12/01/2025
Not all radiating pain is sciatica.
If your ache wraps from your lower back into the side of your hip or front of thigh, the real culprit may be higher in the spine — at T12–L1. That’s where small sensory cluneal nerves exit. When irritated, they can mimic lumbar or SI-joint pain.
The good news? Once identified correctly, this pattern — known as Maigne's syndrome — is highly treatable with a combination of manual therapy, posture correction, and therapeutic exercise.
Persistent “sciatica” that doesn’t behave like sciatica? It might be cluneal nerve irritation.