The sciatic nerve is the longest nerve in the body. It runs from the low back, through the hip area, down the legs and into the feet. If this nerve becomes compressed or irritated, it can cause a variety of symptoms, which can be isolated to a specific area such as the low back or hip. In some cases, it can radiate down into the legs as well. If the symptoms of sciatica occur in the hip, it is important to have the cause properly diagnosed so the right treatment plan can be started.
Pain
The piriformis muscle in the hip can become tight and compress the sciatic nerve, causing pain, according to the American Academy of Family Physicians. The pain from sciatica tends to be dull, crampy or achy and may occur just in the hip, but it can also radiate into the thigh. The pain may get worse whenever the hip is rotated in or out or after sitting for prolonged periods. Gentle stretching and using good body mechanics when working out may help relieve the pain.
Numbness
If the sciatic nerve is significantly compressed, the hip may feel numb or develop a tingling or burning sensations, according to the American Academy of Orthopaedic Surgeons. As with the pain, these sensations may radiate down the leg. Sneezing, coughing or other general movements may exacerbate the symptoms. Resting, applying ice and taking medication to reduce pain and inflammation can help.
Weakness
When the sciatic nerve becomes compressed, signals may be unable to get from the brain to the hip and leg muscles. This can eventually lead to the affected hip and leg feeling weak and unable to support weight. Climbing stairs or getting up out a chair may become difficult. The National Institutes of Health warns that sciatica hip symptoms may be caused by an underlying medical condition and should be evaluated by a physician. Physical therapy can help to restore strength and flexibility and provide techniques to avoid disability where possible.
