Pseduosciatica is a condition that causes symptoms similar to sciatica, including pain, tingling, or numbness in the lower back, buttocks, and legs. However, unlike true sciatica, which is caused by compression or irritation of the sciatic nerve, Pseduosciatica results from other musculoskeletal issues such as Piriformis syndrome, sacroiliac joint dysfunction, Nerve irritation like cluneal neuropathy of both the middle and superior nerves, or myofascial trigger points. These conditions can irritate nearby nerves, leading to discomfort that mimics sciatic pain.

Diagnosis involves a thorough evaluation to differentiate Pseduosciatica from true sciatica. Your provider may perform physical exams, imaging studies, diagnostic nerve blocks or nerve tests to identify the underlying cause. Treatment focuses on addressing the specific musculoskeletal issue contributing to the pain.

Common approaches include physical therapy, stretching, massage therapy, and posture correction to relieve muscle tension and improve mobility. In some cases, trigger point injections, nerve blocks, or anti-inflammatory medications may be recommended for pain relief.

Since Pseduosciatica is often related to muscle imbalances or joint dysfunction, lifestyle modifications such as regular exercise, ergonomic adjustments, and core strengthening can help prevent symptoms from recurring. If you experience persistent leg or back pain, a proper diagnosis is essential to determine whether you have true sciatica or a musculoskeletal condition mimicking it. Talk to your provider team to learn more.