Sciatica in the spotlight: a growing issue for Singapore’s young adults
Sciatica, the nerve pain that travels from the lower back down the leg, is no longer a condition exclusive to older patients. In Singapore, doctors are reporting more cases in people in their 20s to 40s. The shift reflects lifestyle factors that didn’t figure as prominently a decade ago: prolonged sitting at desks, frequent laptop use, and the surge of gym activities that sometimes begin with enthusiasm but lack proper form and progression.
What’s driving early-onset sciatica?
Experts point to a combination of sedentary work culture and new exercise routines. Poor posture during long hours in front of screens, plus spikes in gym intensity without adequate conditioning or warm-ups, can strain the lower back and sciatic nerve. The Covid-19 pandemic also left many with months of inactivity, followed by abrupt, intensive workouts that the body wasn’t yet prepared to handle.
Personal stories behind the statistics
One widely cited case involves Mr Muhammad Zaki Saifee, a young man who returned to gym life after pandemic-related inactivity. He attempted a set of dumbbell lunges and woke up the next day with searing pain radiating from his lower back to his left calf. His experience underscores how quickly sciatica can emerge when the body is pushed into strenuous movement without proper preparation.
Another patient, Ms Ng, echoes a common theme: recognizing early signs and seeking timely help can influence outcomes. She and others report that addressing posture, gradual progression in exercise, and early physiotherapy made a meaningful difference in their recovery and pain levels.
What doctors are seeing and recommending
Physicians and therapists, including Dr Bernard Lee and Dr Thomas Tan, note that the factors above—prolonged sitting, poor standing or gym form, and sudden spikes in activity—collectively raise the risk of sciatica in younger adults. They emphasize that early intervention is key. When pain is isolated to the back or buttock and extends down the leg, a careful assessment helps rule out red flags and guides appropriate treatment.
From diagnosis to a treatment plan
Diagnosis typically involves a physical exam and discussion of symptoms, with imaging considered if red flags appear or if pain persists despite initial care. Treatments range from non-invasive to surgical for the most severe cases. Most patients begin with physiotherapy to restore mobility, strengthen the core and back muscles, and improve flexibility. Medications such as NSAIDs may help alleviate pain and inflammation, and brief injections can be considered in persistent cases.
Why early intervention matters
Mr Zaki’s and Ms Ng’s experiences illustrate a broader truth: when sciatica is addressed early, patients often need shorter treatment courses and can avoid more invasive interventions. Education about posture, ergonomic setups at work, and safe exercise habits forms the backbone of prevention and recovery. Simple strategies—taking regular breaks from sitting, ensuring a stable desk setup, and gradually increasing gym intensity with proper technique—can reduce future flare-ups.
Practical steps for prevention and care
For office workers and fitness enthusiasts alike, a practical plan includes: setting reminders to stand and stretch every 30–60 minutes; using an ergonomic workstation; warming up thoroughly before gym sessions; focusing on core stability and proper squat and lunge form guided by professionals; and seeking evaluation if leg pain or weakness persists beyond a couple of weeks. Early engagement with a physiotherapist or physician can help tailor an exercise program that supports long-term back health.
Bottom line
The rise of sciatica among younger adults in Singapore is a wake-up call to balance activity with proper form and consistent, preventive care. By recognizing symptoms early and embracing targeted therapy and lifestyle changes, many young people can manage pain effectively and keep moving confidently.
