How Is Sciatica Diagnosed? Tests, Criteria & Process
Sciatica diagnosis relies on Full blood count (FBC), Comprehensive metabolic panel (electrolytes, creatinine, LFTs), Urinalysis. Learn the full diagnostic pathway, clinical criteria, differential workup, and what to expect at your evaluation.
Updated March 27, 2026
Sciatica is diagnosed using Full blood count (FBC), Comprehensive metabolic panel (electrolytes, creatinine, LFTs), Urinalysis and targeted clinical evaluation. Sciatica refers to pain radiating along the sciatic nerve from the lower back through the hip and down the leg, typically caused by a herniated disc or spinal stenosis compressing the nerve root. Most cases resolve with conservative treatment.
Clinical Context
The diagnostic process for Sciatica begins with Thorough history and physical examination followed by basic blood and urine tests; targeted specialist investigation as needed. Key investigations include Full blood count (FBC), Comprehensive metabolic panel (electrolytes, creatinine, LFTs), Urinalysis, Chest X-ray. The gold standard is: Directed investigation based on clinical history and physical examination findings. Clinical guidelines from NICE / BMJ Best Practice / WHO define the diagnostic criteria and recommended investigation pathway.
Clinical Pathway
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How Is Sciatica Diagnosed? Tests, Criteria & Process?+
Sciatica is diagnosed using Full blood count (FBC), Comprehensive metabolic panel (electrolytes, creatinine, LFTs), Urinalysis and targeted clinical evaluation. Sciatica refers to pain radiating along the sciatic nerve from the lower back through the hip and down the leg, typically caused by a herniated disc or spinal stenosis compressing the nerve root. Most cases resolve with conservative treatment.
How do doctors test for sciatica?+
The main tests used to diagnose Sciatica include Full blood count (FBC), Comprehensive metabolic panel (electrolytes, creatinine, LFTs), Urinalysis. Your doctor will select investigations based on your symptoms, clinical findings, and risk factors.
How long does it take to diagnose Sciatica?+
The time to diagnosis varies. Some cases are identified within hours using clinical presentation and blood tests; others require weeks, repeated investigations, or specialist referral.
Can Sciatica be missed on initial testing?+
Yes — Sciatica can be missed if initial tests are negative or if the presentation is atypical. If clinical suspicion remains high, repeat testing or specialist referral is appropriate.
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