What We Know About Sciatica Knee Pain

It’s no secret that your knees can take a beating. They are two of the most essential, load-bearing joints in the body. However, as a result, this also means they can be susceptible to a number of different issues that can result in pain, discomfort, or other symptoms. This can include—but is not limited to—sciatica.

What Is Sciatica?

“Sciatica is pain in the back and buttock due to spine disease,” states Joshua M. Ammerman, M.D., a board-certified neurosurgeon who serves as chief of the neurosurgery section and chair of the Department of Surgery at Sibley Memorial Hospital in Washington, D.C. The pain is the result of compression, irritation, or inflammation of the sciatic nerve or nerve roots in the low back.

Spine diseases that can result in sciatica include:

• Degenerative disc disease (DDD): When the discs between the vertebrae wear down with time and stress

• Disc herniation: Where the inside of the discs between the vertebrae leak out and compress/irritate surrounding nerves

• Spinal stenosis: A narrowing of the spinal canal that can pinch nerves

• Spondylolisthesis: A condition that occurs when one vertebra in the back slips forward onto the one directly below it

How Can Sciatica Cause Knee Pain?

The problem with sciatica is that the issues it can cause don’t stop with the back. In fact, sciatic nerve pain and other related symptoms can take a trip all the way down to the end of your leg and make a pit stop in your knee via a branch of the sciatic nerve known as the peroneal nerve. This can cause symptoms in your knee such as:

• A dull ache, warm sensation, or sharp pain anywhere around the knee

• An inability to straighten your knee

• Buckling of the knee

• Problems with bearing weight on the knee

In short: Because sciatica is most commonly caused by an issue in the low back, it can travel to other parts of the body and cause problems. For example, “If arthritis in the spine is pressing on the L3-L4 level nerves it can cause pain, numbness, tingling, or weakness in that nerve’s distribution,” says Dr. Ammerman. [Arthritis is a broad term used to cover conditions that cause pain and swelling in the joints.] “Those nerves travel out of the back, through the buttock, along the front of the thigh, and terminate at the knee.

“Additionally, though knee pain due to sciatica is somewhat uncommon, many patients with spine disease have an abnormal gait pattern, which can also stress the knee and lead to local pain.”

What Are Some More Common Causes of Knee Pain?

“The most common cause would be degenerative arthritis of the knee joint,” Dr. Ammerman says. “In addition, gout can cause knee pain and—though less common—infections of the knee joint.”

It’s also worth noting that knee pain and discomfort can be caused by things other than an underlying disease or condition. These can include:

• Heavy physical activity that puts additional and/or repeated strain on the knee

• Lack of physical activity

• Strains and sprains of the tendons/ligaments/muscles within the structure of the knee

How Long Does Sciatica-Related Knee Pain Last?

If sciatica is truly the cause of your knee pain, then it will only last if your sciatica does. That said, how long your sciatica will drag out depends on the type of sciatica: acute or chronic.

An acute sciatic episode will typically resolve within a few weeks, and you may have a few episodes a year. However, chronic sciatica is a lifelong condition that will not really resolve on its own without intervention by a specialist.

How Is Sciatica Treated?

In most cases, sciatica can be treated conservatively. Most patients with sciatica symptoms improve over time and respond well to non-surgical treatments, such as medication, exercise and special sciatica stretches, and physical therapy (PT). Spinal manipulation, such as chiropractic care, also can help reduce sciatica symptoms.

“I always recommend beginning with rest, ice, and elevation,” Dr. Ammerman says. “If those do not solve the issue, then the judicious use of NSAIDs [non-steroidal anti-inflammatory drugs such as aspirin and ibuprofen] can be very helpful. For symptoms that do not respond to the above measure or persist beyond a few weeks, a consultation with a physician is appropriate.”

What At-Home Stretches Can Provide Relief?

As mentioned, the only way to get rid of pesky knee pain caused by sciatica is to alleviate sciatica itself. There are several stretches you can do to help take some of the pressure off your sciatic nerve. They include:

• Knee to chest to reduce nerve compression: Lying down, gently hug one of your knees to your chest while extending the other leg flat on the floor. Hold for about 30 seconds, and alternate to hug the other knee to your chest.

• Lower trunk rotations to increase the mobility and flexibility of your spine: Lying flat on the floor, bend both of your knees in and rotate at the hips so both knees are pointing to the right and resting on the floor. Hold for three to five seconds, and rotate at the hips so your knees rest on the floor and point to the left. Keep alternating or hold the stretch on each side for about 30 seconds.

