoing strength work may be recommended to support long-term function.

What is the fastest way to relieve sciatica pain?

Hands-on therapy, gentle movement and nerve gliding exercises can provide fast relief. We combine this with education on postures and habits that support healing.

Do I need a referral?

No. You can book privately. If you’re using Medicare (CDM), NDIS, DVA or an insurance claim, you’ll need a GP or specialist referral.

Do you accept NDIS?

Yes, we are registered NDIS providers for both self- and plan-managed clients. Apply for NDIS care.

What does the initial consultation involve?

Your initial consultation includes a thorough evaluation, where we take a detailed history and perform a physical assessment. We then provide a clear diagnosis and commence hands-on treatment. Additionally, you’ll receive a comprehensive management plan with prescribed exercises and advice on the recommended frequency and duration of your treatment.

For psychological therapy, we start with a comprehensive evaluation, including a detailed history and mental health assessment. Following this, we provide a clear diagnosis. You’ll also receive a thorough management plan, including guidance on the recommended frequency and duration of your treatment.

What do subsequent consultations involve?

Your second consultation, scheduled shortly after the initial visit, allows for feedback and questions. We perform a streamlined re-evaluation through a physical assessment, helping you to see the benefits of the treatment. Subsequent consultations are designed to support your recovery and achieve optimal outcomes for your pain or injury.

For psychological therapy, the second consultation, also scheduled shortly after the initial visit, offers a chance for feedback and questions. A streamlined re-evaluation is conducted, allowing you to experience the benefits of the treatment. Subsequent consultations focus on supporting your recovery and achieving the best outcomes for your mental health.

What is our cancellation policy?

Cancellations with less than 24 hours notice or non-attendance are billed at 50% of the consult fee and do not qualify for a rebate.

A doctor’s referral is generally not required unless your condition is associated with Workers Compensation, Motor Vehicle Injury, Veterans Affairs or a Medicare Mental Health Care plan. In most cases, you can directly schedule an appointment since all our physiotherapists are primary contact practitioners capable of providing comprehensive care without a referral.

Can I use Medicare to cover physio?

To access physiotherapy services through Medicare, you must have a referral from your GP under the Chronic Disease Management Plan, often referred to as an Enhanced Primary Care Plan (EPC). This plan is necessary for Medicare coverage when seeing a physiotherapist.

Can I use Medicare to cover occupational therapy?

To access occupational therapy services through Medicare, you must have a referral from your GP under the Chronic Disease Management Plan (EPC) or a Mental Health Care Plan (MHCP). This plan is necessary for Medicare coverage when seeing an occupational therapist. For more information on eligibility and how to claim, refer to our schedule of fees explaining how Medicare can be used for occupational therapy.

What are my rights as a patient?

As a person seeking healthcare in WA, you have the right to access, safety, respect, partnership, information, privacy and the ability to provide feedback. For more detailed information on your rights, review the Australian Charter of Healthcare Rights.

What is our privacy policy?

We prioritise your privacy. Our strict privacy policy ensures the confidentiality of your personal information, using it solely for your healthcare. If you have any privacy concerns or questions, please reach out and we’ll address them promptly. Your trust is crucial to us. Review our privacy policy here.

Person doing an exercise rehabilitation appointmentDry needling being performedJonathan giving ergonomic advice to a patient during a musculoskeletal physio appointmentCarleen doing a pilates session with a client

Have a Question?

Our friendly team are available to answer any queries you might have. Contact us via phone, email, fax or simply fill out the form.

Visit us3a/352 South Street, O'Connor WA 6163
Fax us(08) 6210 1130

What Our Clients Say

LLauren Hamilton
★★★★★

I have been attending Next Wave every week for nearly one year, when I first went I was suffering extreme persistent pain and had very limited mobility. The Next Wave team have been incredible.

PPaul Trezise
★★★★★

The Team at Next Wave have been a huge part of my recovery from a major hernia surgery. Over a 12 week period John has provided me with a program that suited my needs.

AAlison Maguire
★★★★★

Next Wave Therapy was recommended to me to assist with some lingering issues from a 10 year chronic pain disorder. Sasha worked an absolute miracle on me.

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