Back pain leg tingling. Back Pain and Leg Tingling: Understanding Symptoms and Causes
What are the common causes of back pain and leg tingling. How can these symptoms be diagnosed and treated. When should you seek medical attention for back pain and leg tingling. What are the potential complications of untreated back pain and leg tingling.
Common Causes of Back Pain and Leg Tingling
Back pain accompanied by leg tingling can be a sign of various underlying conditions. Understanding the potential causes is crucial for proper diagnosis and treatment. Here are some common reasons for these symptoms:
- Spinal nerve compression or irritation
- Sciatica
- Spinal cord compression
- Blood vessel conditions
- Pelvic and hip problems
- Infections
- Systemic conditions
- Cauda equina syndrome
- Tumors and cysts
Spinal nerve compression or irritation is a frequent cause of back pain and leg tingling. This occurs when inflamed, irritated, or compressed nerve roots in the lumbar or sacral spine lead to radiculopathy or nerve pain, commonly known as sciatica. The pain and tingling sensation can radiate down the leg and into the foot.
Sciatica is a specific type of radiculopathy that affects the sciatic nerve. It typically causes pain that radiates from the lower back through the buttocks and down the leg. Tingling, numbness, and weakness in the affected leg are also common symptoms.
Symptoms Associated with Back Pain and Leg Tingling
When experiencing back pain and leg tingling, several other symptoms may also be present. These can help in identifying the underlying cause and severity of the condition:
- Weakness in the affected leg
- Altered sensation, such as pins-and-needles or numbness
- Foot pain or weakness
- Pain that worsens with certain postures or activities
- Unexplained fever
- Severe, persistent pain
- Loss of bladder or bowel control
Weakness in the affected leg is a common symptom associated with lumbar and sacral spinal nerve compression. This can manifest as difficulty lifting the foot off the floor, a condition known as foot drop. Altered sensation, such as tingling or numbness, often accompanies nerve-related issues.
How does postural pain relate to back pain and leg tingling?
Postural pain refers to discomfort that increases with certain positions or activities. In the case of back pain and leg tingling, symptoms may worsen when:
- Standing for prolonged periods
- Walking
- Climbing stairs
- Rising from a seated position
These postural changes can put additional pressure on affected nerves or structures, exacerbating symptoms. Understanding how posture affects your pain can help in managing symptoms and developing effective treatment strategies.
Diagnosing Back Pain and Leg Tingling
Accurate diagnosis is crucial for effective treatment of back pain and leg tingling. Healthcare providers use various methods to determine the underlying cause:
- Medical history review
- Physical examination
- Imaging tests (X-rays, MRI, CT scans)
- Nerve conduction studies
- Electromyography (EMG)
- Blood tests
During the diagnostic process, your healthcare provider will ask about your symptoms, their duration, and any factors that worsen or alleviate them. A physical examination will assess your range of motion, muscle strength, and reflexes.
What role do imaging tests play in diagnosing back pain and leg tingling?
Imaging tests are essential tools in diagnosing the cause of back pain and leg tingling. They provide detailed views of the spine, nerves, and surrounding structures. Here’s how different imaging tests contribute to diagnosis:
- X-rays: Show bone structure and can reveal fractures, degenerative changes, or misalignments
- MRI (Magnetic Resonance Imaging): Provides detailed images of soft tissues, including nerves, discs, and muscles
- CT (Computed Tomography) scans: Offer cross-sectional images of the spine, useful for detecting herniated discs or spinal stenosis
These tests help healthcare providers identify specific issues such as herniated discs, spinal stenosis, or tumors that may be causing your symptoms.
Treatment Options for Back Pain and Leg Tingling
Treatment for back pain and leg tingling varies depending on the underlying cause and severity of symptoms. Options may include:
- Conservative treatments
- Medications
- Physical therapy
- Lifestyle modifications
- Interventional procedures
- Surgery
Conservative treatments are often the first line of defense against back pain and leg tingling. These may include rest, ice or heat therapy, and gentle stretching exercises. For many patients, these non-invasive approaches can provide significant relief.
How effective are medications in treating back pain and leg tingling?
Medications can play a crucial role in managing back pain and leg tingling. Different types of medications may be prescribed depending on the cause and severity of symptoms:
- Over-the-counter pain relievers (e.g., ibuprofen, acetaminophen)
- Muscle relaxants
- Anticonvulsants (for nerve pain)
- Antidepressants (which can help with chronic pain)
- Corticosteroids (to reduce inflammation)
While medications can provide relief, they should be used under the guidance of a healthcare provider. Some medications may have side effects or interactions with other drugs, so it’s important to discuss all options with your doctor.
Physical Therapy and Exercise for Back Pain and Leg Tingling
Physical therapy and targeted exercises play a crucial role in treating back pain and leg tingling. These approaches aim to:
- Strengthen core and back muscles
- Improve flexibility and range of motion
- Enhance posture and body mechanics
- Reduce pressure on affected nerves
- Promote healing and prevent future injuries
A physical therapist can design a personalized exercise program tailored to your specific condition and needs. This may include stretching exercises, low-impact aerobic activities, and strength training.
What are some effective exercises for managing back pain and leg tingling?
While it’s important to consult with a healthcare provider before starting any exercise regimen, some generally beneficial exercises for back pain and leg tingling include:
- Gentle stretches for the lower back and hamstrings
- Core strengthening exercises like planks and bridges
- Pelvic tilts
- Walking or swimming for low-impact cardiovascular exercise
- Yoga or Pilates (under guidance)
Remember, the key is to start slowly and gradually increase intensity as your condition improves. Always listen to your body and stop if an exercise causes pain or worsens your symptoms.
Lifestyle Modifications to Alleviate Back Pain and Leg Tingling
In addition to medical treatments and exercises, certain lifestyle modifications can help manage back pain and leg tingling:
- Maintaining good posture
- Using ergonomic furniture and equipment
- Practicing stress-reduction techniques
- Getting adequate sleep
- Maintaining a healthy weight
- Quitting smoking
- Limiting alcohol consumption
Good posture is crucial in preventing and managing back pain. Whether sitting, standing, or lying down, maintaining proper alignment can reduce stress on your spine and alleviate symptoms.
How does weight management impact back pain and leg tingling?
Maintaining a healthy weight is important for managing back pain and leg tingling for several reasons:
- Reduces stress on the spine and joints
- Improves overall mobility
- Decreases inflammation in the body
- Enhances the effectiveness of other treatments
Excess weight, particularly around the midsection, can pull the pelvis forward and strain the lower back, exacerbating pain and nerve compression. By maintaining a healthy weight through proper diet and exercise, you can significantly reduce the burden on your spine and potentially alleviate symptoms.
When to Seek Medical Attention for Back Pain and Leg Tingling
While many cases of back pain and leg tingling can be managed with conservative treatments, certain symptoms warrant immediate medical attention. Seek help if you experience:
- Severe, persistent pain that doesn’t respond to rest or over-the-counter medications
- Weakness or numbness in one or both legs
- Loss of bladder or bowel control
- Unexplained fever accompanying back pain
- Pain following a traumatic injury
- Sudden onset of severe symptoms
These symptoms could indicate serious conditions such as cauda equina syndrome, spinal cord compression, or infections that require prompt medical intervention.
What are the potential complications of untreated back pain and leg tingling?
Ignoring persistent back pain and leg tingling can lead to various complications:
- Chronic pain syndrome
- Permanent nerve damage
- Muscle weakness or atrophy
- Decreased mobility and quality of life
- Mental health issues such as depression or anxiety
Early diagnosis and treatment are crucial in preventing these complications and ensuring the best possible outcome. If you’re experiencing ongoing back pain and leg tingling, don’t hesitate to consult with a healthcare provider.
Emerging Treatments and Research in Back Pain and Leg Tingling
The field of back pain and nerve-related disorders is continually evolving, with new treatments and research offering hope for improved outcomes. Some emerging areas include:
- Regenerative medicine techniques
- Advanced imaging technologies
- Minimally invasive surgical procedures
- Neurostimulation devices
- Personalized medicine approaches
Regenerative medicine techniques, such as stem cell therapy and platelet-rich plasma injections, are being studied for their potential to promote healing and reduce inflammation in spinal conditions. While these treatments show promise, more research is needed to fully understand their effectiveness and long-term outcomes.
How are advanced imaging technologies improving diagnosis and treatment?
