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Pain in left back radiates to leg

12 Sep 18

Pain in the lower back radiating to the leg

Pain in the lower back, radiating to the leg , most often a syndrome called lumboischialgia. Pain in the lower back that radiates to the leg is a serious problem that requires consultation with a doctor.

Pain in the lower back radiating to the leg: lumbar sciatica

Lumboischialgia is pain in the lower back (namely, in the lower back), which radiates to one or both legs. Pain in the lower back occurs after increased physical activity or over-cooling. Back pain can be weak or strong, aching or burning, squeezing, and can be more pronounced in the lower back or in the leg.

Pain in the lower back is divided into forms, each of which has its own clinical manifestations:

  1. Muscular-tonic. Characterized by spasm of the lumbar muscles, curvature of the spine (scoliosis, kyphosis, hyperlordosis, etc.); severe limitation of movements in the lumbar region.
  2. Vegetative-vascular. In parallel with the sensation of burning pain, numbness occurs in the affected leg (usually the foot). She may be paler than healthy and cold to the touch. Feelings of heat or chilliness are also typical. Chilliness in the leg is caused by increased vascular tone. When moving from a horizontal to a vertical position, pain occurs.
  3. Neurodystrophic. The pain in the lower back, radiating to the leg, is burning and usually worsens at night. Trophic disorders are noted: thinning of the skin.

Pain in the lower back, radiating to the leg, can combine all three forms of lumbar sciatica at the same time. Lumboischialgia can last for years and is characterized by alternating exacerbations and remissions. Lumboischialgia has a “sister” - sciatica. Sciatica is manifested by pain in the thigh and buttocks, radiating to the lower leg and foot.

Pain in the lower back radiating to the leg: radicular syndromes

Pain in the lower part in this case is caused by lumbosacral radiculitis (also a consequence of osteochondrosis), and it is often preceded by attacks of lumbago, lumbodynia or lumboischialgia.

The main cause of pain in the lower back here is mechanical pressure from the prolapse of the intervertebral disc with its subsequent pressure on the nerve ending. As a result, blood circulation is disrupted, swelling occurs, and inflammation develops.

When the root is irritated by a displaced disc, pain in the lower back can be dull, cutting, aching, tearing, drilling, shooting. The immediate occurrence of pain in the lower back is preceded by lifting a heavy object, especially with a jerk, an awkward movement, a sharp turn or tilt of the body, a bruise of the lower back, prolonged work in a bent, uncomfortable position, etc.

Most often, pain in the lower back occurs suddenly, initially on one side of the lower back (less often, on both sides at once); sometimes it occurs in the buttock or hip joint. After 5-7 days, the pain in the lower back spreads to the leg and makes it difficult to straighten the affected limb. So, with pain in the lower back that radiates to the leg, a person instinctively protects the leg from the load, so in a vertical position he does not step on the entire foot, and the affected leg is usually half-bent and set forward or to the side.

In a horizontal position, the fetal position helps reduce pain: a person lies on the healthy side, clasping and pressing the sore leg to the stomach. If the pain spreads to both legs, you have to lie on your back with both legs bent. The pain also does not allow you to roll over onto your stomach.

The pain in the lower part intensifies with the slightest movement: turning the body, getting out of bed, walking. Even coughing, sneezing and talking can increase suffering. Sometimes back pain becomes so unbearable that it deprives a person of sleep. Radicular syndrome can be accompanied by various sensitivity disorders: an increase or decrease in pain sensitivity (hyperesthesia or hypoesthesia, respectively), unpleasant sensations appear in the affected leg: numbness, burning, crawling sensation, coldness, tightening (paresthesia), etc.

Pain in the lower back, radiating to the leg, is fraught with relapses. They are provoked by colds (ARI), hypothermia, etc. The first aid remedy for back pain is an effective and fast-acting pain reliever. However, to eliminate the problem at the root, you will need long-term use of chondroprotectors, which will strengthen the health of the joints and spine.

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