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Back hurts, leg cramped

10 Sep 18

Pain in the sacrum radiating to the leg

Pain in the sacrum radiating to the leg is a consequence of the inflammatory process, sometimes resulting from the mechanical impact of the roots of the spinal cord and the sciatic nerve. It is equally common in both men and women aged 40–45 years. The skin in the lumbar region and legs becomes numb. The cause may be osteoporosis, osteophytes, or spinal injuries.

Causes of pain

Pain irrigating in the leg may occur due to thrombophlebitis of the pelvic veins, neoplasms, or old spinal injuries. The cause may be congenital pathology of the spine, infection, metabolic disorders in the patient’s body.

In women, this soreness is a consequence of gynecological diseases or may be a harbinger of approaching menstruation. In male patients, pain and discomfort are provoked by prostatitis, constant stress and emotional overload.

Clinical picture of the disease: pain in the sacrum, irrigating to the legs; back muscle tone; stiffness of movements. The legs become numb, and “goosebumps” appear in the palms. It hurts to bend over, and with a hernia the pain becomes even stronger. They radiate to the groin or legs. Most often, discomfort appears in the morning, and in the evening the discomfort subsides.

Displacement of the sacral bones

If the bones in the sacral area are shifted to the left or right, then the blood supply to the limbs is disrupted. When displaced to the right side, the bones of the sacrum can radiate to the right leg and vice versa. My legs cramp and my muscles ache. In addition to these symptoms, the patient has impaired functioning of the gastrointestinal tract and liver. The result is bowel dysfunction and the person loses weight. Women have problems in the field of gynecology.

If the sacrum bone is displaced to the left side, the functioning of the heart and lungs worsens; a person often catches a cold. With this shift, a person adds extra pounds. He begins to become constipated.

Thrombophlebitis can be a consequence of surgery; it appears in women after childbirth, during an inflammatory process in the pelvic organs.

Sometimes thrombophlebitis of the pelvic and iliac veins occurs due to the spread of the disease starting in the legs. Symptoms: pain in the vagina, bladder, lumbar region. It can irrigate the feet. A person pays attention to the sensation of “pins and needles” that appears in the limbs. They swell and the veins on them expand.

For sacrodynia due to diseases of the pelvic organs

Painful sensations also begin due to diseases of the pelvic organs. For example, with prostatitis, a man feels a burning sensation when urinating, and potency worsens. Painful sensations radiate into the leg, the genitals hurt, and discomfort begins in the rectum. The nature of the pain varies: from aching to acute spasmodic pain. During acute attacks, the patient simply cannot sleep.

Often a person suspects that radiculitis is developing and tries to be treated with rubs and ointments.

Pain in the sacrum often bothers women on the eve of menstruation. Unpleasant sensations seem to spread throughout the entire abdominal cavity, radiating to the sacrum, lower back, and hips. Discomfort occurs due to deviation of the uterus. Before critical days, it increases in size and puts pressure on the nerves in the sacral area.

In addition to premenstrual pain, the causes of discomfort include endometriosis, parametritis, cancer, changes in the position of the uterus (prolapse, deviation, prolapse) or relaxation of the uterosacral ligaments.

When the sciatic nerve is pinched

If the pain is aching and becomes stronger when walking or other movements, then often the cause is pinched sciatic nerve.

If the pinching occurs on one side or the inflammation is localized in one place, then the pain will be on the left or right side.

When the roots are pinched on both sides, the pain is stronger and irrigates into the pelvis. The skin becomes numb, motor activity worsens, legs weaken, and a person pulls his leg when walking. The patient complains that his legs stop working and seem to be taken away. In particularly difficult cases, defecation and urination are impaired.

If unpleasant sensations recur periodically, the patient should see a doctor, for example, a gynecologist, neurologist or traumatologist. The doctor will identify the exact cause and prescribe treatment.

First of all, the doctor will try to understand what the cause is: the disease of the spine itself or is it another disease. He will examine the patient and listen to the patient’s complaints. For a more accurate diagnosis, tomography and x-rays are used. These methods will help to exclude neoplasms and look at the condition of the pelvic and sacral bones. Women are examined using MRI.

The primary goal of the attending physician should be to eliminate the underlying disease that caused the pain and discomfort. This requires an integrated approach that combines several treatment methods.

If the pain is acute, the doctor prescribes oral analgesics that relieve pain or injections. Blockade with lidocaine, Kenalog or novocaine is used less frequently. The blockade is done in the spine, joints, and other places where the inflammatory process is localized.

Alternative techniques

The doctor may prescribe manual therapy procedures, acupuncture treatment or massage courses to the patient. These techniques block pain, eliminate displacement of organs, and relieve muscle tone. They improve blood supply to the affected area and stimulate lymph outflow.

UHF, SMT and other procedures relieve swelling of soft tissues and relieve inflammation. After them, the patient feels a restoration of motor activity in the lumbar region and buttock muscles. The course of physiotherapy is selected individually and depends on the diagnosis, the presence or absence of complications and other factors.