Advanced imaging technologies are revolutionizing the way back pain and leg tingling are diagnosed and treated:
- 3D imaging allows for more precise visualization of spinal structures
- Functional MRI can help identify pain pathways in the brain
- Diffusion tensor imaging provides detailed views of nerve fibers
- AI-assisted image analysis can help detect subtle abnormalities
These technologies enable healthcare providers to make more accurate diagnoses and develop targeted treatment plans. As research continues, we can expect even more sophisticated imaging techniques to emerge, further improving patient care.
In conclusion, back pain and leg tingling are complex symptoms that can stem from various underlying conditions. Understanding the potential causes, recognizing associated symptoms, and seeking appropriate medical care are crucial steps in managing these issues effectively. With a combination of medical treatments, lifestyle modifications, and emerging therapies, many individuals can find relief and improve their quality of life. Remember to consult with a healthcare provider for personalized advice and treatment options tailored to your specific condition.
What Might These Symptoms Mean?
Leg pain can be intermittent or constant and can range from a dull ache to a searing, throbbing, or burning sensation. Numbness may be felt like a loss of sensation or a cold, icy feeling in one or more areas of the leg.
Leg pain may be the symptom of a variety of underlying causes or conditions, and getting a correct diagnosis is essential to informing the most effective course of treatment.
See Accurately Diagnosing Leg Pain
Sciatica Causes and Symptoms Video
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Leg pain often starts as a problem in the lumbar spine, or low back. Watch: Sciatica Causes and Symptoms Video
This article provides an in-depth review of common causes of leg pain, along with prominent symptoms and progression of the pain.
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How Leg Pain Occurs
Leg pain may be caused due to a problem in the lower back, the pelvis, or a problem that originates within the leg. Common causes of pain in one or both legs include:
- Spinal nerve compression or irritation. Inflamed, irritated, or compressed nerve roots in the lumbar or sacral spine may cause radiculopathy or nerve pain, commonly called sciatica, in the leg and foot. Nerves may also be damaged along their path in the leg, causing peripheral neuropathy and leg pain.1
- Spinal cord compression. Narrowing of the spinal canal in the neck may apply pressure on the spinal cord, causing pain and numbness, typically in both legs.1
- Blood vessel conditions. Blocked arteries or veins in the leg may cause decreased blood supply, resulting in leg pain and numbness.1
- Pelvic and hip problems. Joint problems in the pelvis and hip regions, such as sacroiliac joint dysfunction or hip osteoarthritis, may cause leg pain; an associated nerve irritation may cause numbness. Pelvic muscle spasm, such as in piriformis syndrome, may cause pain to travel down along the leg with associated numbness and/or weakness.1
- Infection. Lyme disease,2 bone and disc infection, such as osteomyelitis or spondylodiscitis, and viral infections, such as herpes zoster or HIV, are known to cause leg pain.1
- Systemic conditions. Endocrine and metabolic disorders, such as hypothyroidism and diabetes mellitus, may cause muscle and nerve damage in the legs that results in pain and numbness.2
- Cauda equina syndrome. Compression of the cauda equina (a group of spinal nerves that descend from the spinal cord in the lower back) may cause severe pain, numbness, and weakness in both legs.
Watch Cauda Equina Syndrome Video
- Tumors and cysts. The presence of growths and masses in the lower back, pelvis, or leg may compress blood vessels and/or nerves and lead to leg pain and numbness.
Watch Metastatic Spinal Cancer Video
Leg pain may also develop due to strain, exercise, dehydration, aging, poor posture, hereditary factors, and/or occupation-related causes.
In This Article:
Symptoms Commonly Associated with Leg Pain
The most common symptoms that may accompany leg pain are:
- Weakness. Leg weakness commonly occurs when a lumbar and/or sacral spinal nerve is compressed. A feeling of heaviness3 in the affected leg may make it difficult to lift the foot off the floor (foot drop).
- Altered sensation. When a nerve is affected, a pins-and-needles sensation, tingling, or other nerve-related sensations may occur in the affected leg.
- Foot pain. The leg pain may travel down into one or more areas of the foot, causing an ache or a burning pain. Foot weakness and/or numbness may also occur.
- Postural pain. Leg pain and numbness may increase with certain postures or activities, such as standing for a prolonged period of time, walking, climbing stairs, or standing up from a sitting position.
The above list includes several common symptoms that co-occur with leg pain but is not meant to be complete. It is possible for leg pain and/or numbness to be accompanied by signs of diabetes, cancer, certain types of nutritional deficiencies, and more.
See Causes of Leg Pain and Foot Pain
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Long-Term Outlook for Leg Pain
The course of leg pain depends on the underlying cause. Leg pain due to radiculopathy is common4 and may be well managed with nonsurgical treatment, with 75% to 90% improvement in symptoms. If the pain becomes chronic and neurological symptoms such as weakness and numbness persist or worsen, surgery may be recommended.5
See Lumbar Radiculopathy
The outlook for leg pain and numbness from other conditions depends on the severity and progression of the underlying cause. Treatment may include nonsurgical and/or surgical methods.
Watch Treatment for Lumbar Radiculopathy Video
When Leg Pain Is Serious
Leg pain may be associated with serious underlying conditions and need immediate treatment to preserve the function of the affected leg. Red-flag symptoms may include one or a combination of the following:
- Unexplained fever
- Severe pain and swelling
- Loss of appetite and/or unexplained weight loss
- Nausea
- Excruciating back pain
- Progressive leg numbness and/or weakness
- Loss of normal bowel and/or bladder function
These symptoms may indicate serious conditions such as infection, tumors, cauda equina syndrome, abdominal aortic aneurysm, or severe nerve damage.
See When Sciatica Pain Is a Medical Emergency
Leg pain may be treated by various types of medical professionals. Depending on the cause, doctors who typically treat leg pain may include primary care physicians, physiatrists, rheumatologists, neurologists, and neurosurgical and orthopedic spine surgeons, and chiropractors.
See Specialists Who Treat Back Pain
References
- 1.Grimm BD, Blessinger BJ, Darden BV, Brigham CD, Kneisl JS, Laxer EB. Mimickers of Lumbar Radiculopathy. Journal of the American Academy of Orthopaedic Surgeons. 2015;23(1):7-17. doi:10.5435/jaaos-23-01-7
- 2.Hanewinckel R, Ikram MA, Van Doorn PA. Peripheral neuropathies. In: Neuroepidemiology. Elsevier; 2016:263-282. doi:10.1016/b978-0-12-802973-2.00015-x
- 3.Davis D, Vasudevan A. Sciatica. [Updated 2019 Feb 28]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2019 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK507908/
- 4.Alexander CE, Varacallo M. Lumbosacral Radiculopathy. [Updated 2019 Mar 23]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2019 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK430837/
- 5.Zhang X, Zhang Z, Wen J, Lu J, Sun Y, Sang D. The effectiveness of therapeutic strategies for patients with radiculopathy: A network meta-analysis. Mol Pain. 2018;14:1744806918768972. Published 2018 Apr 13. doi:10.1177/1744806918768972
Causes, treatment, exercises, and symptoms
We include products we think are useful for our readers. If you buy through links on this page, we may earn a small commission. Here’s our process.
Sciatica is the name given to pain caused by irritation of the sciatic nerve. Anything that irritates this nerve can cause pain, ranging from mild to severe. Sciatica is usually caused by a compressed nerve in the lower spine.
Often, the term “sciatica” is confused with general back pain. However, sciatica is not just limited to the back. The sciatic nerve is the longest and widest nerve in the human body. It runs from the lower back, through the buttocks, and down the legs, ending just below the knee.
This nerve controls several muscles in the lower legs and supplies sensation to the skin of the foot and the majority of the lower leg. Sciatica is not a condition, but rather a symptom of another problem involving the sciatic nerve. Some experts estimate that up to 40 percent of people will experience sciatica at least once in their life.
Fast facts on sciatica:
- The sciatic nerve is the longest nerve in the human body.
- The most common cause of sciatica is a slipped (herniated) disk.
- Cognitive behavioral therapy can help some people manage the pain of sciatica.
- Sciatica is not a condition; it is a symptom.
The main symptom is a shooting pain anywhere along the sciatic nerve; from the lower back, through the buttock, and down the back of either leg.
Other common symptoms of sciatica include:
- numbness in the leg along the nerve
- tingling sensation (pins and needles) in the feet and toes
This pain can range in severity and may be aggravated by sitting for long periods.
We will look at treatments for acute and chronic sciatica individually:
Acute sciatica treatments
Most cases of acute sciatica respond well to self-care measures, which include:
- Over-the-counter painkillers such as ibuprofen, which are also available to buy online.
