Pain running from your lower back into your buttock or leg? Start with a free 30-minute video assessment with a Resolve360 physical therapist. You’ll get a clear recommendation on what to do next, including whether online care is right for you.
First consultation is absolutely FREE.
Resolve360 provides live, one-on-one online physical therapy for sciatica for U.S. patients, with transparent self-pay pricing starting at $48 per session. Your physical therapist, matched to the state you’re in, uses our patented clinical methodology with AI-supported movement tracking to help find what’s driving your symptoms, then builds a personalized, movement-guided home recovery plan in our HIPAA-compliant app. Start with a 100% free 1:1 assessment—your first video consultation starts within just 15 minutes. No travel or employer-sponsored insurance required.
Sciatica describes pain, tingling, numbness, or weakness that travels along the sciatic nerve, from the lower back through the buttock and down the leg. It usually affects one side. A herniated disc, narrowing of the spinal canal (spinal stenosis), irritation from the piriformis muscle in the buttock, or a slipped vertebra (spondylolisthesis) can all produce it, and they don’t all respond to the same exercises. Here’s more on what causes back pain that radiates into your legs.
That’s why good care starts with an assessment instead of a generic stretch routine. The same exercise that eases one person’s leg pain can aggravate someone else’s.
Online physical therapy isn't the right first step for these warning signs. They're uncommon, but they need prompt medical evaluation.
Also see a doctor if your pain isn't improving after a few weeks, is getting worse, stops your normal activities, or an episode lasts longer than four weeks.
Sources:
NHS,
MedlinePlus.
Physical therapy for sciatica is mostly active care: an assessment to find which positions ease or aggravate your symptoms, a progressive exercise program, and education so you can stay active without repeated flare-ups. For common exercises and what a recovery timeline can look like, see how physical therapy helps sciatica and lower back pain.
In a U.S. trial of 220 adults with sciatica of less than 90 days, those referred to four weeks of physical therapy improved more on a disability score at six months than those given usual care, and the difference was still present at one year. That program was delivered in person and included hands-on manual therapy, which a video visit can't provide.
The 2021 U.S. physical therapy guideline for low back pain says physical therapists may use exercise training, including trunk strengthening, endurance work, and specific trunk muscle activation, to reduce pain and disability in acute low back pain that travels into the leg.
Sciatica often improves on its own, usually within a few weeks to a few months, but it can come back. In most cases recovery happens without surgery. Strong back and core muscles are part of standard prevention advice.
We'd rather you know this before booking. For many people, the core of sciatica rehabilitation works well over video. For some, it doesn't. Read what the research says about online physical therapy for sciatica.
Works Well Over Live Video
Limited or Not Possible Over Video
Skip the waiting room and start your recovery from home. Here is our simple, 6-step process to connect you with a licensed physical therapist for a live, one-on-one sciatica assessment in as little as 15 minutes.
Share your main concern and the state you'll be in during sessions, so we can check which clinicians are eligible to care for patients there.
A physical therapist screens for warning signs, asks about your symptoms, and guides you through a few movements on camera.
You'll hear whether online care looks appropriate, what it would involve, and which plan fits. If you'd be better served in person, we'll say so.
If you choose to continue, sessions run 30 to 50 minutes. Your therapist completes a detailed assessment and coaches each exercise live.
Week plans include Resolve360 app access with your exercise plan, reminders, and progress tracking between sessions.
Progress reviews track pain, sitting and walking tolerance, and daily function. Your plan is progressed, simplified, or paused with a referral when needed.
The first step to relief shouldn’t involve waiting rooms or co-pays. Your 100% free initial consultation is a live, one-on-one video call with a licensed physical therapist—and it can start in as little as 15 minutes. It costs absolutely nothing, and there is zero obligation to continue
If you continue, your therapist chooses from these elements based on how your symptoms respond, not as a fixed package.
Using directional preference to ease radiating leg symptoms: positions and movements matched to whether bending, arching, or walking helps.
Trunk, hip, and leg strengthening, progressed gradually as tolerance improves.
Using controlled nerve glides (neurodynamics) where appropriate, stopped if symptoms spread further down the leg.
Sitting, driving, lifting, sleep, and workstation advice based on what your therapist sees on camera.
No hidden fees, no insurance hoops, and zero obligation. Explore our transparent self-pay pricing below. Start with your 100% free assessment today, and your physical therapist will recommend the best recovery path for your symptoms
FREE Assessment
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Who Provides Your Care
Resolve360 offers virtual physical therapy services to patients across the United States, with clinician availability and eligibility determined by the requirements of the state you're in.
Telehealth physical therapy in the U.S. follows the patient's location: the clinician generally needs a license, or a Physical Therapy Compact privilege, in the state where you're physically located during the session, and must follow that state's rules.
That's why we ask for your state first. Before any paid session, you'll know the name, credentials, and license state of the clinician caring for you, and you can look up a license with your state physical therapy board. If no eligible clinician is available for your state, we'll tell you before booking. You can see the states and conditions we cover on our online physical therapy in the USA page.
Resolve360 has a U.S. office in San Francisco. All care described on this page is virtual: sessions take place by live video, not at the office. Much of Resolve360's clinical team works from India, so the clinician on your call may be located outside the United States, subject to the same state eligibility check.
We believe that recovering from sciatica requires more than just an app algorithm—it requires expert human guidance and clinical precision. Resolve360 is designed to offer a higher standard of virtual care. By pairing our dedicated in-house physical therapists with AI-supported tracking, we deliver the exactness of in-person therapy without the commute, hidden fees, or employer insurance hoops.