During the recovery period, when acute pain is relieved, doctors recommend engaging in physical therapy. This could include stretching exercises. They are done calmly, without sudden movements and rhythmically. The number of repetitions of each exercise varies from 8 to 12 times. The number of approaches increases every week.

  • We lie down on the floor, roll over onto our backs, and bend our knees. We pull them towards the chest. In this case, the lower back should not come off the floor.
  • We lie down on the floor. Lying on your back, bend one leg, grab it with your hands and pull it towards your chest. Unbend, do the same with the second leg.
  • We stand on the floor on all fours, bending our back. The head is bent. Slowly raise our head and throw it back. The stomach is pulled in, we arch our back.
  • In particularly difficult cases of spinal cord tumors and hernias, treatment is carried out only through surgery.

    If it is not possible to cure the disease completely or the pain returns again and again, doctors recommend wearing a lumbosacral corset with a medium degree of rigidity. This corset is selected individually. It slightly restricts the patient’s movements, but removes excess stress from the spine. You can wear it at home, work in it or drive a car. When the pain stops bothering the patient, the corset is removed.

    The choice and wearing of a corset should be approached correctly:

  • Choose a product made from natural materials
  • Be sure to measure when purchasing
  • Do not wear more than 6 hours a day
  • Do not wear on naked body
  • Don't sleep in a corset
  • To treat pain in the sacral area, traditional medicine recipes based on natural products can be used. Such treatment cannot replace medication, but may be part of a set of measures to relieve pain.

  • Take one hundred grams of salt and dissolve it in a liter of hot water. We soak a cloth or gauze in it and squeeze it lightly. Apply a salt compress and wrap it in a scarf or scarf. He should lie on the affected area all night. Course of treatment: ten procedures.
  • Peel a large radish fruit and grate it. Apply a cloth pre-moistened with sunflower oil to the affected area. Spread the grated pulp. Cover with film, apply a terry towel or wrap in a warm woolen scarf. It will sting, but the burning is tolerable. The compress lasts as long as you can endure it. If it becomes impossible, remove the compress, wipe with gauze soaked in warm water, and dry with a towel. Lubricate the skin with moisturizing baby cream.
  • We take fresh sawdust, fill it with boiling water and leave it in a container, covering it with a lid for 20–30 minutes. Then drain the water, squeeze out the sawdust, put it on a cloth, cover with gauze and cover with a warm thing. Leave the compress on all night.
  • A good remedy for pain and discomfort in the sacral region would be a course of turpentine-based baths. Prepare the composition for the bath: take 3 bottles of castor oil, 40 grams of caustic soda and 250 grams of distilled water. Add 225 grams of oleic acid and 0.75 liters of purified turpentine. Mix all the ingredients and pour into a warm bath. The temperature of the water poured into it should be no more than 38–39 degrees. This procedure is carried out for fifteen to twenty minutes.
  • Lower back pain, radiating to the leg: causes and methods of treating back pain

    Any pain reaction of the body creates discomfort for a person. I want to get rid of it as soon as possible. But before taking any measures, you should always understand that it is provoked by a specific reason or a complex of reasons. In our article we will look in more detail at why lower back pain radiates to the leg, what can cause it, and what treatment methods exist.

    Causes of back pain

    Problem situations with the back in the lumbar region can never be defined as unambiguous. They arise due to diseases of the lower spine, inflammation of the spinal cord. Pain reactions are also varied: the back in the lumbar region can ache, become numb, pull, and sometimes patients use the word “taken away” in their speech. Only a full medical examination will help establish the true cause of the pain syndrome.

    The variety of causes of pain reactions in the lower back, which result in pain in the leg, are conventionally divided into several types.

  • Muscular-tonic type. This is how spasms, poor posture, and various limited mobility of the limbs are characterized. Causes of this type include osteochondrosis, lumbar hernia, protrusion of intervertebral discs. These pathologies cause inflammatory processes in the nerve endings and their thickening. The sensations of pain will be regular and nagging, which is why a person limits physical activity and takes care of his legs.
  • Vegetative-vascular type. With this type of lower back pain, a person feels numbness in the legs, as well as a burning sensation. If there is a need for a sharp change in body position from horizontal to vertical, this symptom necessarily occurs. On the affected area of ​​the body, the skin turns pale and becomes cooler.
  • Neurodystrophic type of pain. Intensifying in the afternoon and towards night, it creates a burning sensation. Neurodystrophy is considered an extremely advanced stage of the disease. It is characterized by pathological changes in blood vessels, pinching of nerve endings in the lumbar region, which, in turn, can cause tumors and inflammatory processes in the spine.
  • Pain in the lumbar spine is also caused by all kinds of gynecological diseases, as well as disorders of the kidneys and urinary system. In some of them, pain in the lower back radiates to the buttock and leg.

    The program “Live Healthy” discusses this problem.

    The main causes of back pain in the lumbar region include the following diseases.