- Exercises such as walking or light stretching.
- Hot or cold compression packs help to reduce pain. They are available to purchase online. It is often helpful to alternate between the two.
Not all painkillers are suitable for everyone; individuals should be sure to review options with their doctor.
Chronic sciatica treatments
Treatment of chronic sciatica usually involves a combination of self-care measures and medical treatment:
- physical therapy
- cognitive behavioral therapy (CBT) – helps manage chronic pain by training people to react differently to their pain
- painkillers
Surgery may be an option if symptoms have not responded to other treatments and continue to intensify. Surgical options include:
- Lumbar laminectomy – widening of the spinal cord in the lower back to reduce pressure on the nerves.
- Discectomy – partial or entire removal of a herniated disk.
Depending on the cause of sciatica, a surgeon will go over the risks and benefits of surgery and be able to suggest a suitable surgical option.
There are many ways to relieve the pressure on the sciatic nerve through exercise. This allows patients to:
- alleviate their symptoms on their own
- reduce or avoid taking medications where possible
- find longer term comfort and relief for their condition during flare-ups
In this video, a specialist from Madden Physical Therapy looks at three exercises for the sciatic nerve:
Sciatica is a common symptom of several different medical conditions; however, an estimated 90 percent of cases are due to a herniated (slipped) disk. The spinal column is made up of three parts:
- vertebra (individual bones in the spine that protect underlying nerves)
- nerves
- disks
Disks are made of cartilage, which is a strong and resilient material; the cartilage acts as a cushion between each vertebra and allows the spine to be flexible. A herniated disk occurs when a disk is pushed out of place, putting pressure on the sciatic nerve.
Other causes of sciatica include:
- Lumbar spinal stenosis – narrowing of the spinal cord in the lower back.
- Spondylolisthesis – a condition where a disk slips forward over the vertebra below it.
- Tumors within the spine – these may compress the root of the sciatic nerve.
- Infection – ultimately affecting the spine.
- Other causes – for instance, injury within the spine.
- Cauda equina syndrome – a rare but serious condition that affects the nerves in the lower part of the spinal cord; it requires immediate medical attention.
In many cases of sciatica, there is no single obvious cause.
Risk factors for sciatic nerve pain
Common risk factors include:
- Age – people in their 30s and 40s have a higher risk of developing sciatica.
- Profession – jobs that require lifting heavy loads for long periods.
- Sedentary lifestyle – people who sit for long periods and are physically inactive are more likely to develop sciatica, compared with active people.
Although sciatica-like pain can be a problem during pregnancy; an estimated 50–80 percent of women have back pain during pregnancy. Hormones produced during pregnancy, such as relaxing, cause ligaments to loosen up and stretch, which can potentially cause back pain in some women.
However, sciatica due to a herniated disk is no more likely during pregnancy.
In most cases, sciatica will go away on its own; in the vast majority of cases, surgery is not needed. Around half of people will recover within 6 weeks.
Prevention of sciatica
In some cases, sciatica can be prevented; there are several lifestyle changes that can reduce the chances of developing it, including regular exercise and making sure proper posture is used when standing, sitting upright, and lifting objects.
If the symptoms of sciatica are mild and do not last longer than 4-8 weeks, it is probably acute sciatica, and medical attention is not usually necessary.
A complete medical history may help speed up the diagnosis. Doctors will also have the individual perform basic exercises that stretch the sciatic nerve. A shooting pain down the leg while performing these exercises usually indicates sciatica.
If pain persists for more than 4-8 weeks, imaging tests such as an X-ray or MRI may be necessary to help identify what is compressing the sciatic nerve and causing the symptoms.
Read the article in Spanish.
Causes, treatment, exercises, and symptoms
We include products we think are useful for our readers. If you buy through links on this page, we may earn a small commission. Here’s our process.
Sciatica is the name given to pain caused by irritation of the sciatic nerve. Anything that irritates this nerve can cause pain, ranging from mild to severe. Sciatica is usually caused by a compressed nerve in the lower spine.
Often, the term “sciatica” is confused with general back pain. However, sciatica is not just limited to the back. The sciatic nerve is the longest and widest nerve in the human body. It runs from the lower back, through the buttocks, and down the legs, ending just below the knee.
This nerve controls several muscles in the lower legs and supplies sensation to the skin of the foot and the majority of the lower leg. Sciatica is not a condition, but rather a symptom of another problem involving the sciatic nerve. Some experts estimate that up to 40 percent of people will experience sciatica at least once in their life.
Fast facts on sciatica:
- The sciatic nerve is the longest nerve in the human body.
- The most common cause of sciatica is a slipped (herniated) disk.
- Cognitive behavioral therapy can help some people manage the pain of sciatica.
- Sciatica is not a condition; it is a symptom.
The main symptom is a shooting pain anywhere along the sciatic nerve; from the lower back, through the buttock, and down the back of either leg.
Other common symptoms of sciatica include:
- numbness in the leg along the nerve
- tingling sensation (pins and needles) in the feet and toes
This pain can range in severity and may be aggravated by sitting for long periods.
We will look at treatments for acute and chronic sciatica individually:
Acute sciatica treatments
Most cases of acute sciatica respond well to self-care measures, which include:
- Over-the-counter painkillers such as ibuprofen, which are also available to buy online.
- Exercises such as walking or light stretching.
- Hot or cold compression packs help to reduce pain. They are available to purchase online. It is often helpful to alternate between the two.
Not all painkillers are suitable for everyone; individuals should be sure to review options with their doctor.
Chronic sciatica treatments
Treatment of chronic sciatica usually involves a combination of self-care measures and medical treatment:
- physical therapy
- cognitive behavioral therapy (CBT) – helps manage chronic pain by training people to react differently to their pain
- painkillers
Surgery may be an option if symptoms have not responded to other treatments and continue to intensify. Surgical options include:
- Lumbar laminectomy – widening of the spinal cord in the lower back to reduce pressure on the nerves.
- Discectomy – partial or entire removal of a herniated disk.
Depending on the cause of sciatica, a surgeon will go over the risks and benefits of surgery and be able to suggest a suitable surgical option.
There are many ways to relieve the pressure on the sciatic nerve through exercise. This allows patients to:
- alleviate their symptoms on their own
- reduce or avoid taking medications where possible
- find longer term comfort and relief for their condition during flare-ups
In this video, a specialist from Madden Physical Therapy looks at three exercises for the sciatic nerve:
Sciatica is a common symptom of several different medical conditions; however, an estimated 90 percent of cases are due to a herniated (slipped) disk. The spinal column is made up of three parts:
- vertebra (individual bones in the spine that protect underlying nerves)
- nerves
- disks
Disks are made of cartilage, which is a strong and resilient material; the cartilage acts as a cushion between each vertebra and allows the spine to be flexible. A herniated disk occurs when a disk is pushed out of place, putting pressure on the sciatic nerve.
Other causes of sciatica include:
- Lumbar spinal stenosis – narrowing of the spinal cord in the lower back.
- Spondylolisthesis – a condition where a disk slips forward over the vertebra below it.
- Tumors within the spine – these may compress the root of the sciatic nerve.
- Infection – ultimately affecting the spine.
- Other causes – for instance, injury within the spine.
- Cauda equina syndrome – a rare but serious condition that affects the nerves in the lower part of the spinal cord; it requires immediate medical attention.
In many cases of sciatica, there is no single obvious cause.
Risk factors for sciatic nerve pain
Common risk factors include:
- Age – people in their 30s and 40s have a higher risk of developing sciatica.
- Profession – jobs that require lifting heavy loads for long periods.
- Sedentary lifestyle – people who sit for long periods and are physically inactive are more likely to develop sciatica, compared with active people.
Although sciatica-like pain can be a problem during pregnancy; an estimated 50–80 percent of women have back pain during pregnancy. Hormones produced during pregnancy, such as relaxing, cause ligaments to loosen up and stretch, which can potentially cause back pain in some women.
However, sciatica due to a herniated disk is no more likely during pregnancy.
In most cases, sciatica will go away on its own; in the vast majority of cases, surgery is not needed. Around half of people will recover within 6 weeks.
Prevention of sciatica
In some cases, sciatica can be prevented; there are several lifestyle changes that can reduce the chances of developing it, including regular exercise and making sure proper posture is used when standing, sitting upright, and lifting objects.
If the symptoms of sciatica are mild and do not last longer than 4-8 weeks, it is probably acute sciatica, and medical attention is not usually necessary.
