Is It Really Sciatica? Why Not All Lower Back Pain Is What You Think
- Emily Castonguay
- Aug 5
- 2 min read

"I think it’s sciatica..."
If you’ve ever Googled your symptoms after feeling sharp pain in your lower back or leg, you’ve probably come across the word sciatica. It’s a term many patients use when describing lower back or leg pain — but it’s also one of the most misunderstood.
Let’s explore what sciatica actually is, what it isn’t, and how chiropractic care may help assess what’s going on.
What is Sciatica?
Sciatica refers to pain that radiates along the sciatic nerve, which runs from your lower back through the hips and down each leg. When this nerve becomes irritated or compressed, it may lead to:
Sharp, shooting discomfort down one leg
Numbness or tingling sensations
Weakness in the leg or foot
Discomfort that worsens with certain movements like sitting, bending, or coughing
Sciatica often affects one side of the body and can range from mild irritation to more noticeable discomfort.
Not All Lower Back Pain is Sciatica
It’s common for people to associate any lower back or hip pain with sciatica. However, several other conditions can cause similar symptoms, such as:
Sacroiliac (SI) joint dysfunction
Piriformis muscle tension
Lumbar disc bulges that don’t directly compress nerves
Muscle strain or soft tissue tension
Facet joint irritation in the lower back
While these conditions may cause radiating or localized discomfort, they are distinct from true sciatica.
Why Proper Assessment Matters
Self-diagnosing back pain can sometimes lead to:
Focusing on stretches or exercises that may not address the underlying issue
Delaying care that could provide support
Over-relying on temporary symptom relief methods
Overlooking musculoskeletal factors like joint misalignments or movement restrictions
A thorough chiropractic assessment can help determine if your discomfort may be related to spinal alignment, joint function, or nerve irritation.
How Chiropractic Care May Help
At Stallaert Chiropractic, we start with a complete evaluation, including:
Discussing your history and symptoms in detail
Performing a spinal and neurological assessment
Using digital X-rays, if clinically indicated, to assess alignment and joint health
Developing a personalized care plan based on your unique situation and goals
Chiropractic adjustments are designed to:
Improve joint alignment and mobility
Help reduce mechanical pressure on irritated nerves
Support better movement patterns and posture
Contribute to overall function and musculoskeletal balance
(Individual experiences may vary.)
The Takeaway
If you’ve been dealing with persistent lower back discomfort, shooting leg pain, or numbness, it’s important to get a professional assessment rather than guessing at the cause.
Chiropractic care focuses on evaluating musculoskeletal factors that may contribute to these types of discomfort. Early assessment can help you understand what’s going on and guide you toward appropriate care strategies.
Ready to Take the First Step?
Dr. Scott has been helping patients in London, Ontario assess and manage musculoskeletal concerns like lower back pain and nerve-related discomfort for over 16 years.
If you’re ready to stop guessing and start understanding, we’re here to help.