Sciatica and lumbar radiculopathy are terms often used interchangeably, but they refer to slightly different conditions that affect the lower back and leg. Both can cause significant discomfort and affect daily life. In this blog, we will explore the differences between these two conditions, their common causes, symptoms, and available treatments.

Sciatica vs. Lumbar Radiculopathy: What’s the Difference?


Sciatica is a symptom rather than a condition itself. It occurs when the sciatic nerve, which runs from the lower back down each leg, becomes compressed or irritated. Sciatica can result from various underlying conditions, including lumbar radiculopathy.

Lumbar Radiculopathy:

Lumbar radiculopathy is a specific condition characterized by the compression or irritation of a lumbar spinal nerve root. It typically affects one side of the lower back and extends into the leg along the path of the affected nerve. Lumbar radiculopathy can lead to sciatica as one of its symptoms.

Common Causes of Sciatica and Lumbar Radiculopathy

  • Herniated Disc: A bulging or herniated disc in the lower back can put pressure on nerve roots, leading to lumbar radiculopathy and sciatica.
  • Spinal Stenosis: Narrowing of the spinal canal can compress nerve roots, causing pain and discomfort.
  • Bone Spurs: The growth of bone spurs in the spine due to degenerative conditions can lead to nerve compression.
  • Spondylolisthesis: When one vertebra slips forward over another, it can compress nerves in the lower back.
  • Trauma or Injury: Accidents or injuries to the lower back can result in lumbar radiculopathy or sciatica.

Common Symptoms of Sciatica and Lumbar Radiculopathy

  • Pain: Both conditions typically cause pain in the lower back that radiates down one leg. The pain may vary in intensity and location.
  • Numbness or Tingling: Patients often experience numbness or tingling sensations along the affected leg or foot.
  • Weakness: Muscle weakness in the affected leg can occur, making it difficult to move or lift objects.
  • Loss of Reflexes: Reflexes may be diminished in the affected leg or foot.

Treatment Options

  • Conservative Treatments: Rest, physical therapy, and anti-inflammatory medications are often used as initial treatments for both conditions. Heat or ice applications can help alleviate pain.
  • Medications: Pain relievers, muscle relaxants, and corticosteroid injections may be prescribed to manage pain and inflammation.
  • Physical Therapy: Physical therapists can provide exercises and stretches to improve flexibility and strength and alleviate pressure on the affected nerve.
  • Surgery: In severe cases or when conservative treatments fail, surgical procedures like discectomy or laminectomy may be necessary to relieve nerve compression.
  • Lifestyle Modifications: Maintaining a healthy weight, practicing good posture, and avoiding activities that exacerbate symptoms can help manage both conditions.


While sciatica and lumbar radiculopathy share similarities, they have distinct causes and characteristics. Both can be painful and debilitating, but with early diagnosis and appropriate treatment, individuals suffering from these conditions can find relief and regain their quality of life. If you suspect you have sciatica or lumbar radiculopathy, consult with a healthcare professional for an accurate diagnosis and a personalized treatment plan.

Find Relief with Drs. Maxim Moradian and Revik Vartanian at iSCORE

If you’re experiencing symptoms of sciatica or lumbar radiculopathy, expert care is essential for a proper diagnosis and effective treatment. Drs. Maxim Moradian and Revik Vartanian at iSCORE specialize in musculoskeletal health and offer advanced treatment options to help you find relief.

Reach out to their offices at (818) 338-6860 or (626) 460-1096 or visit their website to learn more about their expertise and to schedule an appointment. Relief from sciatica or lumbar radiculopathy is within reach, and it starts with a simple phone call to the experts at iSCORE.