A complete medical history may help speed up the diagnosis. Doctors will also have the individual perform basic exercises that stretch the sciatic nerve. A shooting pain down the leg while performing these exercises usually indicates sciatica.
If pain persists for more than 4-8 weeks, imaging tests such as an X-ray or MRI may be necessary to help identify what is compressing the sciatic nerve and causing the symptoms.
Read the article in Spanish.
Causes, treatment, exercises, and symptoms
We include products we think are useful for our readers. If you buy through links on this page, we may earn a small commission. Here’s our process.
Sciatica is the name given to pain caused by irritation of the sciatic nerve. Anything that irritates this nerve can cause pain, ranging from mild to severe. Sciatica is usually caused by a compressed nerve in the lower spine.
Often, the term “sciatica” is confused with general back pain. However, sciatica is not just limited to the back. The sciatic nerve is the longest and widest nerve in the human body. It runs from the lower back, through the buttocks, and down the legs, ending just below the knee.
This nerve controls several muscles in the lower legs and supplies sensation to the skin of the foot and the majority of the lower leg. Sciatica is not a condition, but rather a symptom of another problem involving the sciatic nerve. Some experts estimate that up to 40 percent of people will experience sciatica at least once in their life.
Fast facts on sciatica:
- The sciatic nerve is the longest nerve in the human body.
- The most common cause of sciatica is a slipped (herniated) disk.
- Cognitive behavioral therapy can help some people manage the pain of sciatica.
- Sciatica is not a condition; it is a symptom.
The main symptom is a shooting pain anywhere along the sciatic nerve; from the lower back, through the buttock, and down the back of either leg.
Other common symptoms of sciatica include:
- numbness in the leg along the nerve
- tingling sensation (pins and needles) in the feet and toes
This pain can range in severity and may be aggravated by sitting for long periods.
We will look at treatments for acute and chronic sciatica individually:
Acute sciatica treatments
Most cases of acute sciatica respond well to self-care measures, which include:
- Over-the-counter painkillers such as ibuprofen, which are also available to buy online.
- Exercises such as walking or light stretching.
- Hot or cold compression packs help to reduce pain. They are available to purchase online. It is often helpful to alternate between the two.
Not all painkillers are suitable for everyone; individuals should be sure to review options with their doctor.
Chronic sciatica treatments
Treatment of chronic sciatica usually involves a combination of self-care measures and medical treatment:
- physical therapy
- cognitive behavioral therapy (CBT) – helps manage chronic pain by training people to react differently to their pain
- painkillers
Surgery may be an option if symptoms have not responded to other treatments and continue to intensify. Surgical options include:
- Lumbar laminectomy – widening of the spinal cord in the lower back to reduce pressure on the nerves.
- Discectomy – partial or entire removal of a herniated disk.
Depending on the cause of sciatica, a surgeon will go over the risks and benefits of surgery and be able to suggest a suitable surgical option.
There are many ways to relieve the pressure on the sciatic nerve through exercise. This allows patients to:
- alleviate their symptoms on their own
- reduce or avoid taking medications where possible
- find longer term comfort and relief for their condition during flare-ups
In this video, a specialist from Madden Physical Therapy looks at three exercises for the sciatic nerve:
Sciatica is a common symptom of several different medical conditions; however, an estimated 90 percent of cases are due to a herniated (slipped) disk. The spinal column is made up of three parts:
- vertebra (individual bones in the spine that protect underlying nerves)
- nerves
- disks
Disks are made of cartilage, which is a strong and resilient material; the cartilage acts as a cushion between each vertebra and allows the spine to be flexible. A herniated disk occurs when a disk is pushed out of place, putting pressure on the sciatic nerve.
Other causes of sciatica include:
- Lumbar spinal stenosis – narrowing of the spinal cord in the lower back.
- Spondylolisthesis – a condition where a disk slips forward over the vertebra below it.
- Tumors within the spine – these may compress the root of the sciatic nerve.
- Infection – ultimately affecting the spine.
- Other causes – for instance, injury within the spine.
- Cauda equina syndrome – a rare but serious condition that affects the nerves in the lower part of the spinal cord; it requires immediate medical attention.
In many cases of sciatica, there is no single obvious cause.
Risk factors for sciatic nerve pain
Common risk factors include:
- Age – people in their 30s and 40s have a higher risk of developing sciatica.
- Profession – jobs that require lifting heavy loads for long periods.
- Sedentary lifestyle – people who sit for long periods and are physically inactive are more likely to develop sciatica, compared with active people.
Although sciatica-like pain can be a problem during pregnancy; an estimated 50–80 percent of women have back pain during pregnancy. Hormones produced during pregnancy, such as relaxing, cause ligaments to loosen up and stretch, which can potentially cause back pain in some women.
However, sciatica due to a herniated disk is no more likely during pregnancy.
In most cases, sciatica will go away on its own; in the vast majority of cases, surgery is not needed. Around half of people will recover within 6 weeks.
Prevention of sciatica
In some cases, sciatica can be prevented; there are several lifestyle changes that can reduce the chances of developing it, including regular exercise and making sure proper posture is used when standing, sitting upright, and lifting objects.
If the symptoms of sciatica are mild and do not last longer than 4-8 weeks, it is probably acute sciatica, and medical attention is not usually necessary.
A complete medical history may help speed up the diagnosis. Doctors will also have the individual perform basic exercises that stretch the sciatic nerve. A shooting pain down the leg while performing these exercises usually indicates sciatica.
If pain persists for more than 4-8 weeks, imaging tests such as an X-ray or MRI may be necessary to help identify what is compressing the sciatic nerve and causing the symptoms.
Read the article in Spanish.
Causes, treatment, exercises, and symptoms
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Sciatica is the name given to pain caused by irritation of the sciatic nerve. Anything that irritates this nerve can cause pain, ranging from mild to severe. Sciatica is usually caused by a compressed nerve in the lower spine.
Often, the term “sciatica” is confused with general back pain. However, sciatica is not just limited to the back. The sciatic nerve is the longest and widest nerve in the human body. It runs from the lower back, through the buttocks, and down the legs, ending just below the knee.
This nerve controls several muscles in the lower legs and supplies sensation to the skin of the foot and the majority of the lower leg. Sciatica is not a condition, but rather a symptom of another problem involving the sciatic nerve. Some experts estimate that up to 40 percent of people will experience sciatica at least once in their life.
Fast facts on sciatica:
- The sciatic nerve is the longest nerve in the human body.
- The most common cause of sciatica is a slipped (herniated) disk.
- Cognitive behavioral therapy can help some people manage the pain of sciatica.
- Sciatica is not a condition; it is a symptom.
The main symptom is a shooting pain anywhere along the sciatic nerve; from the lower back, through the buttock, and down the back of either leg.
Other common symptoms of sciatica include:
- numbness in the leg along the nerve
- tingling sensation (pins and needles) in the feet and toes
This pain can range in severity and may be aggravated by sitting for long periods.
We will look at treatments for acute and chronic sciatica individually:
Acute sciatica treatments
Most cases of acute sciatica respond well to self-care measures, which include:
- Over-the-counter painkillers such as ibuprofen, which are also available to buy online.
- Exercises such as walking or light stretching.
- Hot or cold compression packs help to reduce pain. They are available to purchase online. It is often helpful to alternate between the two.
Not all painkillers are suitable for everyone; individuals should be sure to review options with their doctor.
Chronic sciatica treatments
Treatment of chronic sciatica usually involves a combination of self-care measures and medical treatment:
- physical therapy
- cognitive behavioral therapy (CBT) – helps manage chronic pain by training people to react differently to their pain
- painkillers
Surgery may be an option if symptoms have not responded to other treatments and continue to intensify. Surgical options include:
- Lumbar laminectomy – widening of the spinal cord in the lower back to reduce pressure on the nerves.
- Discectomy – partial or entire removal of a herniated disk.
Depending on the cause of sciatica, a surgeon will go over the risks and benefits of surgery and be able to suggest a suitable surgical option.
There are many ways to relieve the pressure on the sciatic nerve through exercise. This allows patients to:
- alleviate their symptoms on their own
- reduce or avoid taking medications where possible
- find longer term comfort and relief for their condition during flare-ups
In this video, a specialist from Madden Physical Therapy looks at three exercises for the sciatic nerve:
Sciatica is a common symptom of several different medical conditions; however, an estimated 90 percent of cases are due to a herniated (slipped) disk. The spinal column is made up of three parts:
- vertebra (individual bones in the spine that protect underlying nerves)
- nerves
- disks
Disks are made of cartilage, which is a strong and resilient material; the cartilage acts as a cushion between each vertebra and allows the spine to be flexible. A herniated disk occurs when a disk is pushed out of place, putting pressure on the sciatic nerve.
