Introduction
Many people think of sciatica as “just back pain,” but the two are not the same. While back pain is very common and can affect muscles, joints, or ligaments, sciatica specifically involves irritation of the sciatic nerve. At County Physio in Haddington, East Lothian, we help patients understand the difference — and why treatment may vary.
What is Back Pain?
Back pain is a broad term covering discomfort in the muscles, joints, discs, or ligaments of the spine.
Symptoms may include:
- Localised pain in the lower or upper back
- Stiffness after sitting or standing too long
- Muscle spasms or aching
Back pain is often caused by posture, lifting, strain, arthritis, or age-related wear.
What is Sciatica?
Sciatica happens when the sciatic nerve — which runs from the lower back down to the legs — becomes irritated or compressed.
Symptoms may include:
- Shooting or burning pain down the leg
- Tingling, numbness, or weakness in the foot or calf
- Pain that worsens when sitting, bending, or coughing
Common causes include a slipped disc, arthritis, spinal narrowing, or muscle tension (piriformis syndrome).
Key Differences Between Sciatica and Back Pain
| Feature | Back Pain | Sciatica |
|---|---|---|
| Location | Usually central or across lower back | Radiates from back into leg/foot |
| Pain Type | Dull ache, stiffness, muscle spasm | Sharp, burning, shooting |
| Numbness/Tingling | Rare | Common |
| Weakness | Rare | May occur in leg/foot |
| Cause | Muscle/joint/disc strain, posture | Nerve irritation or compression |
Why Diagnosis Matters
Treating general back pain may focus on posture, mobility, and muscle release.
Treating sciatica requires nerve-focused physiotherapy, often combining:
- Manual therapy to relieve nerve pressure
- Specific strengthening for back and core
- Nerve gliding exercises
- Acupuncture or dry needling
- Lifestyle and ergonomic coaching
👉 Learn more about our Sciatica Treatment in East Lothian.
When to Seek Help
See a physiotherapist if:
- Pain radiates below the knee
- You feel tingling, pins and needles, or numbness
- Weakness makes it hard to walk or lift
- Pain isn’t improving after a few days
Conclusion
Back pain and sciatica are often confused, but they require different treatment approaches. At County Physio in Haddington, East Lothian, we assess your symptoms, identify the root cause, and create a tailored plan to relieve pain and restore movement.
📞 Call us today or book online to start your recovery.
