Understanding the Difference Between Sciatica, a Disc Herniation, and SIJ Syndrome
If you’ve ever experienced pain in your lower back, buttocks, or down your leg, you may have heard terms like sciatica, disc herniation, or sacroiliac joint (SIJ) syndrome. While these conditions share some symptoms, they have different causes and require distinct approaches to treatment. At Essential Chiropractic in The Hague, we help patients understand these differences and provide targeted care to relieve pain and restore function.

What Is Sciatica?
Sciatica is not a condition itself but rather a term used to describe pain that travels along the sciatic nerve. This nerve runs from the lower back through the hips and down each leg. Sciatic pain is often caused by nerve compression, which can result from various underlying conditions, including disc herniation, spinal misalignment, or muscle tightness in the lower back and pelvis.
Symptoms of Sciatica:
Sharp, shooting pain that radiates from the lower back to the leg
Numbness or tingling in the leg or foot
Weakness in the affected leg
Pain that worsens with prolonged sitting, standing, or movement
Disc Herniation: A Common Cause of Sciatica
A disc herniation occurs when the soft, gel-like center of a spinal disc pushes through a tear in the outer layer, irritating nearby nerves. When this herniation presses on the sciatic nerve, it can cause sciatic pain.
Symptoms of a Disc Herniation:
Pain localized in the lower back that may radiate down the leg (sciatica)
Increased pain when bending forward or sitting
Numbness, tingling, or weakness in the legs or feet
Pain that may be aggravated by coughing or sneezing
While not all herniated discs cause symptoms, when they do, they can significantly impact daily life. Chiropractic adjustments, spinal decompression, and targeted exercises can help manage the condition and promote healing.
Sacroiliac Joint (SIJ) Syndrome: A Different Cause of Lower Back Pain
The sacroiliac joint (SIJ) connects the sacrum (the base of the spine) to the pelvis. Dysfunction in this joint can cause lower back and buttock pain, often mistaken for sciatica or a herniated disc. SIJ dysfunction occurs when the joint becomes too stiff or too mobile, leading to inflammation and discomfort.
Symptoms of SIJ Syndrome:
Pain on one side of the lower back or buttocks
Discomfort when transitioning from sitting to standing
Pain that worsens with prolonged standing or walking
Stiffness in the lower back and hips
Unlike sciatic pain, which follows the path of the sciatic nerve, SIJ pain is often localized to the lower back and buttocks, though it can sometimes radiate down the leg. Chiropractic care can help restore proper SIJ function through adjustments, muscle work, and corrective exercises.
How Chiropractors Help Sciatica
Chiropractic has been shown to be very effective in treating sciatica by helping the body heal itself. It is non-invasive and does not use medications, making it an optimal choice for many patients. There are various treatments that a chiropractor may use or recommend. They may be used alone or in conjunction with other therapies.
Adjustments are the core of chiropractic care. It helps to realign the spine, freeing restricted movement and helps bring the body back into its proper alignment so that it functions better and more effectively. It also helps to reduce the pain that is associated with nerve inflammation, particularly that associated with sciatica.
At Essential Chiropractic in The Hague, we take a holistic approach to treating lower back pain, sciatica, and related conditions. By assessing the root cause of your discomfort, we can develop a personalized care plan that will include
Chiropractic Adjustments to correct spinal misalignments and relieve nerve pressure
Postural and Movement Corrections to improve function and prevent recurrence
Lifestyle and Ergonomic Advice to support long-term spinal health
Find Relief Today
If you're experiencing lower back pain, leg pain, or discomfort in your SI joint, don't wait for it to get worse. Understanding the difference between sciatica, disc herniation, and SIJ syndrome is the first step to finding effective treatment. Contact Essential Chiropractic in The Hague today to schedule a consultation and take the first step toward pain relief and better mobility.
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