Other causes of sciatica include:
- Lumbar spinal stenosis – narrowing of the spinal cord in the lower back.
- Spondylolisthesis – a condition where a disk slips forward over the vertebra below it.
- Tumors within the spine – these may compress the root of the sciatic nerve.
- Infection – ultimately affecting the spine.
- Other causes – for instance, injury within the spine.
- Cauda equina syndrome – a rare but serious condition that affects the nerves in the lower part of the spinal cord; it requires immediate medical attention.
In many cases of sciatica, there is no single obvious cause.
Risk factors for sciatic nerve pain
Common risk factors include:
- Age – people in their 30s and 40s have a higher risk of developing sciatica.
- Profession – jobs that require lifting heavy loads for long periods.
- Sedentary lifestyle – people who sit for long periods and are physically inactive are more likely to develop sciatica, compared with active people.
Although sciatica-like pain can be a problem during pregnancy; an estimated 50–80 percent of women have back pain during pregnancy. Hormones produced during pregnancy, such as relaxing, cause ligaments to loosen up and stretch, which can potentially cause back pain in some women.
However, sciatica due to a herniated disk is no more likely during pregnancy.
In most cases, sciatica will go away on its own; in the vast majority of cases, surgery is not needed. Around half of people will recover within 6 weeks.
Prevention of sciatica
In some cases, sciatica can be prevented; there are several lifestyle changes that can reduce the chances of developing it, including regular exercise and making sure proper posture is used when standing, sitting upright, and lifting objects.
If the symptoms of sciatica are mild and do not last longer than 4-8 weeks, it is probably acute sciatica, and medical attention is not usually necessary.
A complete medical history may help speed up the diagnosis. Doctors will also have the individual perform basic exercises that stretch the sciatic nerve. A shooting pain down the leg while performing these exercises usually indicates sciatica.
If pain persists for more than 4-8 weeks, imaging tests such as an X-ray or MRI may be necessary to help identify what is compressing the sciatic nerve and causing the symptoms.
Read the article in Spanish.
Numbness and Tingling: When to Worry: The Spine Center of Baton Rouge: Orthopaedic Spine Surgeons
Numbness and tingling in the arms and legs are abnormal sensations that result from disorders of a nerve or nerves. There are many different possibilities as to the cause of these symptoms. Most of the time the cause is not serious, but certain associated signs and symptoms can signal the need to see your doctor.
A major cause of numbness and tingling is peripheral neuropathy. This refers to an abnormality of the nerves outside the spinal canal. Several causes of neuropathy exist, including, but not limited to diabetes, peripheral nerve entrapment, vitamin and mineral deficiencies, inflammatory or rheumatologic disorders, alcoholism, kidney failure, circulatory issues and damage from chemotherapy and radiation. In diabetics, the numbness and tingling is often accompanied by increased thirst, hunger, and urination. The most common nerve entrapment is carpal tunnel syndrome which affects the hand and wrist. Increased risk of carpal tunnel syndrome is noted in people who do repetitive wrist activity such as typing or cutting hair. Vitamin B-12 and folate are common vitamin deficiencies and can be associated with weakness from anemia, paleness, loss of appetite, and sore tongue and mouth. Long term excessive alcohol drinking can cause numbness and tingling and is usually associated with a wide-based gait. Certain rheumatologic or endocrine conditions that can cause neuropathy include rheumatoid arthritis, amyloidosis, fibromyalgia, thyroid problems, or Raynaud’s phenomenon. Neurologic neuropathies (such as chronic inflammatory demyelinating polyneuropathy) are typically associated with weakness in the arms or legs. Sciatica is a condition where the sciatic nerve is affected after exiting the spinal cord as it passes through the hip or buttock area. This is commonly associated with leg pain and/or back pain.
Disorders of the brain and spinal cord also commonly cause numbness and tingling. Problems in the cervical spine can result in symmetrical arm and leg numbness and possible paralysis of the arms and legs. Thoracic (mid back) problems affect the trunk and legs. Lumbosacral (low back and tailbone) conditions affect the hips and legs. Multiple Sclerosis is an autoimmune disorder which can cause these symptoms, but these will rarely occur in a symmetrical pattern. Other spinal cord problems such as tumors or cysts can be associated with pain, weakness, clumsiness, or bowel or bladder problems.
Vascular or circulatory problems leading to lack of blood supply to an area can cause numbness and tingling. This will commonly accompany blue or red discoloration, paleness or cold and painful sensation in the area.
While the potential causes of these symptoms are quite varied, certain causes are obviously of greater concern than others. Numbness and tingling that is associated with weakness, paralysis, or loss of bladder or bowel control warrant emergent evaluation and treatment by a healthcare professional. Also, any symptoms of confusion, vision or speech changes, weakness, or loss of consciousness should prompt a visit to a local emergency department. Numbness and tingling associated with neck or back pain, arm or leg pain, muscle spasms, or rash require a call or visit to your physician but are less urgent in nature. Obtaining a proper history and physical from a physician, as well as diagnostic testing and procedures, are necessary to make a correct diagnosis and implement proper treatment. If any of these symptoms are experienced and persist despite change in position or activity, please consider evaluation with your doctor for appropriate care.
Spinal Disk Problem Symptoms: Pain, Numbness, and More
Sciatica is a common type of pain that affects your sciatic nerve, which extends from your lower back through your hips and butt down the back of each leg.
Common symptoms of sciatica include:
- Lower back pain
- Pain in your butt or leg that worsens when you sit
- Hip pain
- Burning or tingling down your leg
- Weakness, numbness, or difficulty moving your leg or foot
- A constant pain on one side of your butt
- A shooting pain down your leg that makes it difficult to stand up
Sciatica usually affects only one side of your lower body. Often, the pain extends from your lower back all the way through the back of the thigh and down through one of your legs. Depending on where your sciatic nerve is affected, the pain may also extend to your foot or toes.
For some people, the pain from sciatica can be severe and make it hard for them to do things they usually do. For others, it might not last long, but it bothers them and it has the potential to get worse.
What Causes It?
Sciatica is caused when the sciatic nerve is pinched, usually from a herniated disk or bone spur. Other common causes of sciatica include:
- Lumbar spinal stenosis (narrowing of the spinal canal in your lower back)
- Degenerative disk disease (breakdown of disks, which act as cushions between your vertebrae)
- Spondylolisthesis (a condition in which one vertebra slips forward over another one)
- Pregnancy
- Muscle spasm in your back or buttocks
Other things that can make your back pain worsen include being overweight, not exercising regularly, wearing high heels, or sleeping on a mattress that is too soft.
When to Call the Doctor
Your sciatica may go away on its own, but if your pain is severe or doesn’t go away, you may want to see your doctor. Sciatica can be treated with physical therapy, medication, and surgery.
Seek immediate medical attention if you have any of the following symptoms:
- Weakness in your lower extremities
- Numbness in your leg
- Loss of bladder or bowel control
- Severe pain in your lower back or leg
Information on Peripheral Neuropathy | Memorial Sloan Kettering Cancer Center
This resource provides information on what peripheral neuropathy is, its causes and symptoms.
Peripheral neuropathy (peh-RIH-feh-rul noor-AH-puh-thee) is a general term used to describe the changes that occur when peripheral nerves are affected. Peripheral nerves are all nerves outside the brain and spinal cord. There are 3 types of peripheral nerves:
- Sensory nerves , which help you feel pain, temperature, vibration, as well as touch and orientate in space.
- Motor nerves , which help you move and maintain muscle tone.
- The autonomic nerves control processes within your body that occur automatically, such as how fast your heart beats and how much you sweat.
to come back to the beginning
Symptoms of peripheral neuropathy
Many people with peripheral neuropathy have sensory changes in their toes, feet, fingers, hands, or face.These sensations may not extend beyond the wrist or ankle.
Symptoms of peripheral neuropathy differ depending on which peripheral nerves are affected. Sometimes only one type of nerve is affected. Most often, several types are affected at once, and therefore you may have several symptoms.
- If sensory nerves are affected, you may experience a “pin and needle” or “electric shock” sensation. You may also feel cold, tingling, tingling, or burning sensations in your hands and feet.Some people become very sensitive to touch, while others feel numb.
