01/12/2025
Sciatic Pain vs Piriformis Syndrome - Understanding the Difference Matters
Radiating leg pain is a common issue I see in the clinic. While the symptoms can feel very similar, Sciatic Pain and Piriformis Syndrome come from different sources meaning they require different treatment approaches.
Sciatic Pain (Spine-Related)
Often originates from the lower spine due to disc irritation, nerve compression, or inflammation around the lumbar joints.
This pain is linked to how the spine moves, loads, and responds to pressure.
Piriformis Syndrome (Hip-Related)
Begins in the hip and glutes, where the piriformis muscle can tighten, spasm, or compress the sciatic nerve.
Here, the muscle not the spine is the main source of nerve irritation.
Even though both conditions cause radiating leg pain, treatment must target the correct area. A thorough assessment determines whether the irritation comes from the spine or the piriformis, leading to a more effective, personalised rehabilitation plan.
How Soft Tissue Therapy Helps
• Improve spine and hip mobility
• Reduce nerve irritation
• Manual therapy for tightness or joint restrictions
• Strengthening for long-term support
• Education on posture, movement, and daily modifications