    • Lyubmoischialgia. This pathology develops due to compression and inflammation of the sciatic nerve at the exit of the spine. The pain worsens in cases of hypothermia or increased physical activity. It is characterized as unbearable pain from the lower back and down to the foot, especially when moving.
    • Sciatica. The disease is similar to the previous one, the distinguishing feature is the location of the inflammation: the sacrum. The lower back - the lower back - begins to hurt, then these sensations radiate to the buttock and thigh. Pain in the lower back becomes especially severe when lifting something heavy is unsuccessful.
    • Radicular syndrome or radiculopathy. Pathology of neurological origin. Caused by pressure on the nerve endings of the spinal cord. At the site of pain, blood flow is disrupted, swelling and inflammation occur, causing pain in the lower back, which radiates strongly to the legs. Among the favorable conditions for an attack of lumbar radiculitis, special attention should be paid to excessive hypothermia, inappropriate age and physique, and physical stress. It happens that attacks are caused by colds and viral diseases. They intensify significantly when walking or changing body position.
    • Pinched sciatic nerve. The pain, starting from the lower back, can radiate throughout the leg all the way to the foot. In the absence of timely treatment, atrophy of the sciatic nerve is possible.
  • Shooting (lumbago). A fairly common phenomenon in people over 30 years of age. Pain in the lower back is characterized as shooting. It radiates to the right or left leg and can cause immobilization of the patient.
  • Often a person experiences severe back pain, radiating to the leg, which is caused by the presence of an underlying pathological disorder of a urological and gynecological nature. A similar reaction of the body manifests itself in tumor diseases of the pelvic organs. Less often and less severe attacks are provoked by nephrological diseases, as well as peptic ulcers of the stomach and duodenum.
  • The so-called tunnel syndrome. With it, sharp pain and a burning sensation occurs only on one side of the thigh surface. Most often, the reaction worsens during physical activity.
  • If pain in the lower back on the right radiates to the leg, then diseases of the respiratory system and liver are possible.
  • This is not an exhaustive list of why pain occurs in the lower back, radiating to the leg. But any of these reasons requires increased attention.

    Pain caused by sacroiliac syndrome is discussed in the video below.

    In any such situation, in no case should you ignore it, hoping that the pain in the lower back will disappear on its own. At the first signs of pain, you should consult a specialist.

    If your back hurts, your leg hurts right down to your foot, or there is tension in the lower abdomen, the doctor will refer the person for a comprehensive examination. The following examinations are most often prescribed:

  • General tests (urine, blood).
  • X-ray examination of the hip joints.
  • Computer or magnetic resonance imaging of the lumbosacral spine.
  • Vascular ultrasound.
  • Electromyography (study of nerve fibers).
  • Consultation with specialized specialists: gynecologist, urologist.
  • Help from a gastroenterologist is possible if a feeling of heaviness is added to the pain in the lower back on the right. This symptom is inherent in diseases of the gastrointestinal tract. If swelling of the limbs and changes in urine are observed, then it is necessary to visit a nephrologist to determine the presence of kidney diseases.

    At the time of exacerbation of lower back pain, radiating to the left, right leg or buttock, treatment is primarily aimed at relieving the pain reaction. For this it is recommended:

  • Limiting physical activity.
  • Maintain bed rest (it is advisable to use an orthopedic mattress).
  • Physiotherapeutic treatment.
  • Taking medications.
  • Drug therapy

    The use of medications alleviates the patient’s condition and relieves inflammation in the lower back. Based on their mode of action, medications used in these situations are divided into the following groups.

  • Analgesics. Relieves acute lower back pain and brings temporary relief. Can be used as a local blockade.
  • Non-steroidal anti-inflammatory drugs (NSAIDs). They have the most pronounced effect. They help eliminate not only inflammation, but also swelling. Pain in the lower back also dulls quite quickly. If the functioning of the joint is impaired, then medications in this group can stimulate it. Most often they are used in the form of tablets, creams, ointments, but it is also possible in the form of injections.
    1. Muscle relaxants relieve pain by relieving muscle spasms and suppressing reflexes.
    2. New generation chondroprotectors. They restore cartilage tissue and regulate metabolism.
    3. Corticosteroids. Drugs containing hormones relieve inflammation.
    4. B vitamins are used in the form of injections if back pain persists for a long time and the pain continues to radiate to the lower extremities.
    5. Women during pregnancy should pay special attention to the use of medications, because possible contraindications.

      Only a doctor can recommend taking medications. When using them, you must strictly observe the dosage and carefully follow the instructions for use.

      Physiotherapy and other treatments

      As additional supportive measures, if a person has lower back pain and radiates to the leg, a system of procedures is used. They are necessary to reduce painful reactions, improve blood flow, and restore metabolic processes. In the absence of contraindications, it is recommended:

    6. Darsonvalization.
    7. General and acupuncture massage.
    8. Mud baths.
    9. Manual therapy.
    10. Applications, wraps and compresses.
    11. A course course of any of these procedures is required; a repetition of the course is usually prescribed after 2-3 weeks.

      For lower back pain on the right or left, wearing a bandage often helps. Elderly people also wear a warming belt for the same purpose. It can be made from a regular scarf or shawl. They also rub the sore spot with special means that have a warming effect, they remarkably reduce pain.

      In addition to the above measures, physical therapy complexes are often used. A specially selected system of exercises can reduce or even completely eliminate lower back pain. This is possible by observing the principle of regularity and compliance of exercises with age and physique.