- If your motor nerves are affected, you may experience muscle weakness, cramps, and twitching. You can also lose balance and coordination. This can make it difficult to walk, drive a car, or handle small objects (such as a pen or shirt buttons).
- If your autonomic nerves are affected, your heart may beat faster or slower than normal.In addition, you may sweat more or less than usual and notice bowel and bladder problems.
Be sure to discuss your symptoms with your doctor or nurse. They can suggest ways to treat these symptoms.
Symptoms of peripheral neuropathy may come on suddenly or develop slowly. They can appear and disappear or appear to a greater or lesser extent at a certain time. Depending on what caused your peripheral neuropathy, your symptoms may improve over time or be lifelong.
to come back to the beginning
Causes of peripheral neuropathy
Diabetes is the most common cause of peripheral neuropathy. Other reasons include:
- taking certain medications, including certain types of chemotherapy. For more information, see the Chemotherapy section below;
- lung cancer;
- multiple myeloma;
- alcohol abuse;
- some other forms of cancer (for example, induced neuroleukemia).
If you have any of these possible causes of peripheral neuropathy, tell your doctor or nurse about them. Tell them what medicines you are currently taking, including over-the-counter medicines, and what medicines you have taken regularly in the past.
Sometimes there is no obvious cause of peripheral neuropathy.
chemotherapy;
Certain common types of chemotherapy drugs can also cause peripheral neuropathy.Below we list them and the symptoms these drugs can cause.
- Bortezomib, carfilzomib
- May cause numbness, pain, or burning in legs or arms.
- Cisplatin, carboplatin, oxaliplatin and thalidomide
- May cause difficulty in positioning arms and legs. This is called positional sensitivity. That said, you can slip out of your shoes or slippers if they are not laced up or covered up to the middle of the top of your foot.
- You may not feel the surface under your feet when walking. You may feel like you’re wearing socks on your bare feet, or like you’re walking on broken glass.
- Paclitaxel, docetaxel and nab-paclitaxel
- May cause problems with touching the shape of an object in the hand or handling small objects.
- Vincristine, vinblastine and paclitaxel
- May cause problems in distinguishing between warm and cold.
When using any of these drugs, you may also have trouble performing activities that require muscle strength and coordination. For example, you may find it difficult to move your foot from the accelerator pedal to the brake pedal while driving. Some patients also describe sensations of muscle spasms, heaviness, virtually none of the swelling, and weakness in the arms or legs.
Some of these symptoms may improve (diminish) during the first 6-18 months after treatment.
to come back to the beginning
Treatment of patients with peripheral neuropathy
Read the resource Treating Patients with Peripheral Neuropathy for information on ways to control the course of peripheral neuropathy, including how to manage its symptoms and patient safety tips.
to come back to the beginning
90,000 causes and treatment, what to do with aching pain in but
Leg pain is a very common symptom that can be caused by many pathological processes in the vascular, nervous, musculo-articular systems and bones 1 .
Infectious and inflammatory causes
With the development of inflammation or infection, throbbing pain in the legs appears, the skin around the site of inflammation turns red and swells. A rash may appear, the temperature rises. The area of the leg with the focus of inflammation increases in size, which limits movement 2 .
Such manifestations can indicate an inflammatory process in the pelvic organs (the inner surface of the thighs hurts), gout, rheumatoid and reactive arthritis, erysipelas of the skin of the thighs and legs and other problems 2 .
Degenerative-dystrophic diseases of the joints
This group of diseases includes osteoarthritis, or osteoarthritis. In this case, as a rule, severe pain in the legs occurs when moving. Joint mobility is sharply limited, in the morning stiffness can disturb. Symptoms usually develop over a period of several years, during which time cartilage changes and deformities of the joints develop. There is a connection between the onset of pain and the change in weather2.
Central neuralgia and pain
If you are concerned about sharp, shooting, burning pains in the legs in the absence of external injuries, this is a sign of diseases of the nervous system, for example, neuralgia 3 .
When the spinal roots of the lumbosacral spine are pinched, pain in the legs may accompany weakness, up to paresis4. The sensations increase when the trunk is raised in a sitting and lying position 5.
Vascular pain
Pain in the legs of vascular origin is most often associated with obliterating endarteritis, varicose veins of the lower extremities, thrombophlebitis.
With endarteritis, pain occurs during exertion, disappears after rest, or if the legs are lowered.Approximately the same symptoms accompany atherosclerosis of the vessels of the lower extremities, when the lumen of the vessels narrows and the tissues suffer from a lack of oxygen 6 .
Thrombophlebitis and varicose veins often accompany each other. Due to the weakness of the vascular wall, the veins expand, deform, and the movement of blood is disrupted in them. There is pain, sensations of “buzzing”, heaviness in the legs. By the end of the day, the legs become swollen, but when they are lifted up, it becomes easier 7 .
Thrombophlebitis is an acute dangerous condition in which pain in the leg arises sharply and has a bright, burning, pulsating character.At the site of the appearance of a blood clot inside the vein, a dense formation is felt. The temperature may rise, the leg area turns red. In this condition, you urgently need to contact the angiosurgeon 8 .
Muscle pain
Muscle pains are familiar to those who train intensely. They can occur after hypothermia, be pulling, twitching, and intensify when moving. If such pains are associated with excessive exercise and there are no contraindications, for example, vascular diseases, then warming procedures can be used for such pains.And, of course, at first, rest is necessary 9 .
Pain caused by metabolic disorders
Pain can occur with osteoporosis (leaching of calcium from the bones) – with cramps and a pulling sensation in the calves.
In diabetes mellitus, leg pain is often accompanied by edema, dry skin, numbness 2 .
Post-traumatic leg pain
Aching pains in the legs that occur when the weather changes, at the site of old fractures.
Heel spur 10 , flat feet and other conditions can also cause pain in the legs.
What to do with leg pain?
Since there are a lot of causes of leg pain, first you need to see a therapist. He will help you navigate the symptoms, diagnose and refer you to the right specialist.
If the doctor determines that the pain is associated with osteoarthritis, he can prescribe
Teraflex
The drug helps to reduce acute pain and inflammation, as well as
promotes the renewal of cartilage tissue due to the presence of
chondroitin and glucosamine
The course of taking Teraflex in capsules to achieve a stable therapeutic effect – from 3 to 6 months.
Created
for more immediate relief of joint pain
Teraflex Hondrocrem Forte
Its special composition 11 improves the penetration of the anesthetic component Meloxicam, which helps to reduce pain and inflammation in the joint. Teraflex Hondrocrem Forte is used for osteochondrosis, osteoarthritis and other joint diseases that accompany severe pain.
90,000 Neuropathic Disorders | Stimsmart
Problems arise gradually – at first, an unpleasant tingling sensation, burning sensation, even the touch of a blanket to the skin causes discomfort… Restful sleep becomes a “deficit”. Over time, the functions of the nervous system are disrupted – a decrease in sensitivity to touch begins, a feeling of warmth (fever) and pain appears, mainly in the extreme parts of the lower extremities. Without treatment, the affected area expands. The infected person loses the ability to coordinate movements (loss of dexterity, stumbling, staggering when walking) …
The nervous system consists of a network of nerve fibers that conduct signals (impulses) from the brain and spinal cord to other peripheral parts of the body.The transmission of nerve impulses can suffer from damage to certain parts of this network. Consequently, the ability to correct the movement of our muscles and joints is impaired, the functions of the skin and internal organs are impaired.
Loss of sensation of nerve endings is often due to peripheral neuropathy. The first symptoms usually appear in the legs, in the form of gradual numbness, tingling, or pain. Eventually, it can easily expand to the upper limbs or parts of the torso.Another sign of peripheral neuropathy may be extreme sensitivity to touch. Numbness and tingling of the skin is known as paresthesia.
A serious complication, especially in the case of a combination of neuropathy and diabetes, can lead to loss of sensation in the legs. Any blisters and sores on the legs can then quickly develop and go unnoticed. Subsequent injuries and infections (formation of inflamed wounds) can spread to deeper tissues, and even bones! The consequences can be dire – amputation of
will be required
Most common neuropathic problems:
- Sensory disturbance (especially in the lower extremities)
- tingling
- sensation of coldness in the limbs
- intense pain at rest (mostly at night)
- loss of full sensation in the limbs
Stimsmart therapy helps restore the sensitivity of your limbs
For the Stimsmart therapy, the causes of neuropathy are not important, only its manifestation and the time required to completely eliminate it.Neuropathic problems are not just limb problems. Fatigue and poor sleep, as their consequences, affect the general psychological state of the patient. The Stimsmart therapy helps to solve these problems in a comprehensive manner.