• Pelvic tilt or all fours opposite arm and leg extensions to strengthen your abdominal muscles and stretch the low back

GettyImages/DjordjeDjurdjevic

No matter the cause, knee pain can be a real pain [in the back]. But remember: At the end of the day, it’s important to speak to a physician first to get a proper diagnosis when your knee—or any other part of your body—is hurting for an extended period of time. Until then, take time to rest.

Notes: This article was originally published August 18, 2022 and most recently updated September 26, 2022.

Our Review ProcessMary Kate Phan:  

Mary Kate Phan is a writer with a wealth of experience in discussing health care-related topics. From neurology to podiatry, she has helped patients understand complex conditions and procedures that may help improve their lives for the better.

Shaheen Lakhan, M.D., Neurologist:  

Shaheen Lakhan, M.D., Ph.D., FAAN, is a physician-scientist and clinical development specialist. He is board-certified in both neurology and pain medicine with clinical training from the Cleveland Clinic and Massachusetts General Hospital.

Can sciatica cause knee pain? Research, pain relief, and more

The sciatic nerve runs from the lower back, down the back of the leg to the knee. Sciatica describes pain anywhere along the sciatic nerve, including the knee, due to compression, damage, or nerve irritation.

Research suggests that sciatica is most common once a person reaches their 40s.

Sciatica may have a slow or sudden onset, and symptoms may range from mild to severe; each person will have a different experience. The most common cause of sciatica is a bulging lumbar intervertebral disc or herniated disc.

Some estimates indicate that most people recover from sciatica within 4-6 weeks without further medical complications.

However, according to NHS Inform in the United Kingdom (UK), a doctor may want to investigate further if a person’s pain does not subside after 6 weeks.

This article discusses where a person may feel sciatica pain, tips to help relieve it, sciatica treatment, and when to speak with a healthcare professional.

Since one of the most common causes of sciatica is a bulging lumbar intervertebral disc, people with sciatica often feel pain in the lumbar spine or lower back.

Sometimes, the pain can be intense.

The sciatic nerve starts in the lower back, travels down the back of the leg, and ends at the knee where it branches into the tibial and common peroneal nerves. A person may experience sciatica anywhere along the sciatic nerve, including the knee. Therefore, sciatica may be a cause of knee pain.

The sciatic nerve also provides sensation to the front and back of the lower leg and foot. Therefore, a person may also experience pain in those areas.

According to the UK’s National Health Service (NHS), a person may also experience numbness, weakness, tingling, or a burning sensation in the buttocks, back of the legs, and feet.

Learn more about sciatica pain here.

Research suggests that a person typically recovers from sciatica, including sciatic knee pain, within 4-6 weeks.

There are several lifestyle choices and home remedies a person may wish to try that may help to relieve symptoms of sciatica and sciatic knee pain. Some of these may include:

• a hot or cold compress may help relieve pain and reduce inflammation
• avoiding any activities that aggravate the pain
• avoiding sitting or standing for long periods
• maintaining good posture
• increasing core strength
• stretching and strengthening the lower back and hamstrings
• following a regular, low intensity exercise regimen
• only lifting objects using a proper technique
• complementary therapies such as physical therapy, deep tissue massage, spinal manipulation, and acupuncture.

A person should speak with a healthcare professional about which techniques may work best for them.

Learn more about how long sciatica lasts.

Doctors may recommend a variety of treatments to help relieve sciatica. Some of these include:

• Oral medications, such as:
  • nonsteroidal anti-inflammatory drugs (NSAIDs)
  • muscle relaxants
  • corticosteroids
  • anticonvulsants
  • analgesics
• Some people may require steroid injections
• A doctor may recommend surgery if a person has a herniated disc, a spinal epidural hematoma, an abscess, or a tumor near the spine causing sciatica pain.

Learn more about treatments for sciatica pain.

People should speak with a doctor if they experience sciatica pain, as they can likely diagnose the problem. A healthcare professional may carry out a full examination and diagnostic tests before recommending appropriate treatment.

If people have tried several home remedies and lifestyle changes and the pain has not subsided after a few weeks, they should seek medical advice. A person might also consider consulting a doctor if the pain worsens or stops them from doing any usual activities.

If a person has a compressed sciatic nerve and does not receive the appropriate treatment, complications may develop, including:

• increasing pain as time passes
• burning or prickling sensation in the affected leg
• decreased strength in the affected leg
• reduced function of the bowel or bladder
• permanent nerve damage

Anyone who experiences any of the following should call 911:

• sciatica on both sides of the body
• numbness around or under the genitals or around the anus
• severe numbness or weakness in both legs, or worsening numbness or weakness in both legs
• difficulty starting urination, inability to urinate, or urinary incontinence, if this is not typical for them
• not noticing when they need to have a bowel movement or cannot control when they have a bowel movement if this is not typical for them

The sciatic nerve runs from the lower back to the knee. Pressure, damage, or irritation of the sciatic nerve causes sciatica. Pain can occur anywhere along the sciatic nerve or in the lower legs, feet, and knees.

