The Difference Between Back Pain and Sciatica
Have you been told your persistent lower back pain is really sciatica? Did you know specific signs and symptoms can clarify what condition you’re dealing with? Far too often, these terms are used interchangeably or, worse yet, inaccurately. Fortunately, at Pelham Physical Medicine, our skilled physical therapists can clear it up for you and set you on the right path to relief!
Back pain and sciatica can be confusing and even intimidating, especially when you’re not sure what’s causing your discomfort. Whether from a car accident, lifting something heavy, or seemingly out of nowhere, both back pain and sciatica seem to have similar causes and even share some symptoms.
That’s where physical therapy comes in. Physical therapy is highly effective for both conditions. It helps reduce pain, improves mobility, and, most importantly, tackles the underlying issues to prevent future discomfort. With a tailored treatment plan, you can get back to doing what you love, pain-free.


Patient Success Story
“When I went for physical therapy, I wondered if this place would be like all the others. Fortunately, it was not. The staff are very caring and supportive from beginning to end. They are kind and helpful to all their patients. I went in with shoulder pain that made it difficult to reach, but after treatment, I’m feeling much better. CJ and John didn’t just stop at in-office care; they encouraged me to continue my therapy at home, providing me with printed instructions. I’m so impressed that I’m returning in a month to address another issue, and I highly recommend Pelham Physical Medicine.”
– E.N.
Understanding the Difference Between Back Pain and Sciatica
Back pain and sciatica are sometimes used interchangeably, but they’re not the same. Lower back pain is generally localized, affecting the lumbar region of the spine. It can arise from muscle strains, herniated discs, or prolonged poor posture. Sciatica, on the other hand, is more specific and involves pain that travels along the sciatic nerve. This nerve starts in the lower back and runs through the hips and buttocks down to each leg. The pain you feel could be shooting, burning, or even tingling, and it usually affects just one side of your body. To be a “true” sciatica,” nerve symptoms must be felt in the leg (specifically below the knee).
Common Causes of Back Pain and Sciatica
- Lower Back Pain: In most cases, lower back pain is caused by factors such as muscle strain, herniated discs, degenerative disc disease, arthritis, and other conditions.
- Sciatica: Most commonly caused by a herniated disc, bone spur where the nerve exits the spine, or narrowing of the spine (spinal stenosis) compressing part of the nerve.
Classic Symptoms of Back Pain and Sciatica
- Lower Back Pain: May include stiffness, muscle spasms, and difficulty in moving.
- Sciatica: Must consist of symptoms along the nerve root in the leg and typically include numbness, tingling, or muscle weakness in the affected leg or foot, in addition to pain.
It’s crucial to know the difference between the two because the treatment approaches differ. For example, sciatica might require attention to nerve compression issues, while lower back pain could be more muscle-related.

