6 doctors weighed in:

Aching pain in butt, could I have sciatica?

6 doctors weighed in
Dr. Andrew Germanovich
Pain Management
2 doctors agree

In brief: Piriformis or SIJ

Are also common causes.
Piriformis is a muscle that frequently spasms with improper sitting positions or pelvic imbalance. Sij stands for sacroiliac joint which may become dysfunctional for the above reasons.

In brief: Piriformis or SIJ

Are also common causes.
Piriformis is a muscle that frequently spasms with improper sitting positions or pelvic imbalance. Sij stands for sacroiliac joint which may become dysfunctional for the above reasons.
Dr. Andrew Germanovich
Dr. Andrew Germanovich
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Dr. Richard Rosenthal
Pain Management
1 doctor agrees

In brief: Yes

When is nerve is mildly irritated, it can manifest as pain in the buttock area.
As the irritation becomes more severe, the pain begins to radiate down the leg. The more severe the irritation, the lower into the leg it goes.

In brief: Yes

When is nerve is mildly irritated, it can manifest as pain in the buttock area.
As the irritation becomes more severe, the pain begins to radiate down the leg. The more severe the irritation, the lower into the leg it goes.
Dr. Richard Rosenthal
Dr. Richard Rosenthal
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Dr. Kenneth Choquette
Pain Management
1 doctor agrees

In brief: NO!

Butt pain is not sciatica.
Sciatica is when the pain goes all the way into your leg following a particular nerve root distribution. "butt" pain is usually referred from the mechanics of the lumbar spine and usually soft-tissue related (muscle, tendon, ligament). Good back stretching exercises, anti-inflammatory meds, phyical therapy, are all great tools to deal with butt pain.

In brief: NO!

Butt pain is not sciatica.
Sciatica is when the pain goes all the way into your leg following a particular nerve root distribution. "butt" pain is usually referred from the mechanics of the lumbar spine and usually soft-tissue related (muscle, tendon, ligament). Good back stretching exercises, anti-inflammatory meds, phyical therapy, are all great tools to deal with butt pain.
Dr. Kenneth Choquette
Dr. Kenneth Choquette
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1 comment
Dr. Richard Rosenthal
I would like to gently disagree with the response above. Pain in the buttock area can be related to several structures in the spine including the intervertebral disc, facet joints, SI joints and nerve root. If a nerve is mildly irritated, the patient will experience symptoms only in the buttocks. As the irritation worsens, the pain can spread down the leg
Dr. Qamar Khan
Pain Management

In brief: Spine Pain Options

This chronic pain in the distribution as you suggested is the result of an irritated nerve or facet joints or other injury typically in the lumbar spine (low back) which are caused by herniated disks, spinal stenosis or degenerative disc disease, etc requiring further evaluation by a spine specialist and may be candidate for facet injections/radiofrequency ablation and epidural steroid injection.

In brief: Spine Pain Options

This chronic pain in the distribution as you suggested is the result of an irritated nerve or facet joints or other injury typically in the lumbar spine (low back) which are caused by herniated disks, spinal stenosis or degenerative disc disease, etc requiring further evaluation by a spine specialist and may be candidate for facet injections/radiofrequency ablation and epidural steroid injection.
Dr. Qamar Khan
Dr. Qamar Khan
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