People typically recover from sciatica and sciatic knee pain by making lifestyle changes and treating pain at home.

However, sciatica pain can be intense, and medical treatments are available. Speak with a doctor or another healthcare professional about the most suitable treatments.

If the pain is ongoing, worsens, or causes additional symptoms, a person should seek further medical attention.

Pain on the inside of the knee and sphenoid neuralgia

Sphenoid neuralgia is usually observed when this nerve passes through Gunther’s canal, or, more often, due to its friction against the sartorius muscle, adductor muscles and glenoid muscle. This compression neuropathy causes pain, paresthesia, and sensory disturbance in the areas through which the nerve in question passes. These symptoms lead to the fact that the patient most often complains of pain on the inside of the knee. Pain due to sphenoid neuralgia may increase when the patient sits or squats. With the help of an objective examination, pain can be detected in the area under which the path of the sphenoid nerve lies, on the inside of the femur in its middle part, exactly in the midline. Flexibility is not lost. Sitting or squatting puts extra pressure on the sphenoid nerve, which increases the symptoms of sphenoid neuralgia. Sphenoid neuralgia is often misdiagnosed as radiculopathy of the lumbar spinal nerves or as problems in the knee.

In most cases, an EMG examination is advisable. Pinching of the sphenoid nerve can occur sooner after making vigorous movements than at rest. In this case, any examination other than an objective one will be useless. An objective/physical examination involves a test by rolling a roller on the inside of the knee in the area innervated by the sphenoid nerve. Hyperalgesia is observed in patients with sphenoid neuralgia.

The methods of shock wave therapy DUOLIT and peripheral magnetic stimulation SALUS TALENT, mesotherapy with vascular preparations and local ozone therapy have proved to be the most effective.

For the diagnosis and treatment of pain on the inside of the knee and sphenoid neuralgia, please contact the clinic FIRST NEUROLOGY.

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Pinched sciatic nerve: symptoms, causes and prevention It is with such a complaint that patients who experience severe pain in the leg and hips apply. Absolutely everyone can face this, regardless of age and activity. The fact is that inflammation of the sciatic nerve, or sciatica, develops against the background of other diseases and disorders, mainly associated with the back.

Among the reasons, doctors distinguish a sedentary or too active lifestyle, hypothermia and heavy loads. What to do with inflammation of the sciatic nerve and how to prevent the disease, we will consider in detail in this article.

What is a pinched sciatic nerve

The sciatic nerve is the largest nerve in our body. It originates from the lower lumbar vertebrae, passes under the piriformis muscle along the pelvis and exits to the legs. Consists of the last two lumbar roots and the first three sacral roots. It is he who forms the sensory and motor branches to the legs, providing the functions of walking. Therefore, any problems with this nerve hamper movement and disrupt the usual rhythm of life.

Pinching is the result of nerve compression, which leads to a deterioration in its nutrition and functioning. Pinching can occur in any part of it, but the pain syndrome spreads to the entire surface. If the sciatic nerve is inflamed, this indicates prolonged compression and the lack of proper treatment. In this case, there are severe constant pain and there is a gradual destruction of the nerve tissue.

Symptoms of inflammation of the sciatic nerve

The main symptom, if the sciatic nerve is pinched, is pain in the buttock, which radiates to the leg. In this case, the leg may hurt more when walking or, conversely, at rest. Pain with pinching of the sciatic nerve is one-sided, usually has a sharp character, like an electric shock. In some cases, it is accompanied by a burning sensation in the leg, a feeling of cold, tingling and crawling. Unpleasant sensations are localized, as a rule, along the inner surface of the leg: the pain begins in the buttock, then descends below the knee, gives in the calves and less often in the foot.

With pinched nerves, there is practically no swelling and swelling of the extremities. But the motor ability of the leg always worsens: the leg seems to jam, the movements are limited, numbness along the nerve, muscle weakness.

How to recognize a pinched sciatic nerve at home

Pinched nerves are often confused with pathologies of the hip joint. With exacerbation of arthrosis and arthritis, pain is inflammatory in nature: constant, aching, which intensifies at rest. They are localized in the joint area, but rarely spread to the entire surface of the leg. Also, with pathologies of the joint, paresthesia is not felt on the back of the thigh.

At the first stage, you can check the diagnosis at home with the help of exercises:

• lie on your back, raise and bend one leg at the knee at an angle of 90 degrees;

• try to straighten the leg up;

• bend the leg at the knee, put the hands on the stomach and turn the leg to the side.