Start with a zero-cost, 1-on-1 video consultation to discuss your sciatica needs. Your first session can begin in as little as 15 minutes to see if online care fits.
Your sessions are guided by Resolve360’s own highly experienced physical therapists. We do not use third-party marketplaces or randomly assigned freelance coaches.
We utilize our patented clinical methodology (Patent No. 596041). Our AI-supported movement tracking helps accurately analyze the root cause of your symptoms over video.
Experience live, uninterrupted video sessions tailored to your goals. Plus, a dedicated relationship manager supports you with scheduling and questions between visits.
No employer sign-ups, no insurance hoops, and no hidden co-pays. You know the exact upfront price before you ever book a paid session, starting from just $48.
Your online sessions and medical records are handled through highly secure systems. Our IT infrastructure follows rigorous ISO/IEC 27001 controls and HIPAA safeguards.
Access your personalized sciatica exercise plan, daily reminders, and progress updates seamlessly through the secure Resolve360 application anytime you need.
Join over 50,000 patients across 65+ countries who trust our care. We have successfully delivered over 2 Million physical therapy sessions with a stellar 4.9/5 rating.
Not all physical therapy is the same. See how Resolve360’s instant-access, live 1:1 clinical care compares to the restrictive employer requirements of automated MSK apps and the long wait times of traditional in-person clinics.
Faq
For many people, yes. Guidelines support exercise-based physical therapy for back pain that travels into the leg, and a randomized trial found adults with recent sciatica who were referred to four weeks of physical therapy had less disability at one year than those given usual care. Results vary by cause and severity.
It can for many people with stable symptoms. Over live video, a physical therapist can review your history, watch how you move, teach and correct exercises, and adjust your plan. Video can’t replace hands-on tests such as reflex or detailed strength testing, so some people need an in-person exam first.
It’s a one-on-one video call of about 30 minutes with a Resolve360 physical therapist. You’ll talk through your symptoms, history, and goals, do a few guided movements on camera, and get a recommendation on next steps, including whether online care looks appropriate or you should be seen in person.
No. It’s a first clinical conversation to understand your concern and recommend a next step. It doesn’t include imaging, a medical diagnosis, or a full treatment program. If you continue with paid sessions, your therapist completes a more detailed assessment and builds your personalized plan from there.
At Resolve360, the first assessment is free. Self-pay options after that are a $48 single 1:1 live session, an $88 one-week plan, and a $258 four-week plan with four video consultations. Your therapist explains which option fits, and you’re not obligated to buy anything after the free call.
Resolve360 lists self-pay prices. Coverage for telehealth physical therapy depends on your insurer and plan, so check your benefits directly. Many HSA and FSA accounts can be used for physical therapy, but eligibility depends on your account rules. Confirm with your plan administrator before paying.
Telehealth physical therapy must be delivered by a therapist licensed, or holding a PT Compact privilege, in the state where you’re physically located during the session. Select your state when you book, and we’ll confirm whether a therapist authorized in your state is available before any paid session begins.
Often, no. Most states let you start physical therapy without a referral, but many set limits, such as a number of visits or days before a referral is required, and insurance plans can add their own rules. We’ll confirm what applies to your state during your free assessment.
Online care tends to suit stable or slowly improving symptoms: buttock or leg pain, tingling, or stiffness that changes with sitting, bending, or walking, when you can move safely in front of a camera. Rapidly worsening weakness, severe uncontrolled pain, or symptoms after major trauma need medical evaluation first.
Seek emergency care right away for new loss of bladder or bowel control, numbness in the groin or inner thighs, or weakness that’s quickly getting worse. Contact a doctor promptly for back pain with fever or unexplained weight loss, pain after a serious fall or accident, or pain that wakes you at night.
There’s no fixed timeline. Some people notice changes within a few weeks; others need longer, structured rehab. It depends on the cause, how long you’ve had symptoms, your activity level, and how consistently you follow your plan. Your therapist reassesses regularly and tells you if another opinion is needed.
Many people with sciatica improve with non-surgical care, and surgery is usually considered only when conservative treatment hasn’t worked or there are serious nerve signs. Physical therapy can’t guarantee you’ll avoid surgery, but it’s a common first-line option. Your doctor or surgeon should guide decisions about procedures.
Use a phone, tablet, or laptop with a camera and a steady internet connection. Pick a space where you can lie down and stand, wear clothes you can move in, and prop the camera so your whole body is visible. Have a list of medications, past imaging, and treatments you’ve tried.
Request a free assessment using the form on this page and select the state you’ll be in during sessions. Our care team contacts you to schedule a 30-minute video call. After the call, you decide whether to continue with a single session or a weekly plan, or seek care elsewhere.
Dr. Apoorva Shrivastava is the founder & C.E.O. of Resolve360 and a physiotherapist with 17+ years of experience in physiotherapy and rehabilitation. She holds a Bachelor’s in Physiotherapy from Saveetha Medical College and a Master’s in Advancing Physiotherapy from Sheffield Hallam University, UK, specializing in Neuro Physiotherapy. She has supported 50,000+ patients globally and has led clinical teams across India. She is also the named inventor of Resolve360’s patented online physiotherapy clinical process methodology.
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We are your doctor’s first choice and trusted by 50,000+ patients.
We are your doctor’s first choice and trusted by 50,000+ patients.
We are your doctor’s first choice and trusted by 50,000+ patients.
