Back pain and sciatica differ but are often confused with each other. Back is specific to the upper, middle or lower back. Sciatica is a more diffuse, radiating pain down the buttock, thigh, and even leg. It is also possible to have radiculopathy, which is a radiating numbness, tingling, burning, or sharp pain to a specific part of the leg. This is often associated with a herniated disc, or entrapment of the nerve of that area, as it exits the spine.

How did my back pain or sciatica occur?

General back pain typically develops as the result of an injury. This can be due to repetitive straining motions, such as leaning down multiple times throughout the day to pick up a toddler, or a more serious, sudden trauma, such as a motor vehicle accident. Underlying conditions, such as herniated discs, can also cause immense pain, and cause radiculopathy pain to the thigh, leg, or foot. Degenerative disc disease is a common condition that presents itself as we age, which can result in back pain. Those with this condition typically report dull, aching pains in their lower back, and have difficulty with prolonged standing or walking.

Sciatica’s technical name is “lumbar radiculopathy.” People who develop this condition are generally between the ages of 30 and 50. Many different types of injuries can cause the development of sciatica, including arthritis, bone spurs, or any other injury that impacts the sciatic nerve. Most commonly, we find that people lose their flexibility in the hips and pelvis, which causes the gluteus and hip muscles to become tightened. This is in turn, alters the mechanics of the spine, and causes compression to the sciatic nerve as it travels through these tissues.

How can I tell the difference between back pain and sciatica?

Back pain

“Back pain” is a term that can be caused by an array of different conditions. For example, you may experience back pain due to poor posture, a motor vehicle accident, or a lifting injury. The treatment plan that our physical therapist sets up for you, will depend on how you developed the back pain, in addition to its exact location and your past medical history.

Back pain can be described as acute, meaning it is short-term, or chronic, meaning it is long-term (typically lasting for three months or longer).

Sciatica

Sciatica is a specific type of back pain that is reported as being highly uncomfortable. However, it is also fortunately very simple to diagnose. People with sciatica experience pain along their sciatic nerve, which is the largest nerve in your body.

The sciatic nerve begins at your lower back and then splits at the base of your spine to extend further down to your buttocks, legs, and finally to the bottom of each foot. The sciatic nerve can become compressed or irritated, which causes a “shooting,” “stinging,” or “burning” sensation in your lower back, buttocks, legs, or feet.

Relieve your back pain or sciatica today:

For most people, back pain will come and go. However, what many people don’t realize that the underlying problem of poor joint movement, core weakness, and poor muscle coordination will set them up for a future back injury. Which can be significantly worse.

Back pain and sciatica are both completely treatable through physical therapy.  Our physical therapist creates a specific treatment plan for you that is dependent upon your diagnosis. The early stages of your physical therapy treatment focus on quick pain relief.

As your pain reduces, our physical therapist will expand on strengthening your core muscle group with specific therapeutic exercises and stretches. The goal here is to increase your strength and range of motion to prevent re-injury of your spine. Finally, we teach you ergonomics and ways to make sure you know how to take care of your spine, avoiding future problems.

If you are suffering from sciatica, our physical therapists will implement specific leg stretches into your treatment plan to loosen the sciatic nerve. This restores the natural health of the nerve and quickly reduces symptoms.

If you are experiencing back pain or sciatica, request an appointment with one of our specialists at Physical Therapy Solutions. No matter how severe the pain may be, we will help you get on the road to recovery as quickly as possible.