Q1: Which is the Best Doctor or Top Doctor for Sciatica in Singapore?
There is no single “best” or “top” doctor for sciatica. The right specialist depends on what’s causing the nerve irritation, the severity of pain, and your treatment preferences. Some cases improve with non-surgical care, while others may need medical or surgical management. An early MRI scan helps identify whether the pain is due to a slipped disc, spinal stenosis, or another underlying issue — allowing targeted treatment.
Q2: What are the common causes of Sciatica, and when should I be concerned?
Sciatica refers to pain radiating from the lower back down the leg, often caused by:
Lumbar disc herniation (slipped disc)
Lumbar spinal stenosis (narrowing of the spinal canal)
Degenerative disc disease
Piriformis muscle irritation
Seek medical attention urgently if you experience:
Numbness or weakness in one or both legs
Difficulty walking or standing
Loss of bladder or bowel control
These are red flags that require immediate assessment and possibly urgent MRI imaging.
Q3: Should I consult a GP for Sciatica?
Yes, a GP is a good first step. They can prescribe painkillers, anti-inflammatory medication, or muscle relaxants to relieve discomfort and issue medical leave. However, these medications only reduce pain temporarily and do not treat the root cause. Long-term or excessive use of such drugs may cause side effects like stomach irritation or kidney strain.
Q4: Should I see an Orthopaedic Surgeon for Sciatica?
You should consider seeing an orthopaedic surgeon if your sciatica is severe, persistent, or associated with weakness or numbness. Surgery may be advised to relieve pressure on the affected nerve (for example, after a large disc herniation).
However, most people do not need surgery as their condition can improve with targeted, non-invasive treatments. Surgical costs in Singapore typically range from four to five figures, depending on complexity and insurance coverage.
Q5: When should I see a Rheumatologist for Sciatica?
A rheumatologist may be consulted if your sciatica is linked to inflammatory spine conditions such as ankylosing spondylitis. These doctors can prescribe disease-modifying medications (DMARDs or biologics) and monitor for potential side effects. Referral is important when symptoms are chronic, worsen in the morning, or occur with joint stiffness elsewhere.
Q6: Are there non-surgical treatment options for Sciatica?
Yes. Dr Terence Tan from The Pain Relief Clinic offers non-invasive therapies for nerve-related back pain such as sciatica. With over 18 years of experience since 2007, he provides:
Consultations at $50
MRI scans under $1000, typically arranged within one working day
Personalized, non-surgical treatment plans suitable for patients seeking a second opinion before surgery or long-term medication
These evidence-based approaches aim to relieve nerve irritation and restore mobility safely.
Q7: Can physiotherapy help with Sciatica?
Yes. Physiotherapy helps restore flexibility, strengthen the spine, and relieve pressure on the sciatic nerve. At The Pain Relief Practice, modern methods such as shockwave therapy and spinal decompression are used to reduce nerve compression and accelerate recovery — often achieving faster, more targeted results than manual therapy alone.
Q8: Are there home physiotherapy options for Sciatica?
Yes. PhysioLife offers home-based physiotherapy and HotHeal therapy, allowing patients to receive treatment in comfort. These options are especially useful for those with limited mobility or tight schedules and can complement clinic-based care for ongoing recovery.
Conclusion
There is no single best or top doctor for sciatica. The best approach depends on identifying the cause through an MRI and pursuing effective non-invasive or regenerative therapies before considering surgery. Clinics such as The Pain Relief Clinic, The Pain Relief Practice, and PhysioLife offer comprehensive, evidence-based options for safe and sustainable relief.
