Sciatica and Hip Joint Pain: Causes and Relief Options

Hip joint pain sciatica is a common complaint that occurs when the sciatic nerve becomes pinched or irritated, causing pain to radiate from your lower back down through your hips.

In this article, we’ll talked about the causes of this type of pain, the symptoms you might experience, and the relief options available to you.

What is Sciatica?

Sciatica is a term that is used to describe pain that radiates along the path of the sciatic nerve, which runs from your lower back down the back of each leg.

Sciatica is not a medical diagnosis in and of itself, but rather a symptom of a problem that is affecting the sciatic nerve.

When a nerve in your lower back is compressed or irritated, it can cause pain to travel down the length of the sciatic nerve.

Sciatica symptoms typically affect the back of your leg, buttocks, and hips, and can feel like a burning, searing pain that originates in your lower back and travels down one leg.

This pain can be mild or severe, and is usually limited to one side of your body at a time.

Your sciatic nerve is the longest nerve in your body, and it originates in your lower back and travels down to each leg.

When one of the nerve roots in your lower back is compressed, it can become irritated and inflamed, causing the pain and other symptoms of sciatica.

A variety of conditions can cause nerve root compression, including herniated discs, bone spurs, and spinal stenosis.

How Does Sciatica Cause Hip Joint Pain?

When you experience sciatica, the nerve that is affected becomes compressed, causing pain to radiate from your lower back down through your hips and into your legs.

Nerve compression can affect your gait and cause you to favor one side of your body over the other, which can put additional stress on your hips and lead to pain.

Lumbar disc herniation is a common cause of sciatica, and it occurs when the gel-like material in the center of your spinal discs leaks out and puts pressure on the nearby nerves.

Inflammation around the spine that occurs with spinal stenosis can cause nerve root compression, leading to hip joint pain.

Piriformis syndrome is another condition that can cause compression of the sciatic nerve, and it occurs when the piriformis muscle, which is located in your buttocks, compresses the nerve. Degenerative disc disease can also cause hip pain, as well as herniated discs.

Identifying Symptoms of Sciatica in the Hip

Typical symptoms of sciatica pain include a burning, shooting, or searing sensation in your lower back, hips, and legs.

This pain can be mild or severe, and it is often described as debilitating. You might experience pain that radiates from your lower back down to your hips, and it can be intermittent or constant.

In many cases, the pain is felt on one side of the body, and it can feel like a electric shock or a burning sensation.

Numbness or tingling in the skin that the sciatic nerve runs through, including in your hip area, is another common symptom of sciatica.

This numbness or tingling can make it difficult to move normally, and it can be very uncomfortable. Hip pain that is caused by sciatica is often felt on one side of the body, and it can feel like a dull ache.

You may also experience the typical radiation of pain down the back of your leg, into your buttocks and hips. In some cases, sciatica hip pain is felt as a deep ache in your buttocks and hips.

Sacroiliac joint dysfunction can cause pain in your lower back and hips that is similar to sciatica. It’s important to make sure you are receiving treatment for the correct condition.

A diagram illustrating how sciatica can lead to hip joint pain.

Common Causes of Sciatica-Related Hip Pain

Herniated discs, bone spurs, and spinal stenosisis are among the most common causes of sciatica, and each of these conditions can cause hip pain due to nerve compression.

  • Sitting for long periods of time can cause your piriformis muscle to tighten, compressing your sciatic nerve and leading to hip pain.
  • A lazy lifestyle and carrying heavy loads can also put additional stress on your hips and contribute to sciatica hip pain.
  • Wearing tight clothing and high heels can cut off circulation to your hips and cause your hips to tilt unevenly, which can exacerbate sciatica hip pain.
  • Carrying a few extra pounds can put additional strain on your hips and back, making your sciatica symptoms worse.
  • A condition like disk herniation can cause sudden onset of sciatica, while arthritis can lead to gradual development of the condition.

Hormonal changes during menopause and pregnancy can also cause sciatica, as can sleeping in the fetal position.

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A healthcare professional examining a patient for sciatica-related hip pain.

Diagnosing Sciatica and Hip Pain

Diagnosing sciatica and hip pain begins with a complete medical history, as certain factors in your lifestyle can contribute to the condition.

Your doctor will likely perform a physical exam and ask you a variety of questions about your symptoms and medical history.

Doctors often use imaging tests to confirm the diagnosis and check for other possible conditions.

MRI and CT scans are commonly used to diagnose sciatica and hip pain, as they offer detailed views of your spine and surrounding structures.

