Is your bottom pain caused by Piriformis Syndrome or Sciatica?
Are you suffering with pain in the bottom? Are you wondering if your bottom pain is originating from Piriformis  syndrome or from Sciatica?
 
Piriformis muscle and Sciatic nerve are both very closely related structures and thus Piriformis syndrome and Sciatica are often mistaken for each other.
 
Watch this video for a simple description of the piriformis muscle and the sciatic nerve. 


 
Both these conditions can cause similar symptoms. However, Piriformis syndrome occurs due to spasm, tightness or inflammation of the piriformis muscle, located deep in the buttock. Piriformis syndrome may or may not cause compression of the sciatic nerve, leading to symptoms of sciatica.
 
Some of the causes of Piriformis syndrome are:
  • Trauma to the buttock areas such as biking accident or falls or sports injuries
  • Sitting with a thick wallet under one side of the bottom.
  • Gradual tightening of the piriformis muscle due to poor muscle fitness
  • Activities such as long distance running. 
  • Poor postures such as slouched sitting.
  • Prolonged standing without proper stretching of the piriformis muscle 
Piriformis Syndrome can manifest as:
  • Pain, deep inside the buttocks area, with or without pain in the SI joint.
  • Reduced range of the hip joint
  • A dull ache in the buttock when walking up the stairs or incline.
  • Increase in pain after prolonged sitting, squatting, walking or running
  • Decrease in pain after stretches and lying down on the back.
On the other hand, sciatica is compression or irritation of the sciatic nerve anywhere along its course from the lumbar spine to the legs. Though Piriformis syndrome can lead to sciatica, it can also be the result of spinal dysfunction such as  herniated disc or spinal stenosis. 
 
Some of the causes of sciatica are:
  • Lumbar disc prolapse 
  • Lumbar spinal stenosis
  • Lumbar spondylolisthesis
  • Piriformis syndrome
  • Osteoarthritis of the lumbar spine
  • Vertebral fracture in the lumbar spine
Sciatica can manifest as:
  • Tingling, numbness, burning, pain or discomfort anywhere from the buttocks down into the back of the legs right up to your toes. 
  • Weakness in the affected leg
  • Associated back pain, depending on the cause of the sciatica
  • When severe, sciatica can lead to bladder or bowel changes 
If you are suffering from bottom or back pain or radiating pain down the legs join my free community where we discuss these topics in a judgement free and friendly group. 

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MEET SWATI

 
Hi there! 
I am Swati, an Executive Mum Power Coach & Certified Posture Expert

I help mums of young kids working in high-stress executive jobs manage back, neck, and nerve pain, even with low energy, brain fog, and little time to spare. My proven system delivers real relief without stealing hours from your already packed day. The result? More productive professionals at work and guilt-free mums who can be fully present with their kids, instead of being sidelined by pain.



My passion comes from personal experience. I’ve been where you are: in pain, overwhelmed, and exhausted. After two pregnancies in three years, juggling my kids, housework, and a demanding job, I was stuck in a constant cycle of back and nerve pain. The physical load of motherhood added strain to my spine and joints. Meanwhile, adrenal fatigue left me drained, even after 10–12 hours of sleep.

Everyday tasks became a struggle. I was forgetful, foggy, and low on energy. Even as a trained physiotherapist and posture expert, I couldn’t escape my own pain. I stood all day at work, spent evenings on the laptop, rocked my kids to sleep, sat through endless meetings, traveled frequently ... I’ve been through it all.

I kept my pain hidden at work, afraid to speak up. I felt like a fraud, someone who coached others on relief strategies but couldn’t find relief herself. I loved my job and my children, but I couldn’t give 100% to either. Pain was holding me back.

One New Year, I made a resolution: to get healthy, not just fix pain, fatigue, or weight. I focused on reducing inflammation, healing my adrenal fatigue, and reclaiming my energy. Slowly but surely, the pain faded. I lost weight, my brain fog cleared, and my energy skyrocketed. Today, my pain is nearly gone. I feel stronger, clearer, and more in control than I have in years.
And now, I want that for you.

I combine professional expertise with lived experience to support other mums like me, those with young kids, high-stress jobs, and no time for complicated health programs. I’ve helped hundreds of women reduce spinal and joint pain, lift their energy, and clear the mental fog that holds them back.

If any of this resonates, you’re not alone. I’ve been there. I got you, mommy!

Let’s get you feeling strong, confident, and fully present at work and at home.
Are you ready to start? Curious about how this works? Just ask.

Let's DO THIS!
xx Swati
** Executive Mum Power Coach **

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