• Find the source first: root, foramen, or deep glute each need a different plan, so we test before we treat
  • Rest-and-wait rarely fixes it. The right directional movement typically gets you moving sooner
  • Direct access in Oregon: no referral, and your first visit is free
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★★★★★Hundreds of 5-Star Reviews · Thousands of Lives Changed
What you're feeling

Is sciatica starting to shape what you'll do and what you skip?

Disc bulge or herniation, lumbar stenosis, piriformis irritation, SI-joint dysfunction. The nerve gets pinched at the root, the foramen, or deep in the glute. Each spot calls for a different fix, which is why how you move tells us more than the imaging report alone.

What we usually hear
  • A.Sharp or electric pain radiating from the low back into the glute, hamstring, or calf
  • B.Numbness, tingling, or 'pins and needles' below the waist
  • C.Pain that worsens with sitting, especially in soft chairs or cars
  • D.Difficulty standing up straight after periods of sitting
  • E.Weakness in the foot or toes (raising the foot, pushing off)
Stop guessing: start moving

Get a real plan for your sciatica: book a PT Evaluation.

Sixty minutes with a licensed Physical Therapist. We'll see how you move, find what's driving it, write you a plan, and tell you the truth about what it'll take.

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★★★★★Hundreds of 5-Star Reviews · Thousands of Lives Changed
Conditions we treat

Specific sciatica conditions we work with.

01Disc herniation
02Lumbar stenosis
03Piriformis syndrome
04SI joint dysfunction
05Spondylolisthesis
06Hamstring tendinopathy
How the system works

From your first visit to moving better for good.

01

Find it.

A 60-minute first visit with a PT or coach: postural pictures, a full movement assessment, baseline numbers. We find where your body is compensating, not just the joint that hurts.

02

Restore the movement.

Manual therapy, targeted programming, progressive loading, aimed at the movement vulnerability driving the pain, not around it. Same practitioner every visit, and the plan adjusts as your movement changes.

03

Reinforce it.

When your tissue can take it, the same system carries into classes and small-group training, reinforcing better movement about 3x a week until it's just how you live. Members come for relief and stay for years because the system keeps progressing.

How we work

Our approach to sciatica.

Find the source through directional-preference testing and a movement screen. Manual therapy to decompress, neural mobilization to glide the nerve, and progressive loading to restore tolerance. We skip the 'rest and wait' trap: gentle, directional movement is usually the fastest way back.

Programs you may use
Physical Therapy at ADAPT
ADAPT clinician guiding a member through a hip mobility exercise
Member stories

Real members.
Real progress.

★★★★★
HUNDREDS OF 5-STAR REVIEWSTHOUSANDS OF LIVES CHANGED
★★★★★

Great people, good facility, and good workouts for anyone. My lower back has much improved.

Kurdain J.Google · Sep 2024
★★★★★

I came in after a knee replacement convinced I'd never hike again. Two years later I'm in the mountains every weekend, and back in the gym three mornings a week. ADAPT didn't fix me. They taught me how to keep getting better.

Margaret L.Member · Jul 2024
★★★★★

I've been attending group fitness classes at ADAPT since 2019 and have experienced each class they offered. Since attending ADAPT, I have experienced less over-use injury and more comfort and confidence while hiking, backpacking and cycling. A big shout out to Carly, Caitlin, Jessica, Eric and Sheldon.

JamesGoogle · Nov 2024
Ready when you are

See how your body actually moves.

Book a PT Evaluation online or text us a sentence about what hurts. We'll get back within one business day.

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★★★★★Hundreds of 5-Star Reviews · Thousands of Lives Changed
Why ADAPT

Five reasons members come, and stay for a decade.

Hamstring stretch and table-based mobility work with an ADAPT specialist
01

One system, not a handoff.

Your PT and your coach aren't running separate playbooks. They read the same intake and apply the same movement principles, so restoring better movement in the clinic and reinforcing it in training is one continuous plan, not a baton pass.

02

Direct access in Oregon: no referral required.

Skip the doctor's-office stop-over. Walk in, get assessed, start moving better. PT is cash-pay: only motor-vehicle-accident (PIP) insurance is billed.

03

Same practitioner every visit.

Continuity that compounds. Each session builds on the last because the same eyes track how your movement is changing, and consistency is what actually changes the body.

04

Long-arc, not quick-fix.

A few weeks of relief is fine. Decades of capability is the goal. Getting older doesn't mean giving things up. Members come in for one problem and stay for years because the system keeps progressing with them.

05

We read movement, not just imaging.

Imaging describes the structure. The movement assessment shows where your body is compensating and loading the wrong tissue. We work with what your body actually does, then restore it doing the right job.

27 yrsIn Beaverton since 1999
ThousandsMembers served
4.9★Google rating
5Parts of one system
What to expect

Get your week back from sciatica.

Acute symptoms typically settle within two to four weeks of consistent care. Disc-driven cases can run six to twelve weeks, and it varies by person. Long-term: stay strong, keep moving a few times a week, and the nerve tends to stay quiet.

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Why the system works
  • Comprehensive assessment. Postural pictures, full movement screen, and a baseline you can measure progress against. Numbers, not vibes.
  • A plan built for your body.Shaped around your goals, your imaging, and what your body actually does, not what it's supposed to do.
  • Same practitioner, every visit. Continuity that compounds. The plan adjusts as your movement changes.
  • Reinforced until it sticks.As the pain quiets, the same system carries into classes and small-group training so the gains don't slide back.
Quick inquiry

Talk to a person.

Two steps: name + phone, then email + your goal. We'll call back within one business day, or call us directly at (503) 755-8558.

★★★★★Hundreds of 5-Star Reviews · Thousands of Lives Changed
60-min PT Evaluation

Book your PT Evaluation.

Sixty minutes with a licensed Physical Therapist. We'll see how you move and find what's driving the pain. No referral required. PT is cash-pay: only MVA insurance is billed.

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Other pain points we treat

Inside Physical Therapy.

See how your
body actually moves.

It starts with a conversation. Book a Game Planning Session: sixty minutes with a coach or PT. We'll look at how you move, find what's getting in the way, and write you a plan for what you want to keep doing. No referral, no commitment, no charge.

OR CALL (503) 755-8558