      In the most difficult cases, the patient may be offered a solution to the problem through surgery.

      Preventive measures

      During the remission stage, doctors recommend an integrated approach. This may include the following measures.

    12. Use of orthopedic bedding.
    13. The desire and maximum adherence to a healthy lifestyle.
    14. Carrying out the daily routine.
    15. Walking.
    16. Horseback riding, cycling.
    17. Swimming.
    18. Daily gymnastics, consisting of a special complex. In this case, it is necessary to exclude twisting exercises.
    19. Preventive (spring and autumn) intake of vitamin complexes.
    20. Limitation on lifting heavy objects (up to 3 kg), exclusion of sharp turns and bends while performing work.
    21. Walks.

    Thus, pain in the lumbar spine that radiates to the leg may be a symptom of a serious illness. Don't ignore it, hoping it will stop on its own. Of course, in emergency cases, the pain syndrome can be relieved for a while on your own. But only a doctor can solve the problem.

    Back pain radiates to the leg: causes and accompanying symptoms. Back pain in the lower back and radiating to the leg - how to treat it

    Back pain that radiates to the leg is a fairly common complaint among people over 35 years of age.

    This symptom is quite serious, since if left untreated it can become chronic.

    Let's take a closer look at why the right back hurts and radiates to the right leg, as well as how to cope with this ailment.

    Back pain and pain in the leg: main reasons

    Pathological back pain radiating to the leg is called lumoischalgia. In this condition, pain can radiate to one or both legs at once.

    Simply put, this condition is regarded as one of the subtypes of radiculitis. In this case, the person’s lumbar nerve is damaged, which leads to very sharp, growing and nagging pain.

    The causes of this condition may be:

    1. Hernia of the spine.

    2. Deforming osteoarthritis.

    3. Various pathologies of the spine (congenital or acquired).

    5. Pregnancy (especially in the third trimester).

    6. Stresses that provoke metabolic disorders in cartilage tissue and nerves.

    7. Excessive physical stress on the spine (hard work, too active sports training, etc.).

    9. Radicular syndrome (a condition in which the functions of the fingers are impaired due to nerve damage).

    10. Sciatica can develop with a sharp turn or rapid lifting of heavy objects. In this case, the pain will spread to the buttocks, lower leg and foot.

    11. Lumbodynia (develops when the structure of the intervertebral discs is damaged). May cause swelling of the extremities, pain, and even loss of sensation in the legs.

    12. A pinched nerve can occur with the development of oncological pathologies, osteochondrosis or hernia. In this case, the pain will be paroxysmal, intensifying after physical activity.

    13. Tuberculosis in the lumbar spine.

    14. Displacement of intervertebral discs.

    Additional reasons that may cause back pain and pain in the leg are:

    4. Spinal fracture.

    5. Disc protrusion.

    8. Vertebral osteomyelitis.

    11. Chronic form of meningitis.

    13. Very severe circulatory disorders.

    14. Kidney diseases.

    15. Duodenal ulcer.

    16. Tuberculosis of the kidneys or female genital organs.

    17. The presence of an inflammatory process in the body.

    20. Diseases of the urinary system.

    Back pain on the right and radiates to the right leg: how does the condition manifest?

    The following symptoms and manifestations are characteristic of lumbar ischialgia:

    1. Pain during exercise.

    2. Sharp pain when trying to turn around or stand up.

    3. Aching pain that occurs at night.

    4. Impossibility of normal functioning of the lower back due to acute attacks of pain.

    5. Numbness of the leg.

    6. Partial loss of sensation in the leg.

    7. Burning sensation in the buttocks, radiating to the lower leg and foot.

    8. Due to poor circulation, the color of the leg may change.

    9. Stitching pain that occurs after long walks.

    10. Aching pain that develops after lifting heavy objects or sitting for a long time.

    Back hurts and radiates to the leg: what to do

    If pain of this nature occurs, you need to contact several doctors at once: a therapist, a gynecologist (urologist), a gastroenterologist, a neurologist and an orthopedist. This is due to the fact that the causes of such pain can be a variety of diseases.

    After the examination, the doctor (therapist) can refer the patient to a specialist with a more narrow treatment focus.

    To correctly diagnose back pain, you should undergo the following examinations:

    1. Ultrasound of the abdominal cavity.

    4. General blood test.

    5. Advanced biochemical blood test.

    6. General urine analysis.

    8. Examination of the sacral spine.

    9. CSF culture.

    10. Muscle biopsy.

    11. X-ray of the leg.

    12. Checking blood pressure.

    Back pain on the right and radiates to the right leg: treatment methods

    Today, lumoischalgia can be treated comprehensively. The main goal of such therapy is to relieve pain and inflammation in the patient.

    Drug treatment involves taking the following groups of drugs:

    1. Anti-inflammatory drugs (Ibuprofen, Ketanov, Diclofenac). They can be in tablet form, or in the form of ointments and gels.

