Back Pain vs. Sciatica: Exploring the Distinction
People often conflate lower back pain and sciatica, and if you’re in intense pain, you probably don’t care much about what it’s called–you just want relief! But in reality, understanding the type of pain and why you’re experiencing it is crucial in finding a lasting, long-term solution.
Frank’s Story: A True Case of Sciatica
Frank visited us because his pain was unbearable. He was experiencing it throughout the lower half of his body: in his lower back, through his buttocks, and all the way down to his foot. But it wasn’t just pain. Frank also experienced numbness and tingling throughout his leg, which only alarmed him further.
After learning Frank’s symptoms, we suspected sciatica–true sciatica. Why? A couple of reasons:
- The numbness and tingling indicated a nerve issue
- The symptoms follow along the path of the sciatic nerve, from which the condition takes its name
The next step was determining why. Sciatica isn’t a condition in and of itself but rather a sign that something is impacting the sciatic nerve. After a comprehensive evaluation, including several movement screens, we determined Frank’s sciatica stemmed from a herniated disc in his lower back.
Herniated discs occur when one of the intervertebral discs in the spine bulges or, in rare cases, ruptures. If it irritates the sciatic nerve (the root of which is located in the lower back), it will cause sciatica. In fact, most people with sciatica develop it due to a herniated disc.
Now that we knew the source of Frank’s pain, we were able to create a custom treatment program to strengthen his back and core, helping to relieve pressure on his sciatic nerve as his herniated disc healed.
Laura’s Story: No Sciatica Detected
Laura visited us after her doctor told her she had developed sciatica. She was dealing with intense lower back pain that severely restricted the mobility in her back, making it difficult for her to walk. Sometimes, the pain spread down into her buttocks, too, although it never made it to her legs.
For this reason, we knew it was unlikely Laura had sciatica. Because sciatica affects the sciatic nerve, it always causes radiating pain throughout the lower extremities. She also wasn’t experiencing any signs of a nerve disorder.
However, there was no doubt that Laura was in pain and needed relief! We conducted an in-depth assessment to find out what might be going on. When we took Laura’s health history, we learned that the pain started after she rearranged some heavy furniture in her house. Some additional movement screens confirmed what we suspected: Laura had strained her back muscles.
A strain occurs when the tissue fibers in your muscles or tendons tear. Sometimes, those tears are microscopic but painful nonetheless. Laura’s injury was not only painful but also impacted her movement and posture.
Fortunately, a mild to moderate muscle strain can usually resolve with physical therapy. We developed a customized treatment plan to help her manage pain and improve her range of motion. As she improved, we began incorporating strengthening exercises.
Personalized Treatment Plans, No Matter the Cause
Although Laura and Frank had two different injuries with different symptoms, their treatment plans looked fairly similar. That’s because physical activity is one of the best ways to resolve sciatica and lower back pain.
We put so much emphasis on identifying the source of your pain so we can develop the right treatment plan for your needs. We offer several techniques to help manage pain and rehabilitate a musculoskeletal injury, such as manual therapy, tailored exercises, and functional training.
At Blue Sky Physical Therapy, we want to help you live a healthy, happy life–and that starts with resolving any pain and discomfort that might be holding you back. If you’re dealing with persistent pain in your back, your legs, or anywhere else, call us to schedule an assessment today. Our physical therapists are on the case!
Your Progress Matters To Us!
Return to Blue Sky Physical Therapy and Let’s Continue Your Journey to Wellness Together. Schedule Your Appointment Now!
We’re thrilled to announce that we have added TWO entirely new group classes to our schedule beginning in January of 2026:
Yoga with Oliver Vaughn on Tuesdays at 1:00 PM:
In this gentle class, instructor Oliver Vaughn offers a safe and accessible way to experience yoga while learning a variety of poses in seated, standing, and floor-based positions. With extensive experience, Oliver provides appropriate modifications and props to support a safe, comfortable, and enjoyable practice. Because the class includes floor-based postures, participants must be able to independently get down to and up from the floor.
Zumba Inspired Dance Cardio with Renee Jones on Wednesdays at 1:00 PM:
Experience the joy of movement in a dance class that’s gentle on your body while keeping you active, strong, and balanced. This low-impact class combines simple dance steps with mindful coordination to enhance balance, mobility, and endurance—all while engaging your mind. Rediscover the uplifting power of dance and how it can boost your overall well-being.
Additionally, due to the amazing response to our new Strength Training classes launched earlier this year, we’re excited to add another Strength Training class on Wednesdays at 3:00 PM, taught by Rachael Van Gordon, starting January of 2026.
And finally, when you visit the clinic, you’ll notice our brand-new Blue Sky Shop! We’ve selected a limited collection of apparel we think you’ll love. These pieces are available only while supplies last, so be sure to take a moment to browse the next time you’re in!
We can’t wait to see you in class—and hopefully sporting some fresh new Blue Sky gear!
Exercise of the Month
PIRIFORMIS STRETCH
Start by sitting up straight with your knees bent and feet flat. Bend your leg and place your ankle across the top of your other knee. Rotate your trunk toward your bent knee and gently pull your knee toward your chest until you feel a stretch in your hip. Hold for 30 seconds. 2 Sets, 1 Rep. (Materials needed: chair)
February Word Scramble
lotacehoc
eeanlnitv
bauefrry
iprdinehfs
iwentr
aceornm
Answer Key
chocolate
valentine
february
friendship
winter
romance
Tips for A Heart-Healthy Valentine’s Day!
This year, don’t forget the most important Valentine of all: your heart! With February being the month of love and American Heart Month, here are a few tips to combine them into one fabulous celebration:
- Try a heart-healthy treat: Pomegranate seeds, good dark chocolate, and sweet strawberries are all delicious alternatives to candy hearts.
- Take a ballroom dance class with your sweetheart: Nothing’s more romantic than a sweeping waltz or sultry tango. But ballroom dancing is also a great cardio workout–making it the perfect date night for American Heart Month!
- Sink into a relaxing bubble bath: Stress contributes to cardiovascular disease, so this month, set aside time to rest and relax with a bubble bath. Dim the lights, burn a few candles, and settle down with your favorite romantic read.
Want more healthy heart tips this February–or any month of the year? Schedule an appointment with Blue Sky Physical Therapy today!
Our Patients Get Great Results
“I have never felt so taken care of by a PT clinic before, not just a body relegated to bed. From the office staff, my PT Natalie, and the owner Hilary. Thank you.”
-Amy R.
This Valentine’s Day Rose Latte recipe is a cozy, romantic drink that blends creamy comfort with delicate floral sweetness. It’s the perfect way to treat yourself—or someone you love—to a beautiful and relaxing moment.
Enjoy This Seasonal Healthy Recipe!
Valentine’s Day Rose Latte
- 2 1⁄2 cups Unsweetened Plant-Based Milk
- 1 tbsp + 1 tsp Maple Syrup
- 1 tsp Beet Powder
- 1 tsp Vanilla Extract
- 2 tsp Rose Water
Optional
- 1⁄2 tsp Ground Cardamom
- 2 Espresso Shots
Add the unsweetened plant-based milk, maple syrup or agave, beetroot powder, and cardamom (if using) to a small pot over low heat. Heat on low for about 5 minutes or until warmed to your liking, stirring frequently. Then take off the heat and stir in the vanilla extract & rose water. Pour the espresso shot into your mug (if using). If you have a milk frother, use it to froth the plant-based milk mixture (this is optional too). Pour the rose milk latte into your mug and top with dried rose petals and an extra dash of cardamom if you like. Enjoy!
