The first step in treating back pain (or any condition for that matter) is correctly diagnosing the underlying cause of the back pain. This can be difficult, as symptoms of various conditions and injuries often overlap. Symptoms of sciatica can be easily confused with Sacroiliac (SI) pain in the hip and joints. So in this post we will talk about the similarities and differences between sciatica pain and hip pain caused by the SI nerves.

SI Hip Pain

SI (Sacroiliac) hip pain results when the sacroiliac joints, which connect the hips to the spine, are negatively impacted. SI joint pain in the hips can be caused by a number of issues, including acute injuries, spinal conditions, and repetitive stress injuries. SI joint pain is typically located in the areas surrounding the hips, buttocks, and low back.

Sciatica Pain

Sciatica is a painful condition that occurs when the sciatic nerves are impinged. Nerve impingement can be caused by injuries to the back, bulging spinal discs, or spinal stenosis. Sciatica pain usually presents with pain in the low back, buttocks, or legs. If the nerves are significantly pinched, the patient may also experience loss of feeling in this area.

Diagnosis & Treatment

Differentiating between sciatica pain and SI joint pain will be your physician’s first step towards treatment. An accurate diagnosis requires a physical exam coupled with patient medical history, and sometimes diagnostic tests (xrays, MRIs, CTs). Once the diagnosis has been made, treatment can include pain meds, injection therapy, physical therapy techniques, or surgery.

If you are experiencing any of the symptoms of sciatica or SI joint pain, make an appointment with a specialized spine physician today. Get to the bottom of your pain and find a treatment method that works. You shouldn’t go through life “dealing” with your back pain.

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