    2. Decongestants (Lasix, Furosemide, ointment based on horse chestnut or snake venom).

    3. Medicines to relieve spasms (No-shpa, Trental, Nihexin).

    4. Analgesics are prescribed for severe pain (Sedalgin, Ketarol, Paracetamol).

    5. Vitamin complexes.

    6. Drugs that improve blood circulation.

    Physiotherapeutic treatment includes:

    1. Performing magnetic therapy.

    2. Massage treatment. It is best to conduct a whole course of massage, which will include at least twenty sessions.

    3. Prescription of acupuncture.

    4. Conducting diadynamic currents.

    6. Stretching the spine using special devices.

    7. Performing therapeutic exercises.

    Manual therapy is also considered quite effective for treating back pain. It is best performed when the pain radiates to the leg and continues for quite a long time.

    It is important to know that manual therapy has many contraindications, so you should consult a doctor before performing it. In addition, it must be performed by a qualified specialist with extensive experience.

    In addition to traditional treatment, you can use traditional medicine recipes. The most effective of them are:

    He prepares this way:

    • mix 50 ml of alcohol and two egg whites;

    • soak a bandage in the prepared mixture and apply to the lower back;

    • leave for two hours, then take a warm shower;

    • repeat the procedure three times a week.

    To prepare it you need:

    • mix 50 g of black pepper and 150 ml of alcohol;

    • pour the mixture into a glass container and close the lid tightly;

    • leave for two weeks;

    • rub the prepared infusion on your back, then wrap it in a warm blanket;

    • repeat the procedure twice a week.

    3. Warming mustard remedy:

    • mix two tablespoons of mustard powder, a spoonful of almond oil and 100 ml of oak bark decoction;

    • make lotions from this product daily.

    Prepare this way:

    • take dandelion root, lavender, chamomile, horsetail and yarrow;

    • measure all ingredients in equal quantities and chop them;

    • pour 400 ml of water and boil for half an hour;

    • then add 100 g of pork fat;

    • soak a bandage with the prepared product and apply to the sore lower back;

    • leave it like this for an hour, then take a warm shower.

    • fill the bath with warm water;

    • add 200 g of sea salt;

    • add 5 drops of lavender and grape seed essential oil;

    • pour in lemon juice (50 ml);

    • take a bath for twenty minutes, then dress in warm clothes and try to warm up.

    • chop 100 g of hop cones;

    • mix it with 150 g of lard;

    • leave it like this for a week;

    • lubricate the lower back with the prepared ointment;

    • apply a napkin on top;

    • repeat the procedure for two weeks.

    • brew a spoonful of chopped St. John's wort in 200 ml of boiling water;

    • leave for ten minutes;

    • drink a tablespoon twice a day for a month.

    Before starting to use traditional medicine recipes, you should consult your doctor for contraindications.

    Back pain in the lower back and radiating to the leg: tips for prevention

    Lower back pain can occur due to many factors, so to prevent its occurrence you should follow these tips:

    1. Lead an active lifestyle. It is recommended to exercise at least twice a week. The most beneficial sports for the musculoskeletal system are swimming, gymnastics, yoga and fitness. You can also practice dancing.

    2. Avoid high-heeled shoes. It is best to wear comfortable shoes with orthopedic soles.

    3. Dress appropriately for the weather and avoid hypothermia and drafts, especially in the lumbar area.

    4. Correctly set the center of gravity, especially when carrying heavy things. It is best to distribute the load evenly (carry bags not in one, but in both hands).

    5. Do not lift anything suddenly.

    6. Avoid excessive stress on the legs, lower back and spine.

    7. Give up bad habits (smoking, drinking alcoholic beverages).

    8. Monitor your weight and prevent obesity.

    9. During periods of exacerbation of back pain, you should immediately consult a doctor and avoid any physical activity.

    10. It is very important to eat right. The diet should be well balanced and healthy. It should be based on fermented milk products (they are rich in calcium), cereals, fresh vegetables and fruits, cheeses, nuts and juices. You also need to eat several times a day (5-6) so as not to overeat, but at the same time saturate your body with useful microelements.

    11. As an additional strengthening of the body, it is recommended to take vitamin complexes from time to time.

    12. Treat in a timely manner diseases of the musculoskeletal system and internal organs, which in advanced form can provoke the occurrence of lower back pain.

    13. Control your emotions and prevent emotional overstrain (stress, depression, neuroses, etc.).

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    Chief editor of the portal: Ekaterina Danilova

    Email: [email protected]

    Editorial phone: +7 (965) 405 64 18

    Back pain radiates to the leg, what is the reason?

    When back pain radiates to the leg, this is a fairly well-known problem for many. In most cases, people believe that the problem is in the spine, and it is not very often that they are wrong in their assumptions. But osteochondrosis is not the only possible disease that causes such pain.

    What could be the reason?

    Osteochondrosis is the most common cause of back pain

    In fact, osteochondrosis and its consequences are the most common cause of lower back pain. But it is not the only one, and ignoring such pain can cause serious harm to your body.

    In particular, pain of this type may indicate urolithiasis. In this case, the pain can be very strong and not have a clear localization, so people often mistakenly believe that the problem is in the back. However, when it comes to colic, any doctor will quickly figure out the reasons. But in this case, you should still consult a doctor, since the pain is very severe, often simply unbearable.