If at the moment of leg movement there is a sharp pain, pulling under the muscle, in the thigh, radiating to the lower back – this is a clear sign of a pinched nerve.

The main causes of inflammation of the sciatic nerve

“Why does the sciatic nerve become inflamed?” – this is one of the most common questions among those who have ever encountered such a problem. As we have already said, infringement, inflammation of the nerve is not a separate disease, but a symptom. There are quite a few reasons, but in 90% of cases these are problems with the back and, in particular, with the sacro-lumbar region. Consider the most common:

1. Lumbar disc protrusion and herniation are the most common causes of sciatica. Any deformation of the fibrous ring can lead to compression of the root that forms the sciatic nerve. As a result, all his work is disrupted, and, as a result, a pain syndrome occurs.

2. Displacement of the vertebrae, pelvic tilt, curvature of the spine.

3. Spinal stenosis. In this case, the lumen of the canal itself, in which the spinal cord is located, narrows. It occurs most often in older people, after 60 years.

4. Osteochondrosis as a type of degenerative changes in the intervertebral discs, when the discs protrude beyond the spine and become overgrown with bone growths. Such formations also often pinch and put pressure on the nerve roots.

5. Dysfunction of the sacroiliac or hip joint.

6. Spasm of the piriformis muscle due to hypothermia, excessive exercise or injury.

7. Hypothermia, causing the sciatic nerve to catch cold and become inflamed.

In rare cases, experts note among the causes of sciatica inflammation of the pelvic organs, as well as tissue compression during pregnancy with a large fetus. People with obesity and diabetes are at risk.

What not to do in case of pinched sciatic nerve

People very often try to treat pinched sciatic nerve on their own at home and using traditional methods. But this absolutely cannot be done. The sciatic nerve itself is long and large: it is important to understand that the problem can be not only in the pelvis, but also in the back, in the legs. Sometimes there are problems with vessels and ligaments. And the use of local ointments, lotions and rubbing is fraught with aggravation of problems. If treatment is not started in time, pinching can lead to a complete loss of movement of the leg or foot.

For any pain in the back, pelvis or legs, it is important to seek immediate medical attention. At home, it is impossible to cure the disease. You can only stop the pain by taking a comfortable position and an anesthetic.

It is also not recommended to actively move, heat and rub the sore spot. It is advisable to sleep on your side during treatment, on a hard mattress.

How to treat the sciatic nerve

Treatment methods always depend on the cause. Therefore, to the question of what to do when the sciatic nerve is pinched, there is only one answer – to consult a specialist and conduct a thorough diagnosis. In addition to visual examination and palpation, as a rule, a complete examination is prescribed:

• MRI of the lumbar area;

• x-ray of the lower back and pelvic bones;

• complete blood count;

• Ultrasound of the pelvic organs.

One of the first goals of treatment is to relax the muscles, relieve inflammation and improve blood flow to the nerve endings. Depending on the diagnosis, the doctor prescribes drug therapy. For this, non-steroidal anti-inflammatory drugs, a complex of B vitamins and painkillers injections are used.

Also, after a complete examination, the specialist will be able to advise how to anesthetize the sciatic nerve at home. Sometimes fixed belts and corsets are prescribed. Therapeutic exercises for inflammation of the sciatic nerve include special exercises that can also be performed at home.

However, proper treatment of a pinched nerve always involves a comprehensive approach. A number of effective methods are used in IVR clinics: physiotherapy, exercise therapy, massage, manual therapy. The full treatment program is prescribed individually.

An obligatory stage is rehabilitation, which helps to quickly restore metabolic processes in the spine, normalize blood circulation and tissue nutrition, and strengthen the back muscle corset.

When and which doctor to contact

As a rule, severe sharp pains in sciatica do not last more than a week. Then, with proper treatment, they gradually decrease and disappear completely after a few weeks. At the first symptoms of pinching, you can contact a therapist for further examination and diagnosis. If after a week the pain does not go away, it intensifies, it is better to immediately visit a neurologist. In some cases, an additional examination by an orthopedist, vertebrologist or surgeon is necessary.

Prevention of inflammation: advice from specialists IVR

Knowing what threatens to pinch the sciatic nerve, like any disease, it is better to prevent it. Vertebrologists and neurologists recommend the following recommendations:

• do not lift heavy things, do not overexert yourself;

• lead a healthy lifestyle, monitor nutrition and regular physical activity;

• include gymnastics in daily practice, take breaks when sitting for a long time: exercises for stretching the spine will be useful;

• keep out of drafts, do not get cold, do not sit on cold surfaces;

• watch your posture.

Conclusions

Pinched nerve is a common and familiar problem. Awkward movement, heavy lifting, a sharp turn can cause severe pain and backache.