Complex Injuries

Sciatica Pain Can Radiate To The Knee: Injury Medical Chiropractic


Sciatica pain can radiate to the knee. Individuals with sciatica do report unique/unusual knee pain that was never there and no past or recent physical injuries. Sciatica is the culprit, as the knee muscles are powered and controlled by nerves in the lower spine. Irritation or compression of these nerves can cause symptoms that can include: random back pain, hamstring tightness, weakness in the hips or quadriceps, the development of bunions, and knee pain and/or weakness. Chiropractic treatment can release the compression, heal the sciatic nerve, and alleviate knee problems.

Sciatica Pain Can Radiate To The Knee

Spine conditions that can cause sciatica include:

  • Disc herniation โ€“ Where the inside of the discs leak out and compress and/or irritate surrounding nerves.
  • Degeneration of the discs โ€“ The discs between the vertebrae wear down naturally as the body ages.
  • Spinal stenosis โ€“ The spinal canal begins to narrow, not allowing enough space for the nerves to rest comfortably, resulting in compressed nerves.
  • Spondylolisthesis โ€“ A condition that occurs when a vertebrae slips forward onto the vertebrae below it.

Any can cause irritation, inflammation, or compression of the sciatic nerve leading to painful sensations that extends from the lower back down through the leg.


Common knee symptoms that may be experienced with sciatica include:

  • A dull ache, warm sensation, or sharp pain around the knee.
  • Tightness in the hamstrings.
  • Weakness in the hips or quadriceps.
  • Unable to put weight on the knee.
  • Buckling/Collapsing giving out of the knee.
  • Difficulty or inability to straighten the knee.
  • Weakness when extending the knee.
  • Bunions form from weakened stabilizing muscles that affect walking, running, and standing posture.

As sciatica pain can radiate to the knee, individuals will usually also experience pain in their buttocks, thigh, calf, and/or foot. The nerve sensations and other symptoms in the knee can be felt through a branch of the sciatic nerve known as the peroneal nerve.


The knee pain will last as long as sciatica does, dependingย on the type of sciatica, whether it is acute or chronic.

  • An acute sciatic episode usually resolves after a few weeks, with possible future flare-ups.
  • Chronic sciatica is a long-term condition that does not resolve independently and necessitates intervention by a specialist.

Chiropractic Treatment Plan

Depending on the diagnosis, a chiropractor will develop a personalized treatment plan to address the root cause and heal the injury. The treatment plan will include therapeutic massage, posture training, and at-home self-care to help heal and prevent future sciatica.

Massage Rehabilitation

  • Physical therapy and therapeutic massage will loosen and relax the muscles, nerves, tendons, and ligaments.
  • Heat and ice, exercises, and stretches will prepare the muscles and nerves for chiropractic decompression adjustments.

Posture Training

  • Training will be provided to maintain the back, hips, knees, and feet in proper alignment.
  • Training on removing pressure from the lower back and restabilizing the rest of the body.
  • Training on proper body mechanics, safe lifting techniques, and injury prevention.

Self-Pain Management

  • Training on self-care habits that include healthy weight, core strengthening exercises and stretches for the back muscles, and proper rest for a full recovery.
  • Discomfort and pain management skills.

Health Coaching

  • An anti-inflammatory diet to reduce/eliminate inflammation and achieve a healthy weight and a nutrition plan to maintain overall health.


  • Surgery is the final option when conservative treatments are not working.


Dydyk AM, Khan MZ, Singh P. Radicular Back Pain. [Updated 2021 Nov 2]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from:

Hirabayashi, Hiroki, et al. โ€œCharacteristics of L3 nerve root radiculopathy.โ€ Surgical neurology vol. 72,1 (2009): 36-40; discussion 40. doi:10.1016/j.surneu.2008.08.073

Jandre Reis, Felipe Jose, and Adriana Ribeiro Macedo. โ€œInfluence of Hamstring Tightness in Pelvic, Lumbar and Trunk Range of Motion in Low Back Pain and Asymptomatic Volunteers during forwarding Bending.โ€ Asian spine journal vol. 9,4 (2015): 535-40. doi:10.4184/asj.2015.9.4.535

Jeong, Ui-Cheol, et al. โ€œThe effects of self-mobilization techniques for the sciatic nerves on physical functions and health of low back pain patients with lower limb radiating pain.โ€ Journal of physical therapy science vol. 28,1 (2016): 46-50. doi:10.1589/jpts.28.46

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Professional Scope of Practice *

The information herein on "Sciatica Pain Can Radiate To The Knee: Injury Medical Chiropractic" is not intended to replace a one-on-one relationship with a qualified health care professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional.

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Our information scope is limited to Chiropractic, musculoskeletal, acupuncture, physical medicines, wellness, contributing etiological viscerosomatic disturbances within clinical presentations, associated somatovisceral reflex clinical dynamics, subluxation complexes, sensitive health issues, and/or functional medicine articles, topics, and discussions.

We provide and present clinical collaboration with specialists from various disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system.

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Our office has reasonably attempted to provide supportive citations and has identified the relevant research studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request.

We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez, DC, or contact us at 915-850-0900.

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Dr. Alex Jimenez DC, MSACP, RN*, CCST, IFMCP*, CIFM*, ATN*


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