    There are many other diseases that cause back pain that radiates to the leg. For example, pyelonephritis, inflammation of the uterine appendages, cystitis, etc. Such pain can appear with problems of the prostate gland, if we are talking about men, and in women it simply accompanies menstruation. In some cases, an attack of acute appendicitis may also begin with back pain.

    You shouldn’t wait for this type of pain to go away on its own - there is a risk of simply not waiting for this moment, causing yourself additional troubles along the way!

    Six names for one problem

    When back pain radiates to the leg, the cause most often lies in the spine. But such pain has several names. These names refer to various pain syndromes in which pain of this kind appears:

  • Sciatica or sciatica. In general, this is an outdated term that was used back in the 19th century. It was understood as pain in the lower back, hip, buttock, foot and lower leg.
  • Lumbago. This is a common pain syndrome characterized by sudden, severe, paroxysmal pain that appears in the lower back immediately after sudden movements or physical activity. In this case, the person usually finds himself in a forced position, in which the pain finds him (this is also called the “locked back” symptom). The torso is usually tilted forward or sideways so that the load falls on the healthy part of the body. Moreover, every movement leads to unbearable pain. The only way out in such a situation is to lie down with your leg bent on the affected side. After some time, the pain subsides. In this case, the pain syndrome may go away in a few minutes, or it may drag on for several weeks, and after a while it will return again. To avoid such developments, you should consult a doctor as early as possible;
  • Lumbago. In fact, it is a synonym for lumbago, which has been used since ancient times in folk medicine. The basis of the pain syndrome in this case is a sharp displacement of the nucleus pulposus in the disc damaged by osteochondrosis. The situation, in general, is classic - they bent, the disc shifted to the back of the disc, they straightened up too sharply - the core did not have time to return to its place, the vertebra sank (and with loads in the lumbar region this happens instantly), as a result - compression of the spinal cord root and the appearance pain;
  • Lumbodynia. This pain syndrome is different in that the pain is generally not too severe, but constant - chronic. Moreover, they can worsen during hypothermia, colds or flu, heavy lifting, injuries, after sudden movements, during physical fatigue, during pregnancy due to rapid weight gain. Even if the pain has subsided, a feeling of discomfort and stiffness in the lower back still persists for a long time;
  • Sciatica. In this case, the pain is not limited to the lower back, it can spread along the sciatic nerve to the leg and buttock. In this case, sensations of numbness, chilliness, crawling, etc. may appear. But this problem is quite insidious. The pain is not too severe, so many people prefer to ignore it, “get used to it,” or simply “drown it out” with painkillers. But this is the worst “treatment” option - in this case, the muscles gradually begin to atrophy. At the same time, they first weaken and become flabby, and after a while the leg “dries out.” It is quite difficult to return the body to its initial state at this stage of the disease;
  • Lumbalization. In this case, we are talking about the specific structure of the spine, in which the upper sacral vertebra behaves non-standardly - it is separated from the rest and takes the shape of a lumbar vertebra. As a result, the supporting function of the lower back is weakened, which provokes the development of osteochondrosis.
  • Say a word about the poor doctor...

    What should a doctor do in such a situation? Especially in those cases when you, in a tone that does not tolerate objections, demand from him strong painkillers in order to eliminate the pain that interferes so much with you in everyday life. What kind of reaction do you want from the doctor - for him to cure you, or give you the drugs that you require? Since attempts to convince you are usually unsuccessful, your doctor warns you that this is not an option. This is if the doctor is experienced and responsible. And a young and inexperienced doctor will simply give you the required prescription.

    And what will happen next? For some time you will be able to “numb out” the pain with another drug, firmly believing that this will relieve you of the problem. In fact, the opposite is true - you are simply trying to “hide” from the pain, and the disease gradually progresses .

    In fact, in such a situation, anti-inflammatory drugs are mainly used, they are the ones that provide the desired effect - inflammation subsides and pain disappears. Otherwise, treatment can vary greatly and depend entirely on what caused the pain. Only massage and therapeutic exercises used in the treatment of almost all back diseases remain common.

    So if you want to get rid of pain once and for all, then contact an experienced specialist and follow his recommendations, he knows best how to save you from such unpleasant pain syndromes.

    By the way, you may also be interested in the following FREE materials:

  • Free book “TOP 7 Harmful Morning Exercises You Should Avoid”

  • Restoration of knee and hip joints with arthrosis - free video recording of the webinar conducted by physical therapy and sports medicine doctor - Alexandra Bonina

  • Free lessons on the treatment of lower back pain from a certified physical therapy doctor. This doctor has developed a unique system for restoring all parts of the spine and has already helped more than 2000 clients with various back and neck problems!

  • Want to know how to treat a pinched sciatic nerve? Then carefully watch the video at this link.

  • 10 essential nutritional components for a healthy spine - in this report you will learn what your daily diet should be so that you and your spine always have a healthy body and spirit. Very useful information!

  • Do you have osteochondrosis? Then we recommend studying effective methods of treating lumbar, cervical and thoracic osteochondrosis without drugs.