The Fortin finger test is a physical exam that is used to determine the location of your pain.

You will be asked to identify where your pain is on two occasions during the test. This helpful in evaluating whether or not your pain is coming from your sacroiliac joints.

A combination of the above is typically used to diagnose sciatica and hip pain.

Various treatment options for sciatica-induced hip pain displayed visually.

Treatment Options for Sciatica-Induced Hip Pain

Treatment for sciatica-related hip pain is typically multifaceted. Resting for the first few days is recommended, but lying in bed for extended periods of time is not recommended.

Weakness in your leg is a common symptom of sciatica, and it can make it difficult to move your hip normally.

Exercise is important for strengthening your back, abdominal, and leg muscles, which helps to support your spine and reduce the likelihood of nerve compression.

Carrying a few extra pounds can put additional strain on your spine, so maintaining a healthy weight is important for reducing your risk of developing sciatica.

Treatment for sciatica-related hip pain can be divided into home remedies, physical therapy, and medical treatments.

Home Remedies

Ice and heat therapy are two of the most effective home remedies for sciatica. Stretching and exercising are also important for relieving sciatica pain.

Taking warm baths and showers can help relax your muscles and alleviate sciatica pain.

Over-the-counter pain relievers, such as ibuprofen, naproxen, and acetaminophen, are also effective for relieving sciatica pain.

Gentle stretching exercises can help to increase your flexibility and relieve sciatica pain. However, it’s important to avoid extended periods of rest, as lying in bed for too long can exacerbate sciatica pain.

Physical Therapy

Physical therapy is important for managing sciatica pain, and it is one of the most effective ways to treat the condition.

Physical therapy for sciatica uses targeted exercises and stretches to relieve sciatica pain and pressure on your sciatic nerve.

The exercises are designed to strengthen your lower back muscles and reduce pressure on your sciatic nerve.

Regular physical therapy sessions can help to increase your mobility and reduce your risk of developing recurring sciatica flare-ups.

A customized exercise program, such as the one offered by our physical therapists, is important for optimal results.

Medical Interventions

Surgery for sciatica is typically considered only after other treatments have failed.

Surgery is always considered a last resort, and it is recommended only when other treatment options have not produced desired results.

Medical treatments, such as injections, are sometimes used to treat sciatica pain. Corticosteroid injections can help to reduce inflammation and pain.

Your doctor will be able to recommend the best treatment options for your specific condition and medical history.

How do I Prevent Sciatica and Hip Pain?

Preventing sciatica and hip pain is important, and it can be done by taking proper care of your spine and avoiding habits that can lead to injury.

Good posture is important for supporting your spine, and using ergonomic furniture can help. Using a chair with lumbar support and setting up your computer station to promote good posture can help to reduce your risk of developing sciatica.

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Lifting heavy objects correctly can help to prevent strain and injury to your lower back. Using your leg muscles instead of your back to lift can help to reduce your risk of developing sciatica.

Regular exercise and maintaining a healthy weight are also important for preventing sciatica.

Extended periods of rest are not recommended, as they can slow healing and exacerbate the condition.

Favoring one side of your body due to pain can cause you to tilt your pelvis and put additional stress on your hips, which can lead to pain.

When should I see a Doctor?

You should see a doctor if you are experiencing severe sciatica symptoms that are affecting your daily activities.

If your sciatica pain radiates down to your legs and is accompanied by numbness or weakness, seek medical attention.

You should seek immediate medical attention if you are experiencing sciatica symptoms along with loss of bladder or bowel function.

This is a sign of a rare but serious condition called cauda equina syndrome.

Wrap Up

Sciatica and hip joint pain are closely related, and it is important to understand how the two conditions are connected in order to effectively treat and relieve your symptoms.

Sciatica is a symptom of a underlying condition, and it causes pain to radiate along the path of the sciatic nerve.

Your hips are one area where you may feel sciatica pain. Knowing the symptoms of sciatica and what causes the condition can help you to get the treatment that you need.

Dr. Clifton Morris
Dr. Clifton Morris

Meet Dr. Clifton Morris, MD. He's a highly accomplished medical professional with an impressive career. He graduated from University Of North Carolina in 1994

He's also a Senior Cardiometabolic Faculty at Baim Institute for Clinical Research.

He did his training in Internal Medicine at Brigham and Women’s Hospital and specialized in Gastroenterology and Cardiac Ultrasound at Tricities Hospital..