10/15/2025                                                                            
                                    
                                                                            
                                            Case Sudy: Pseudo Sciatica!
Sciatica is one of the most overly used terms in describing pain in the back/lower extremity ever. 
I had a client come in that has a history of sciatica diagnosis and back pain that was dormant for many years, but recently got aggravated due to increased activity and work.
Based on the description of pain that he explained from the past, it sounds like it could've been true sciatica like pain, but this time around it was a bit different.
In the past he had nerve pain in his calf and foot and weakness in the leg, which lines up with a true sciatica presentation (where the sciatic nerve specifically gets aggravated)
This time around it was different. It was mostly a deep ache/sharp pain in the lateral hip/glute, as well as a sunburn like feeling along the lateral thigh down to the knee. Very different from sciatica.
After further assessment, it seemed to line up more and more that a different nerve was being entrapped - the lateral femoral cutaneous nerve. And we ended up finding things that would confirm that more and more. The whole lumbar plexus comes out around, through, under, and over the psoas muscle. Palpation showed it to be incredibly high in tone and very sensitive, as well as weak. Using NKT Joint compression/decompression protocol, we found that the L psoas was facilitated in hip joint compression, inhibiting his glute max. After a few rounds of treatment, we were able to decrease the pain and sensitivity and improve some testing.
The next time he came in he reported that most of the pain had gone away aside from a few other things, of which we discovered other findings for.
There is a likelihood that if I didn't have the skill set, I would've assumed it was sciatica (because in the past it may have been) and done a treatment based on that. But knowing the typical presentation of it,  listening for clinical pearls, having a clinical auditing process, I was able to narrow down more of what was actually going on.
Stop Guessing, Start Progressing with us at Uplift LMT Wellness.