    Lower back pain radiating to the leg: causes and treatment

    How and why does lower back pain appear, radiating to the legs?

    Lower back pain radiating to the leg occurs due to irritation of sensitive nerve fibers at the point where they exit the spinal canal. There are many reasons for such irritation; they are conventionally divided into vertebrogenic and non-vertebrogenic. Vertebrogenic causes are associated with a pathological process in the spine, these include:

  • Osteoporosis is a change in the properties of vertebral bone tissue due to a decrease in the concentration of calcium salts in it (age-related changes, bone tumors, myeloma). This leads to microfractures of the vertebral processes, the development of inflammation and pinching of nerve fibers.
  • Herniated intervertebral discs cause pinching of the spinal nerve fibers at the point where they exit the spinal canal.
  • Ankylosing spondylitis is a systemic disease in which antibodies are produced to the body's own connective tissue. Because of this, the vertebrae practically fuse together with pinching of the roots.
  • Previous spinal injuries.
  • Osteophytes are the appearance of hard bone deposits on the articular surfaces of the vertebral processes, which compress the fibers of the roots.
  • Spondyloarthrosis deformans is a degenerative disease of the cartilage of the intervertebral joints.
  • Nonvertebrogenic causes of inflammation or pinching of nerve fibers are as follows:

    1. Neoplasms of the spinal cord.
    2. Acute circulatory disorders in the spine.
    3. Osteoarthritis in the hip joint is dystrophic changes in the cartilage of the joint, leading to pinching of the sciatic nerve.
    4. Herpetic infection, herpes zoster - the multiplication of the virus in the nerve fibers causes intense pain.
    5. Polyneuropathy is a metabolic disease of nerve fibers.
    6. Hemorrhage into the membrane of the spinal cord, causing compression of its roots (epidural hematoma).
    7. A spinal cord abscess is a large formation filled with pus.
    8. Neuroinfection.
    9. Meningitis is an inflammation of the spinal membranes.
    10. The nature and localization of pain in the lower back and legs depend on the location and severity of the inflammatory process or infringement. There are several main localizations of pain:

    11. Lower back pain without pain in the legs - this indicates damage to the sensitive roots of the spinal cord in the lumbar spine.
    12. Pain in the sacrum - occurs due to the presence of an inflammatory process in the sacral spine, and can radiate to the legs.
    13. Aching pain, which intensifies with movements in the lower back, gluteal region and radiates to the right leg, is the result of pinched sciatic nerve (ischalgia).
    14. If the process of inflammation or infringement is one-sided, then pain occurs only on the right or left, that is, on the side of the lesion. Less often, inflammation affects the roots on both sides, so the pain is more intense and covers a large area of ​​the body. In addition to pain, pinching or inflammation of the spinal roots or fibers of the sciatic nerve may manifest itself with additional symptoms that also need to be paid attention to:

    15. Paresthesia - the skin in the area of ​​innervation of sensory fibers becomes numb, and a tingling sensation may appear.
    16. Deterioration of spinal mobility, especially with ankylosing spondylitis.
    17. Impaired motor function - when walking, a person pulls the leg on the affected side, and a feeling of weakness appears in the legs. This occurs when motor fibers are damaged. Frequent complaints of a feeling that the legs are being taken away.
    18. Involvement in the process of vegetative fibers, which regulate the functioning of the pelvic organs, may be accompanied by a violation of the act of urination or defecation.
    19. Diagnosis of low back pain radiating to the leg

      Diagnostics is aimed at finding out the reasons that led to this condition. To carry it out, the main ones are instrumental diagnostic methods - radiography of the spine, magnetic resonance imaging, computed tomography, ultrasound of the joints. Determining the presence of systemic autoimmune connective tissue diseases involves a laboratory blood test for their markers.

      Pain in the lower back and legs requires an integrated approach to its treatment. The first priority is pain relief and inflammation relief. The following approaches are used for this:

    20. The use of anti-inflammatory and analgesic drugs that relieve pain and relieve inflammation (ketanov, meloxicam, diclofenac). On the first day they are administered parenterally - intramuscularly or intravenously for a better analgesic effect. Then they usually switch to oral maintenance tablets.
    21. Local use of painkillers in the form of cream or gel.
    22. Novocaine blockade is the injection of an anesthetic (Novocaine) directly into the site of damage to the roots or sciatic nerve. An effective method of pain relief, used in cases of intense pain (lumbago), when conventional anti-inflammatory drugs are ineffective.
    23. After relief of acute pain, complex therapy is carried out aimed at eliminating the cause of such pain and restoring the affected nerve fibers:

    24. Vitamin therapy – B vitamins restore damaged nerves.
    25. Physiotherapy – improves blood circulation at the site of inflammation or pinched fibers, reduces the severity of the inflammatory process and pain.
    26. Massage.
    27. Therapeutic exercise is aimed at improving the mobility of the spine and its traction.
    28. Muscle relaxants are drugs that relieve spasm of striated muscles, which can accompany inflammation and aggravate pinched nerves.
    29. Surgical treatment – ​​removal of a herniated disc with its plastic surgery, excision of a spinal cord tumor, hematoma or abscess.
    30. In case of herpetic infection or herpes zoster - antiviral drugs (gerpevir).
    31. The appearance of pain in the back or sacrum with its irradiation to the legs is a reason to consult a doctor for an in-depth study. This will make it possible to find out the causes of this condition and carry out adequate and effective treatment.

