Relief for Hip Pain: Piriformis Syndrome vs. Sciatica
- Ashley Amas
- Apr 15
- 2 min read
Updated: Apr 18

Whether you’re a Kauai local who chases waves or a visitor eager to kayak the Wailua River, hip pain can quickly put a stop to your island adventures. Many people confuse piriformis syndrome and sciatica, but knowing the difference can help you get back to enjoying Kauai’s beauty.
Piriformis Syndrome or Sciatica? Know the Difference
Both conditions can cause pain that radiates from your lower back or buttock down your leg. However, piriformis syndrome starts with a tight or irritated piriformis muscle deep in your buttock. This muscle can press on the sciatic nerve, causing pain, tingling, or numbness—especially after long drives around the island or sitting on a plane.
Sciatica, on the other hand, usually begins in the lower back. It’s often caused by a herniated disc or spinal issue, sending sharp pain down the leg. While both can make walking Hanalei Bay a pain in the a**, the source of the pain is different.
How to Find Relief for Hip Pain
Don’t Let Hip Pain Hold You Back
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