How Do I Know If I Have Sciatica or Piriformis?

The primary diagnostic method is having the patient move the hips and legs to identify where the pain occurs. If it is in the lower back and buttocks only, it may be piriformis syndrome. If the pain is in the lower extremity, it is likely sciatica.

What is the difference between piriformis syndrome and sciatica?

So – to summarise – the main difference between piriformis syndrome and sciatica is that piriformis syndrome is mostly local buttock pain and in worse cases some leg pain. Sciatica is typified with lower back pain, buttock pain and leg pain which tracks down the back of the leg.

What does the pain of piriformis syndrome feel like?

Most commonly, patients describe acute tenderness in the buttock and sciatica-like pain down the back of the thigh, calf and foot. Typical piriformis syndrome symptoms may include: A dull ache in the buttock. Pain down the back of the thigh, calf and foot (sciatica)