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 Montrose Physio and Massage, our skilled physiotherapists 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 physiotherapy comes in. Physiotherapy 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.
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 Montrose Physio and Massage
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 physiotherapists 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 physiotherapists 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 physiotherapists will tailor your workouts, monitor you, and progress based on your individual needs.
Your well-being is our top priority. At Montrose Physio and Massage, 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.
Exercise of the Month
Piriformis Stretch
(Glutes, Sciatic Nerve)
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)
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 Montrose Physio and Massage, 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.
Three Common Core Exercises
- 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.
Healthy Recipe: Watermelon, Feta, and Mint Summer Salad
This classic sweet-and-savory combination is the ultimate summer refresher. It takes less than 10 minutes to throw together, requires no cooking, and is packed with hydrating watermelon.
Ingredients
- 4 cups cubed seedless watermelon (chilled)
- 1 cup crumbled feta cheese
- ½ cup red onion, thinly sliced
- ½ cup fresh mint leaves, roughly chopped or torn
- 2 tablespoons extra virgin olive oil
- 1 tablespoon fresh lime juice
- A pinch of flaky sea salt and freshly cracked black pepper
Directions
- Combine: In a large serving bowl, combine the chilled watermelon cubes, crumbled feta, and sliced red onion.
- Dress: In a small bowl, whisk together the olive oil and fresh lime juice. Drizzle the dressing evenly over the salad.
- Toss: Add the fresh mint leaves to the bowl. Gently toss the salad with large spoons or your hands just until combined—be careful not to break up the watermelon or overmix the feta.
- Season & Serve: Top with a pinch of flaky salt and fresh pepper to taste. Serve immediately while cold.

Discover the Path to Relief at Montrose Physio and Massage
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.
Sources:
https://pubmed.ncbi.nlm.nih.gov/32291226/, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5088108/, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6251828/