      Lower back pain - types, causes, treatment

      Many people experience lower back pain; constant discomfort makes them wonder - what could it be, what is the reason ? What to do for acute lower back pain? What is nighttime lower back pain and why does it occur? How and what to treat unpleasant symptoms?

      You will receive answers to all these questions from chiropractor Pavel Melnik.

      So, pain in the lumbar region is a consequence of various processes in our body - from banal obesity and a sedentary lifestyle to serious degenerative-dystrophic diseases of the spine or pathologies of other origins.

      Lower back pain has different localizations with frequent irradiation (radiates to the tailbone or leg, right or left). Aching pain in the lower back is quite common, the causes of which we will also consider below.

      Any pain must be clearly localized, diagnosed, and its causes . This will allow you to develop the right treatment tactics and achieve the desired result - recovery.

      How to describe pain in the lumbar region?

      When the lower back hurts, a set of measures begins with the definition of the lesion. Often, lumbar pain is a symptomatic sign of pathology of various organs and systems.

      Criteria for low back pain

      If pain occurs in the lumbar region, you need to determine:

      1. Intensity is a very important criterion:

    32. severe pain in the lower back may indicate both the neglect of the pathological process of the musculoskeletal system and serious diseases of the internal organs.
    33. aching pain on the left or right (sometimes radiating to the left or right leg) indicates a possible chronic process.
    34. the intensity of pain can change and alternate - attacks of sharp pain are replaced by stabilization of the process, which manifests itself in the form of constant discomfort symptoms.
    35. 2. Localization - it hurts on the left side or on the right side of the lower back. It could also be girdling back pain.

      3. The presence of irradiation - discomfort extends beyond the lumbar region, the pain spreads below, to the right / left, above, radiates to the groin, to the leg along the entire lower back and to the gluteal region (both the lower back and buttocks often hurt) or to the ribs.

      4. Dependence on physical activity , changes in body position and other functional indicators. The most common pain is after lifting heavy objects, as well as pain when sitting or staying in one position for a long time.

      5. It is also worth paying attention to when pain sensations appeared - it happens that the lower back hurts in the morning (characteristic pain in the lower back after sleep), sometimes pain occurs when inhaling, and also a very common phenomenon is pain when coughing.

      Lumbodynia (lower back pain) can be an independent symptom of spinal pathology and a marker of more serious diseases (infectious process, cancer, etc.).

      Diagnostic process based on pain criteria analysis

      To accurately diagnose a particular disease, it is necessary to carry out a certain list of measures.

      Pain in the lower back, or more precisely its location and nature, allows us to assume a possible disease, that is, to put it simply, to determine why it hurts by how the clinical picture manifests itself:

    36. Nagging pain in the lower back , often in the lower right, is most typical for women with gynecological pathology (inflammation, cysts, tumors of the pelvic organs and reproductive system). The first thing you need to do is consult a gynecologist for a consultation, especially with a history of “female” diseases.
    37. If your lower back hurts badly when bending over or you experience lower back pain in the morning , this may be the first sign of osteochondrosis or other degenerative-dystrophic diseases of the spine.
      • If pain in the lower back radiates to the right leg , aching pain radiates to the groin or upper leg, then this may indicate the presence of an intervertebral hernia and its protrusion.
      • Also, similar localization and symptomatic manifestations are observed with malignant neoplasms in the spine, when the nerve formations of the sacrolumbar region are affected. They are often described by patients as terrible lower back pain, which is almost impossible to relieve at home. With such symptoms, you should not contact a chiropractor, but an oncologist.

      • Pain in the left side of the lower back may indicate problems in the organs and systems that are located to the left of the spinal column - most of the stomach, pancreas, left kidney, intestinal loops, ovary (in women).
      • If the right lower back hurts , there may be problems with the right kidney, reproductive organs in women, and respiratory organs. First of all, a diagnosis should be made for the presence of a tumor process in the lungs. With such diseases, pain in the right side of the lower back often radiates to the arm from the source of the disease.
      • Sharp acute severe pain in the lower back on the left (right ) - most often characterized by pinched nerve endings (sciatica) or destruction of the intervertebral disc. As a rule, acute pain syndrome appears suddenly. First aid if such pain occurs is manual therapy. Treatment consists of several stages: first, acute severe pain in the lumbar region is relieved, the causes that caused irritation of the nerve fibers are determined, after relief of the condition, restorative massage and special physical exercises (physical exercises) are recommended for complete recovery.
      • If a woman has lower back pain in the morning during pregnancy , the pain is localized below the lower back, this is absolutely normal. This often happens, especially in the first trimester of pregnancy. Intense stabbing, sharp and severe pain of any localization should cause alertness - this may be evidence of a threat of miscarriage and a pathological course of pregnancy.
      • Categories : Lower extremity pain

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