So, if you’re tired of enduring persistent pain, take action and call to schedule an appointment with our spine experts. Let us help you understand your condition and guide you toward effective relief.
Our Approach to Assessment and Treatment at Pelham Physical Medicine
If you are experiencing back pain or sciatica, it’s time to take action. Working with our experienced therapists can help you understand what you are dealing with and, most importantly, how to resolve it once and for all! Whether you come to our clinic with lower back pain or sciatica, we will perform a thorough physical examination and medical history to provide you with solutions that work based on the findings.
- Education: Understanding what is going on and, more importantly, what you can do about it is one of the most effective solutions. Our physical therapists will make sure you have the information you need to be successful.
- Manual Therapy: Manual therapies include a variety of methods, including joint mobilizations and manipulations that move one or more joints within normal ranges of motion to improve spinal joint motion or function.
Our physical therapists may also use soft tissue techniques like myofascial release, trigger point releases, and other methods to help alleviate pain and allow for more mobility and improved function.
- Targeted Exercises: Our exercise programs include mobility exercises, proper postural exercises, nerve mobilization, or strength exercises. Our physical therapists will tailor your workouts, monitor you, and progress based on your individual needs.
Your well-being is our top priority. At Pelham Physical Medicine, we offer a proven approach to back pain and sciatica. Don’t let pain hold you back any longer. Call today and take the first step toward a pain-free life.
The Power of a Strong Core in Alleviating Sciatica
If you’ve ever felt shooting pain from your lower back down to your leg, you’re familiar with the discomfort of sciatica. It’s more than just a pain; it can disrupt your entire life. One effective but often overlooked approach to manage and potentially reduce this nagging issue is strengthening your core muscles. At Pelham Physical Medicine, we’re experts in guiding you through core-focused exercises to find much-needed relief.
Why a Strong Core Matters
A strong core is not just about having “abs”; it includes muscles in your back, pelvis, hips, and even your buttocks. When these muscles are in tip-top shape, they help keep everything in the proper position and working correctly, minimizing the stress on the sciatic nerve and helping you feel less pain and more comfort. Check out these three common core exercises we recommend:
Planks: This is a fundamental core exercise that works your abdomen and the muscles in your back and shoulders. Holding a plank position for several seconds engages multiple muscle groups, enhancing spinal stability.
Bridge Exercise: Ideal for working your glutes, lower back, and hamstrings. By lying on your back with your feet flat on the floor and lifting your hips towards the ceiling, you strengthen the muscles that support your back.
Dead Bug Exercise: This low-impact exercise engages the core without straining the lower back. Perform by lying on your back with arms extended upwards and knees bent above hips. Lower your right arm above your head while extending your left leg out, return to the starting position, and repeat.
Meet Our Team
Discover the Path to Relief at Pelham Physical Medicine
With a strong core, you’re not just building muscle; you’re creating a support system for your spine. This can lead to better posture, less pain, and improved quality of life. Schedule your appointment today and take the first step toward a more comfortable, active life.
Recipe of the Month: Homemade Hummus

Ingredients:
- 1 (15oz) can chickpeas, drained or 1 ½ cups cooked chickpeas
- 1/4 cup fresh lemon juice, 1 large lemon
- 1/4 cup well-stirred tahini
- 1 small garlic clove, minced
- 2 tablespoons extra-virgin olive oil, plus more for serving
- 1/2 teaspoon ground cumin
- Salt to taste
- 2 to 3 tablespoons cold water or aquafaba
- Dash ground paprika, sumac, or Za’atar for serving
Instructions:
- In the bowl of a food processor, combine the tahini and lemon juice and process for 1 minute. Scrape the sides and bottom of the bowl, then process for 30 seconds more. This extra time helps “whip” or “cream” the tahini, making the hummus smooth and creamy.
- Add the olive oil, minced garlic, cumin, and a 1/2 teaspoon of salt to the whipped tahini and lemon juice. Process for 30 seconds, scrape the sides and bottom of the bowl, and then process for another 30 seconds or until well blended.
- Drain the chickpeas. Then add half of the chickpeas to the food processor and process for 1 minute. Scrape the sides and bottom of the bowl, then add the remaining chickpeas and process them until thick and relatively smooth, 1 to 2 minutes.
- The hummus will likely be too thick and still have tiny bits of chickpea. To fix this, slowly add 2 to 3 tablespoons of cold water or aquafaba with the food processor turned on until you reach the perfect consistency.
- Taste and adjust as needed. Serve hummus with a drizzle of olive oil and a sprinkle of paprika, sumac, or Za’atar.
- Store homemade hummus in an airtight container and refrigerate for up to one week. Freeze, covered with a thin layer of olive oil, for up to one month.
How To Have a Great Summer

The days are getting longer, the air is getting warmer, and school is winding down. That means one thing: summer is on its way! Here are some tips to ensure a healthy summer for you and your family:
- Drink plenty of water. While you should strive to stay hydrated all year round, it’s particularly important in warmer weather.
- Ease back into summer activities gradually: Whether you’re hitting the pool more frequently or taking more evening walks thanks to the later sunsets, avoid doing too much too soon. Start slow, don’t push too hard, and remember to warm up first.
- Don’t skip your PT sessions. We know summer’s busy. But keeping up with your sessions will help you stay active and pain-free throughout the season–and beyond!
Ready to make the most of the summer months? Schedule an appointment with our team today!







