Sciatica! A Pain In The Bum! Literally.

Sciatica! A Pain In The Bum! Literally.

Lower Back Pain Right Side Above Buttocks

Do you suffer from sharp, shooting back pain? Numb legs? Tingling feet? It could be Sciatica.

Approximately 25 percent of the population suffer from sciatica.

But there’s good news. Sciatica pain is a condition that we as Osteopaths see day in day out. And we are very confident we can help you.

Our Osteopathic treatments for sciatica aim to relieve pain quickly so you can get back to enjoying life again as soon as possible!

Why does my lower back bum hurt?

Lower back bum pain is often caused by minor injuries to muscles, ligaments or tissue around one’s gluteal Maximus. Causes include sports injuries; standing for prolonged periods of time without regular breaks (such as at work); poor posture when lifting heavy items such as bags full of groceries that put pressure on this area – all can lead up a changing pain down into your legs!

What Causes Sciatica Buttock Pain


What Is Sciatica?

Sciatica is characterised by pain in the lower back, leg, and hip due to compression on the sciatic nerve.


The sciatic nerve is the largest and longest spinal nerve in the human body. It runs from the lower back down the back of each leg. Like any other nerve, it allows us to control our muscles – essential for movement. Pain can occur when there is pressure on the sciatic nerve or it sustains an injury.

Sciatica may be confused with other ailments. It’s important to realise that the term actually describes the symptom of nerve compression (i.e., pain), and is not actually the problem itself.

Do You Have Sciatica?

How do I know if I have sciatica or piriformis?

Not everyone who experiences “sciatic-like” pain is actually suffering from true sciatica. General low back pain and Piriformis syndrome can also display similar symptoms. Let’s take a look at the differences.

True Sciatica

This is compression of the sciatic nerve at the base of the spine, usually as the result of a disc bulge or possibly a bone spur. This is the specific cause of true sciatica. This compression causes radiating pain that affects the lower back, hip, and outer leg.

Piriformis Syndrome

Here we see the sciatic nerve being compressed by spasms of the piriformis muscle—a small, but strong muscle located at the side of the buttocks. This muscle lies directly across the sciatic nerve.

General low back pain

General pain in the back is often not caused by sciatica. In many instances, back pain is caused by overextending or straining muscles or joints through exercise. Or maybe moving heavy objects with poor technique. It can also be a sign of weakness because the supportive muscles of the hip and pelvis are not working effectively.


What Causes Sciatica Buttock Pain?

Both true sciatica and piriformis syndrome display similar symptoms because they are both caused by irritation of the sciatic nerve. Although symptoms can show up in both legs, it’s more common for sciatica to only affect one side of the body.

Sciatica Symptoms Include:

  • Mild or severe radiating pain down the leg and into the foot
  • Sharp, shooting pains in the side of the hip, the outer thigh, the calf and/or foot
  • Numbness in the lower extremities
  • Pins and needles in the legs and/or feet
  • A burning sensation in the lower body
  • Muscle weakness in the affected leg
  • Lower back pain (a minor symptom, not nearly as acute as those in the legs and feet)

What causes sciatica to flare up?

Sciatica is a common cause of buttock pain. Sciatica is not an ailment in and of itself, but rather a symptom of other ailments.

When the piriformis muscle is injured or overworked, it can press on the sciatic nerve.

The entrapment of the sciatic nerve in the gluteal space can cause severe pain in the buttocks. Your muscles, blood vessels, and skin are putting pressure on your nerves, causing severe pain and possibly tingling or numbness.

How do I get rid of sciatica back pain?

When sciatica is severe, patients may find the pain hard to bear and need a few days rest.

Resting for longer than two or three days can increase your discomfort as well as lead you into deconditioning which will make it harder on yourself in recovery!

Moving around regularly has been shown many times over how important exercise really is when trying not just to heal quickly but also prevent long term problems from occurring down the road due to an untreated injury like sciatica.

While physical therapy is usually elective, meaning that it is the individual’s decision to participate or not, it is typically an essential component of resolving the signs and symptoms and aiding in the long-term prevention of sciatica.

Osteopathic Treatment For Sciatica

An Osteopath strives to relieve sciatica symptoms by determining the source of the pain. In most situations, sciatic nerve pain can be alleviated by reducing muscle spasms, enhancing joint mobility, and improving total functional spinal movement. All of which relieves stress on the affected areas. To relieve pressure on the sciatic nerve, Osteopathic treatments may include a variety of manual joint manipulation or articulation, muscle or tendon manipulation. Dry Needling techniques as well as soft tissue massage. And in some cases sports taping/bracing.

Once the initial sciatic pain has subsided, our Osteopathic treatment plan will include a focus on recovery exercises and rehabilitation measures to help prevent future occurrences. This will entail an exercise program aimed at restoring mobility, increasing postural strength, and encouraging muscle activation.

3 Exercises To relieve sciatic nerve pain in the buttocks


1. Trigger Point Release of Piriformis:



2. Seated Pigeon Stretch:


3. McKenzie Lumbar Spine Extension 

What happens if your sciatic nerve goes untreated?

While most people do eventually recover completely from sciatica, it is a slow and long process. Without treatment, sciatica can cause permanent nerve damage.

Sciatica, if left untreated, can result in permanent nerve damage, exacerbating back and leg pain. The pain may spread to other parts of the body over time.

In some cases, patients stop responding to pain medication, resulting in chronic pain that is untreatable.

Osteopathic Treatment for Sciatica Final Thoughts

Patients with sciatica can respond exceptionally positively to physical therapy conservative treatment. Equilibrium Sports and Spinal Osteopaths strive to not only reduce your sciatic pain but also focus on specific rehabilitation. This gives you the greatest chance to obtain a full and long-lasting resolution from your sciatic pain.

Our osteopath’s service Malvern, Glen Iris, Ashburton, Hawthorn and Caulfield communities.

Book online today and let us help you turn your frustrating and debilitating sciatic symptoms into a thing of the past! 

Ask Our Osteo

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