Piriformis Syndrome vs Sciatica in Williamsburg: How to Tell the Difference

If you’re dealing with pain that shoots down your leg, it’s easy to assume it’s sciatica, but another condition called piriformis syndrome can feel almost identical. Many people in Williamsburg experience leg or buttock pain caused by tight muscles rather than a pinched nerve in the spine. Understanding the difference helps you get the right kind of care.

Sciatica vs Piriformis Syndrome: What’s the Difference?

• Sciatica happens when the sciatic nerve is compressed at its origin in the lower spine. This can result from spinal misalignment, disc issues, or inflammation.

• Piriformis syndrome occurs when the small piriformis muscle (deep in your glutes) becomes tight or spasms, pressing directly on the sciatic nerve as it passes underneath or through the muscle.

Both can cause pain, tingling, or numbness down one leg, but the source of irritation is different.

Key Symptoms to Look For

• Pain that starts deep in the buttock and may travel down the leg (more common in piriformis syndrome)

• Pain that worsens when sitting or crossing your legs

• Numbness, tingling, or weakness extending below the knee (more common in sciatica)

• Lower back pain accompanying the leg pain (more likely sciatica)

How Chiropractic Care Helps
At KIRO, our doctors determine whether the issue is coming from your spine or your muscles. Chiropractic adjustments relieve pressure on the sciatic nerve if the problem originates in the lower back, while targeted soft-tissue work and stretching help calm an overactive piriformis muscle. The goal: restore balance and motion so the nerve can function freely again.

“Many patients come in thinking they have sciatica, but it’s actually muscle tension causing nerve irritation. Once we address the true source, relief comes quickly.” — Dr. Josie DeRosa

If you’re in Williamsburg and dealing with leg or buttock pain, stop by our studio to find out whether it’s sciatica or piriformis syndrome, and start feeling better fast.