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Could Your Hip Pain Actually Be Sciatica?

Man with hip painIf you’ve been dealing with nagging discomfort in your hip—particularly toward the back or side—it might not be a hip issue that’s the culprit. The real problem could be coming from your lower back. Sciatica, a condition where the sciatic nerve is irritated or compressed, is a common but often misunderstood source of hip pain.

Where the Pain Begins

The sciatic nerve starts in the lower spine and travels through the pelvis, down the back of the leg, and into the foot. If something puts pressure on the nerve—such as a bulging disc, spinal inflammation, or a tight muscle like the piriformis—it can trigger a chain reaction of symptoms along that path.

“Sciatica can absolutely cause hip pain,” says Winnipeg chiropractor Dr. Pascal. “It can just feel like a deep, unrelenting ache, kind of right in the middle of the buttocks.” That deep-set discomfort—especially if it radiates downward—is a red flag that the problem may not be limited to the hip joint itself.

It’s Not Just About the Hip

Sciatic pain that settles in the hip is often described as a dull ache, sharp jab, or persistent burning. It may worsen when sitting for long periods or getting out of bed in the morning. In some cases, it travels down the back of the thigh, which can make it easy to mistake for a hamstring injury or general muscle strain.

Dr. Pascal emphasizes, “We want to know why the sciatic nerve is having pain. If you simply take pain medications…you haven’t taken care of the problem upstream that caused the sciatic nerve to become irritated in the first place.”

Addressing the symptom is only step one. Finding the source is what actually makes a difference.

Other Conditions That Can Feel Similar

Hip pain doesn’t always mean sciatica. Some cases are caused by piriformis syndrome (a muscle in the buttocks irritating the sciatic nerve), sacroiliac joint dysfunction, or even hamstring tendon irritation. That’s why a proper spinal and postural evaluation is so crucial—it helps pinpoint the true origin.

Real Relief Comes With Real Answers

Once Dr. Pascal or Dr. Dan identifies the cause, they can customize care to help restore spinal alignment, reduce nerve irritation, and improve movement. This may involve spinal adjustments, home exercises, postural corrections, or traction techniques—depending on what’s triggering the issue.

Find Out What’s Causing Your Pain

You don’t have to put up with hip pain and stay sidelined from what you love. Schedule an appointment today at Lindenwoods Chiropractic and take the first step toward long-term relief.
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