90,000 Low back pain radiating to the legs
By itself, lower back pain is unpleasant, but we do not always immediately go to the doctor, considering it a consequence of overload, hypothermia. Indeed, after some time after the “home” treatment, lower back pain may stop.And it is quite another matter when the pain from the lower back radiates to the leg. This is a clear sign of an exacerbation of the disease of the spine, or the appearance of another disease not associated with the spine. In any case, peripheral nerves are involved in the process, which requires a more serious attitude to this symptom.
Most often, the pain begins to give in one leg and is localized both in the buttock and in different areas of the thigh, lower leg, foot, often accompanied by numbness. The place where the pain spreads directly depends on which part of the nerve is under pressure.This can be pressure from the injured spine, a consequence of edema in the places where the nerve passes (tunnel syndromes), direct pressure of the tumor on the nerve, as well as the consequences of a leg or lower back injury.
Diseases of the internal organs located at the level of the lumbar spine can also cause pain in the lower back and leg. Gynecological inflammatory and oncological processes, diseases of the kidneys, urinary tract, duodenal ulcer, pancreatitis, ectopic pregnancy – these and other diseases do not go away on their own.Pain in the legs can be one of the first signs of the disease, and you need to see a doctor for a timely examination and proper treatment.
The clinic “Eleos” has all the possibilities for examination and treatment of diseases. Qualified doctors – a neurologist, therapist, traumatologist, gynecologist – will conduct an examination, diagnose and prescribe treatment, and specialists in the field of physiotherapy, massage, alternative methods of treatment will ensure that doctors’ prescriptions are fulfilled, full treatment, rehabilitation to restore lost functions and return to normal life.
Lower back hurts, make an appointment in Moscow
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Publication date: 2020-06-08
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Low back pain is considered a common symptom, with which people do not always turn to a specialist for help.Many consider it a consequence of intense physical training the day before or hypothermia, but not a disease. Lower back pain can radiate to the leg: this is most often one of the signs of spinal lesions. Peripheral nerves are involved in the process, so consultation of a competent specialist and effective treatment is necessary.
Most often, the pain begins to radiate to the gluteal region and leg, may be accompanied by numbness, a tingling sensation of pins and needles. The place where the pain radiates depends on which nerve is affected and undergoes pressure.The most common cause of damage to the nerve or its root is the pathology of the spinal column, tunnel syndrome, tumor formation pressing on the nerve. Pain and numbness in the legs can occur as a result of an injury to the spine or lower extremities.
Diseases of the abdominal cavity and small pelvis can also cause pain in the lumbar region and leg. Pancreatitis, kidney disease, gastric ulcer and duodenal ulcer are non-obvious causes of pain in the lower back and legs that are worth remembering.In women, one should not forget about possible gynecological diseases. Uterine fibroids, endometriosis, organ prolapse – all these pathologies can lead to back pain.
Diagnostics
In the event of pain in the lower back, it is necessary to consult a doctor as soon as possible for examination and establishment of an accurate diagnosis. Before visiting a specialist, it is recommended to abandon any physical activity: in the acute period, they can only harm and worsen well-being.
During the initial examination, the doctor collects a detailed history to identify risk factors for the most common diseases that cause back pain and numbness in the legs. A complete neurological examination helps the doctor evaluate the symptoms in more detail and identify muscle spasms. Additional examination methods are used to confirm the preliminary diagnosis:
- Radiography of the lumbosacral region. A simple study that allows you to quickly and painlessly obtain general information about the state of the spine and its surrounding tissues.An X-ray image can exclude osteochondrosis, displacement of the vertebral bodies, scoliosis and destruction of the joints.
- MRI or CT. More accurate and modern research methods: with their help it is possible to examine all the ligaments, nerves and tendons, intervertebral discs and hernial protrusions, protrusions.
Women who experience lower back pain and numbness in the legs should visit a gynecologist and have an ultrasound scan of the pelvic organs. This is the minimum list of examinations that allows you to exclude tumor formations and inflammation as the cause of all symptoms.
If gastrointestinal tract diseases are suspected, a thorough history taking is important: additional symptoms may lead to a correct diagnosis. It is necessary to clarify the time of onset of pain and their nature, the presence of heartburn, bloating or belching. As additional research methods, ultrasound, gastroscopy or colonoscopy, consultation of a narrow specialist – a gastroenterologist may be recommended.
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- Vertebrologist
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During the consultation, we carry out a thorough diagnosis of the entire spine and each segment.We for sure
determine which segments and nerve roots are involved and causing pain symptoms. Following the consultation
we give detailed recommendations for treatment and, if necessary, prescribe additional diagnostics.
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Treatment
If the lower back and legs begin to be taken away, then first of all you need to understand that this is only a symptom that signals the presence of a serious pathology.The spinal column, internal organs, vascular trunks and nerve fibers can be affected: all this requires the attention of a specialist. Symptomatic treatment alone without eliminating the cause will not lead to anything good: the course of the disease will only get worse. Since the symptoms go away against the background of painkillers, a person loses caution and can start playing sports, load his body with work and other activity. This all leads to an accelerated progression of the disease, and sometimes to emergency surgery (for example, with an intervertebral hernia).
If back pain and numbness of the legs are caused by osteochondrosis and its complications, it is recommended to seek help from a neurologist. The specialist will appoint medical complex , which may include:
- non-steroidal anti-inflammatory drugs;
- analgesics;
- muscle relaxants;
- chondroprotectors;
- methods of physiotherapy and massage;
- manual therapy.
According to the indications, spinal traction is used: with its help, the compression of the nerve roots is eliminated, the pain syndrome is already after the second session.Spinal traction creates favorable conditions for the restoration of the annulus fibrosus of the disc.
The course of treatment is compulsorily supplemented by physiotherapy exercises. The set of exercises should be developed for the patient individually, taking into account his clinical situation, age, gender, weight and many other characteristics. At first, classes are carried out under the supervision of a doctor: he controls the correctness of all exercises, because the final result depends on this.
If a woman has pain in the lower back, then she is strongly recommended to visit a gynecologist in addition to a neurologist.A rapidly growing fibroid or any other tumor can put pressure on the spine: this is the cause of a variety of neurological disorders.
Prevention of back pain
Back pain can and should be prevented. Recommended for this:
- Exercise regularly to strengthen your back muscles, increase their strength and elasticity.
- Eat right. The diet should contain a sufficient amount of vitamins and minerals, protein and carbohydrates to maintain muscle activity.Eating a healthy diet helps prevent gastrointestinal pathologies, which can sometimes also manifest as back pain.
- Correctly hold your back. Good posture is the key to spine health.
- Periodically take massage courses. With its help, you can relax or strengthen the muscles (depending on their condition), relieve tension from them.
- At the first signs of illness, make an appointment with a doctor. In the early stages, the disease responds well to treatment, it usually does not take much time, and complications are rare.For prevention purposes, you need to visit a therapist and gynecologist at least once a year: this approach will allow you to identify diseases in the early stages and cure them in time.
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Hernias in the lower back and neck
I came to the clinic of Doctor Length with spinal problems. With two intervertebral inferior hernias and two intervertebral hernias in the neck. I was assigned a comprehensive 10 step program.In 4 months my lower vertebrae completely disappeared and the crunches in my neck disappeared …
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Lumbosacral hernia
“After the first time, my back stopped hurting. I felt relieved. Now I have already passed 7 sessions and my back really does not hurt. I began to forget about it. And at first it hurt a lot. ”
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Inflammation of the sciatic nerve
“For 4 months I suffered from severe inflammation of the sciatic nerve on the right side.After the first visit, relief came immediately within six hours. After 6 courses, the pain practically disappeared. ”
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Pain in the lower back and leg
Yakovleva Natalya Mikhailovna
Head of the department, surgeon of the highest category, doctor oncologist-mammologist
I would like to express my deep gratitude for being put on my feet in the literal sense of the word. I came to the clinic a month and a half ago with severe pain in the lower back and leg.These complaints were of a rather prolonged nature and the ineffective treatment that I used in the past. Fortunately, I ended up at the clinic of Dr. Length and his team of super professionals!
