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Back Pain Traveling Into the Leg
Pain that starts in your back and radiates down your leg is commonly caused by compression of the sciatic nerve. Sciatic nerve pain, or sciatica, is usually a temporary problem, but it can cause a great deal of discomfort while it lasts 1. While you wait for the pain to go away, you can take steps at home to make yourself feel better.
If you are experiencing serious medical symptoms, seek emergency treatment immediately.
Symptoms
The most common symptom of sciatica is pain that begins in your lower back and travels down your buttock and the back of your leg, according to the Mayo Clinic 12. Some people may only have mild pain, but others can experience sharp, stabbing pain that causes intense discomfort. Your leg or foot may also tingle, burn or feel weak, according to the American Academy of Orthopaedic Surgeons. Most of the time, symptoms only affect one leg.
- The most common symptom of sciatica is pain that begins in your lower back and travels down your buttock and the back of your leg, according to the Mayo Clinic 1.
Cause
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Sciatica is often caused by a herniated, or torn, disk in the lower back that presses on the sciatic nerve, according to the Mayo Clinic 12. Other problems, such as a slipped vertebra, narrowing of the spine or muscle spasms, can cause sciatica 1. Accidents, injuries and tumors are sometimes to blame for sciatic nerve pain. Sciatica may also be the result of normal wear and tear associated with aging, according to the American Academy of Orthopaedic Surgeons 1.
Home Care
Hot or cold compresses may help to ease your pain. Ice is most helpful during the first two to three days you experience symptoms, according to the National Institutes of Health, and after that, heat may be effective. You can stay off your feet and rest for a few days while the inflammation goes down, according to the American Academy of Orthopaedic Surgeons, but you should begin gentle stretching and exercises as soon as possible. Over-the-counter pain medications can also help, but talk to your doctor before you use them on a regular basis.
- Hot or cold compresses may help to ease your pain.
- You can stay off your feet and rest for a few days while the inflammation goes down, according to the American Academy of Orthopaedic Surgeons, but you should begin gentle stretching and exercises as soon as possible.
Medical Treatment
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Your doctor may recommend physical therapy as a part of your treatment plan. Anti-inflammatory medications, muscle relaxers or pain medications may also be prescribed. Steroid injections may help you get temporary relief from the pain, according to the Mayo Clinic 2. If your pain is caused by a herniated disk and continues after other treatment options have been exhausted, your doctor might recommend surgery to remove a portion of the disk.
- Your doctor may recommend physical therapy as a part of your treatment plan.
- Steroid injections may help you get temporary relief from the pain, according to the Mayo Clinic 2.
Warning
If you lose bladder or bowel control, or develop numbness and tingling in your groin or genital region, seek immediate medical help, warns the American Academy of Orthopaedic Surgeons. Also, see a doctor immediately if your pain comes on suddenly and is accompanied by numbness and weakness, or if your symptoms begin after an injury, cautions the Mayo Clinic 2.
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References
- AAOS: Sciatica
- Mayo Clinic: Sciatica
- MedlinePlus: Sciatica
- Davis D, Maini K, Vasudevan A. Sciatica. [Updated 2020 Jan 25]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK507908/
- Giuffre BA, Jeanmonod R. Anatomy, Sciatic Nerve. [Updated 2020 Mar 11]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK482431/
- National Institute of Neurological Disorders and Stroke. Low Back Pain Fact Sheet. Updated August 13, 2019. ninds.nih.gov
- Verwoerd AJH, Mens J, El Barzouhi A, Peul WC, Koes BW, Verhagen AP. A diagnostic study in patients with sciatica establishing the importance of localization of worsening of pain during coughing, sneezing and straining to assess nerve root compression on MRI. Eur Spine J. 2016;25(5):1389–1392. doi:10.1007/s00586-016-4393-8
- Koes BW, van Tulder MW, Peul WC. Diagnosis and treatment of sciatica. BMJ. 2007;334(7607):1313–1317. doi:10.1136/bmj.39223.428495.BE
- Chen MR, Wang P, Cheng G, Guo X, Wei GW, Cheng XH. The warming acupuncture for treatment of sciatica in 30 cases. Journal of Traditional Chinese Medicine 2009 29(1):50-3.
- Lawrence DJ, Meeker W, Branson R, Bronfort G, Cates JR, Haas M, Haneline M, Micozzi M, Updyke W, Mootz R, Triano JJ, Hawk C. Chiropractic management of low back pain and low back-related leg complaints: a literature synthesis. Journal of Manipulative and Physiological Therapeutics 2008 31(9):659-74. doi:10.1016/j.jmpt.2008.10.007
- Bell J. Massage therapy helps to increase range of motion, decrease pain and assist in healing a client with low back pain and sciatica symptoms. Journal of Bodywork and Movement Therapies 2008 12(3):281-9. doi:10.1016/j.jbmt.2008.01.006
Writer Bio
Shannon Cotton is a freelance writer covering a variety of topics, including parenting, health and lifestyle. After nine years of writing for a weekly newspaper, she took her love of writing to the Web. Cotton attended Tarleton State University and received her bachelor’s degree in 2003.