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Osteochondrosis of the cervical spine
“Appealed 2 months ago with osteochondrosis of the cervical spine. I have a sedentary job and my neck muscles cramped very badly. It was impossible to work. Before that I turned to other doctors, but this did not solve my problem.For 2 months I have quite positive dynamics. It gets better and better every week. ”
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Ankylosing spondylitis
“I have had ankylosing spondylitis for 10 years. The vertebrae began to move out, I began to slouch. I have consulted other chiropractors, very famous media therapists. As a result, I did not get the result. After 2 sessions, I felt much better. Now nothing hurts me. ”
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Pain in the spine
“I came with problems in the back, cervical, thoracic and lumbar spine.I was prescribed procedures, had a massage, and was assigned to do physical education at home. This made me feel much better. I’m already turning my head. I have no pain. ”
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Shoulder-scapular periarthrosis
I went to the clinic with severe pain in my shoulder. My hand did not rise, I could not sleep at night, I woke up in pain. After the first session of procedures, it became much easier for me. Somewhere in the middle of the course, my hand began to rise, I began to sleep at night.
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Arthrosis of the knee joint of the 2nd degree
She came with a very serious illness. I could not walk, I have grade 2 arthrosis of the knee joint. I underwent a course of treatment in the Clinic and now I am going 100%.
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Herniated disc
“I came to the clinic after I had back pain and there was an intervertebral hernia. I went to other places, but there they only removed the attacks of pain.Only Sergei Vladimirovich, his golden hands, gave the hope for a return to ordinary life! ”
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Scoliosis
“From adolescence I was worried about scoliosis in the thoracic region. I felt a feeling of discomfort, tension, periodic pain in the spine. I turned to various specialists, a masseur, an osteopath, but I did not feel a strong effect. After treatment at Length S.V. I almost have an even spine now. Currently, I do not feel any problems or discomfort.»
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Herniated disc
“On the 5-6th session there was an improvement. I felt much better. The pain was gone. The improvement progressed more and more each time. Today is the 10th lesson. I feel great.”
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Pain in the lumbar and cervical spine
“I am 21 years old. I went to the clinic with discomfort in the lumbar and cervical spine. I also sometimes had sharp pains. After undergoing therapy, I felt a significant improvement in my back.I have no pain. The general condition has improved. ”
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Back pain
“At the beginning of the treatment, my back ached very badly. I could no longer walk. I take 5 steps and stop. My whole journey consisted of such stops. During the first procedure, I left the office with no pain in the spine. ”
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Hernia of the cervical spine
“I had a problem in my neck and my right arm was very sick. The neck did not turn, the hand did not rise.After the 3rd session I felt better. After the 5th, all this pain began to decrease. It turns out that I have 2 hernias in my cervical vertebra. After the sessions, I did an MRI and one hernia decreased. Now I started to move, my hand started working. ”
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Neck pain
“I went to Dr. Long because my neck was very painful on the right side. I fell on a snowboard 5 years ago, even went to an osteopath, but somehow it didn’t help much. Now everything is fine, there were some consequences, the muscles were spasmodic.When I came there were steel muscles, now my neck is very soft. ”
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Pain in the thoracic region
“I went to the clinic with pain in the back, namely in the thoracic region. After 10 sessions of treatment, I could calmly do my usual things, sit at work until lunchtime, without howling in pain. Now I have already come for the correction after 2 months. I’m fine, my back doesn’t hurt. ”
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Hernia and protrusion
“I came to the clinic with hernia L4-L5 and protrusion L5-S1.The course of treatment ended today. The lower back hurt, it was difficult to bend over. After completing the course and receiving instructions in the form of physical exercises, it became much easier. After a month of treatment, I do not feel any stiffness of movements. ”
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Pain in the lower back and hip joint
“From a young age I was worried about back pain. When they became unbearable, I went to the clinic of Dr. Length. After the first procedure, pain disappeared from the hip joint.After the third procedure, the shooting pains in the lower back stopped. ”
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Very effective procedures
The procedures turned out to be very effective. I used to go to other clinics and absolutely did not relieve my pain, they bothered me. After this specialist, after three or four sessions, my functions recovered, the pain in my joints went away.
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90,000 Leg pain in Kazan
Leg pain is often caused by lower limb ischemia (LIC).
The main symptoms of the disease:
- “Intermittent claudication”: pain in the legs occurs when walking and disappears after stopping movement;
- The skin of a diseased limb in comparison with a healthy one has a pale color;
- Painful sensations also appear at night, at rest;
- Pain relievers do not give the desired effect when pain occurs at rest;
- From time to time, there is a cold snap of the affected limb;
- Increased fragility of nails and / or a slowdown in their growth is observed;
- The hair on the skin of the diseased limb is practically absent;
- Abrasions and wounds heal poorly.
Atherosclerosis
This is a disease that affects the arteries due to excessive deposition of cholesterol in them, which leads to impaired blood supply. Atherosclerotic plaques constrict the lumen of blood vessels, as a result, the muscles of the legs are supplied with insufficient oxygen.
Atherosclerosis, according to experts, is the cause of ischemia (weakening of blood circulation) of the lower extremities in 90% of those suffering from this disease.
Ischemia of the lower limbs
The structure of cardiovascular pathologies is as follows: in the first place – ischemic heart disease, in the second – stroke, in the third – ischemic lesions of the lower extremities.
In Russia, at present, about 1.5 million people suffer from INC. At the same time, a severe form of the disease is detected annually in 144 thousand Russians who are at risk of amputation. Every year about 40 thousand patients are amputated the affected limbs …
Diagnostics INC
Having discovered at least one of the above symptoms, do not hesitate! Contact a specialist as soon as possible.
At the MEDEL Clinic, you will be examined first and your complaints will be heard. Further, after an instrumental examination, a diagnosis will be made and a treatment strategy will be determined.
For the treatment of INK, the MEDEL Clinic is currently using the newest non-surgical method, Therapeutic Angiogenesis.
Innovative INK treatment: therapeutic angiogenesis
Angiogenesis is the process of creating new blood vessels in a tissue or organ.
Therapeutic angiogenesis is a non-surgical therapeutic strategy based on drug-induced enhancement of the natural angiogenesis process (therapeutic vascular growth).
Neovasculgen
The newest innovative domestic drug Neovasculgen, developed by Russian scientists for the first time in the world, implements Therapeutic Angiogenesis.
- This is an injection that triggers the growth of blood vessels in the injection site;
- It is necessary when, due to the nature and extent of the lesion, it is impossible to carry out a surgical operation in the treatment of INK.
As a result of neovasculgen therapy, the structure of new vessels is stabilized, and the patient’s condition improves:
- Blood supply and oxygen utilization in the tissues of the limb are resumed;
- The feeling of chilliness in the legs disappears;
- The condition of the skin is normalized;
- The patient can walk a great distance without pain.
After the course of Neovasculgen, the positive effect, according to the studies, is stable for up to 2 years.
Benefits of treatment with Neovasculgen at MEDEL Clinic:
The use of Neovasculgen in the framework of complex conservative therapy allows:
- Significantly increase the painless walking distance;
- Avoid amputation, save the patient’s limb and possibly life;
- Exclude long-term treatment, multiple injections and the recovery period;
- Improve the quality of life of patients.
Therapeutic angiogenesis is a technically simple procedure that is well tolerated by the patients of MEDEL Clinic. At the same time, as the practice of the surgical department of the Clinic shows, it is more effective than the standard conservative treatment of INK.
There are few contraindications: pregnancy, lactation, individual intolerance to the drug.
If your legs begin to hurt, especially when walking, contact a specialist as soon as possible! Don’t waste precious time! Just call tel.(843) 520-20-20 and make an appointment with the surgeon at the MEDEL Multidisciplinary Clinic.
Definition
This is a disease in which one vertebra “slides” forward in relation to the other.
The articular process, which is located at the back of the spine, like a ring fixes the overlying and underlying vertebra. With its congenital defect or injury, degenerative changes and other factors, the overlying vertebra slides forward in relation to the underlying vertebra.
Symptoms
Pain in the sacrum and leg when walking or changing positions.
- 1. Absence of pain in a sitting position, sciatic nerve neuralgia as a result of compression of the nerve in a standing position and when walking.
- 2. Numbness of the legs, loss of sensation, paralysis.
- 3. Instantaneous onset of pain when extending the lumbar back or in a supine position.
- 4.Numbness and aching pain in legs with every movement.
- 5. At the beginning there is pain in the lower back, which is subsequently accompanied by an increase in pain in the sacrum.
- 6. Low back pain from long sitting in one position.
Reasons
Congenital spondylolisthesis
Acquired spondylolisthesis
Degenerative spondylolisthesis