What does fact checked mean?
At Healthfully, we strive to deliver objective content that is accurate and up-to-date. Our team periodically reviews articles in order to ensure content quality. The sources cited below consist of evidence from peer-reviewed journals, prominent medical organizations, academic associations, and government data.
The information contained on this site is for informational purposes only, and should not be used as a substitute for the advice of a professional health care provider. Please check with the appropriate physician regarding health questions and concerns. Although we strive to deliver accurate and up-to-date information, no guarantee to that effect is made.
**Pain radiating from your pelvic region and traveling down your leg before your menstrual period could be premenstrual sciatic nerve pain.
If you are experiencing serious medical symptoms, seek emergency treatment immediately.
** It is a painful condition that is caused by the sciatic nerve being aggravated by endometrial tissue growing in your abdomen that is attached to or that is near your sciatic nerve.
The hormones during your menstrual cycle trigger the endometrial tissue to swell and press on the sciatic nerve causing pain. While surgery is the most common solution, hormone therapy and pain management may also be options for the treatment of premenstrual sciatic nerve pain.
What Is The Sciatic Nerve?
Your sciatic nerve is a large nerve that runs from the middle of your lower back down both legs. **It runs behind the knees and down into the feet.
The sciatic nerve controls the feelings in the legs and when it becomes irritated can cause pain in the lower back, hips and legs.
The pain may start as tingling and progress to weakness and numbness. ** The pain may radiate as far down as your toes.
- Your sciatic nerve is a large nerve that runs from the middle of your lower back down both legs.
- The sciatic nerve controls the feelings in the legs and when it becomes irritated can cause pain in the lower back, hips and legs.
What Is Endometriosis?
Acute Pain During Leg Raises & Ovarian Cysts
Endometriosis occurs when the uterine lining grows outside of the uterus 2. Its cause is not known, but affects 1% to 5% of women in child bearing years. The tissue can grown on the bladder, ovaries or in the abdomen. Symptoms can include painful periods, heavy periods, pain in the pelvis area and pain in the lower back area. Left untreated, endometriosis can cause infertility because the tissue can block off the fallopian tubes connecting the ovaries to the uterus 2.
Endometriosis symptoms are worse before and during your menstrual cycle because each month the body tells the uterine tissue to build up the lining of the uterus 2.
Since there is no place for this buildup of fluid to go because the endometrial tissue has grown outside of the uterus, it is either released into the body causing inflammation or it is contained in a fluid filled sac similar to a cyst. This build up of fluid and tissue causes the nerve to become inflamed. This can cause the endometrial tissue to aggravate the nerves and organs near their location, thus causing pain.
- Endometriosis occurs when the uterine lining grows outside of the uterus 2.
- Since there is no place for this buildup of fluid to go because the endometrial tissue has grown outside of the uterus, it is either released into the body causing inflammation or it is contained in a fluid filled sac similar to a cyst.
Symptoms of Premenstrual Sciatic Nerve Pain
When the endometrial tissue grows outside of the uterus near the sciatic nerve, it can cause severe pain radiating from your lower back down into your hips and legs. The pain can become severe enough to disrupt normal daily activities. The endometrial tissue can attach itself to the sciatic nerve. Bowel problems such as diarrhea, constipation, pain and bloating can occur.
- When the endometrial tissue grows outside of the uterus near the sciatic nerve, it can cause severe pain radiating from your lower back down into your hips and legs.
Causes of Ovarian Pain While Pregnant
Laparoscopy can be used to diagnose and treat endometrial tissue growth. Surgeons use intense heat to destroy the endometrial and scar tissue.
Less damage is caused to healthy tissues by this procedure. Recovery time is much faster than with traditional surgery.
Laparotomy, or major abdominal surgery, is sometimes needed if the endometrial tissue area is large.
In this method, the surgeon makes a large incision in the abdomen and physically removes the tissue. Recovery time for this surgery can take up to two months.
**A hysterectomy is a last resort and only used if the endometrosis has damaged the uterus or ovaries.
The surgeon removes the uterus and the ovaries if they are affected. Recovery time for this procedure can be from four to six weeks. **
- Laparoscopy can be used to diagnose and treat endometrial tissue growth.
- A hysterectomy is a last resort and only used if the endometrosis has damaged the uterus or ovaries.
Your doctor may prescribe hormonal therapy if your pain is not severe and surgery is not warranted. **This includes birth control pills.
** Progestins are used for women who can not take estrogen. Both of these are used to regulate your periods and lessen the symptoms.
Gonadotropin realeasing hormone agonists (GnRH) work by reducing the amount of estrogen in your body. This helps to relieve the symptoms and stops your periods. It is not recommended to stay on this therapy for more than six months unless you take estrogen along with the GnRH.
- Your doctor may prescribe hormonal therapy if your pain is not severe and surgery is not warranted.
- Gonadotropin realeasing hormone agonists (GnRH) work by reducing the amount of estrogen in your body.
Pain Medications Used To Alleviate Symptoms
Your doctor may have you treat your symptoms with over-the-counter medications such as naproxyn (Aleve) or ibuprophen (Motrin or Advil). If these do not relieve your pain, she may prescribe stronger pain killers for you.
Living With Prementrual Sciatic Nerve Pain
You can lessen your symptoms by limiting your consumption of caffeine and alcohol. Regular exercise may help to alleviate some pain. Using heat or cold compresses may offer some relief. Getting support online can help you cope with the emotional aspect of this condition. Communication with your doctor and learning all you can about your condition can help you find relief.
- You can lessen your symptoms by limiting your consumption of caffeine and alcohol.
- Using heat or cold compresses may offer some relief.
Acute Pain During Leg Raises & Ovarian Cysts
Causes of Ovarian Pain While Pregnant
Is Vitex Good to Take When You Have Fibroids?
Raspberry Leaf Tea & Menopause
Postpartum Hip & Thigh Pain
Testicular Pain After Sit-ups
Do Breasts Get Sore When Ovulating?
Black Cohosh & Fibroids
What Are the Causes of Postmenopausal Spotting?
How to Shrink Fibroid Cysts Naturally
- MedlinePlus Sciatica
- MedlinePlus Endometriosis
- American Academy of Orthopaedic Surgeons. Sciatica. Updated December 2013.
- Caridi JM, Pumberger M, Hughes AP. Cervical radiculopathy: a review. HSS J. 2011;7(3):265-72. doi:10.1007/s11420-011-9218-z
- Marco C, Miguel-Pérez M, Pérez-Bellmunt A, et al. Anatomical causes of compression of the sciatic nerve in the pelvis. Piriform syndrome. Rev Esp Cir Ortop Traumatol. 2019;63(6):424-430. doi:10.1016/j.recot.2019.06.002
- Ajala-Agbo T, Tang PT, Bat-Ulzii Davidson T. Unilateral leg weakness and pain secondary to metastatic anal squamous cell carcinoma. BMJ Case Rep. 2019;12(7):e227563. doi:10.1136/bcr-2018-227563
- Horment-Lara G, Cruz-Montecinos C, Núñez-Cortés R, Letelier-Horta P, Henriquez-Fuentes L. Onset and maximum values of electromyographic amplitude during prone hip extension after neurodynamic technique in patients with lumbosciatic pain: A pilot study. J Bodyw Mov Ther. 2016;20(2):316-23. doi:10.1016/j.jbmt.2015.08.006
- Rhanim A, El Zanati R, Mahfoud M, Berrada MS, El Yaacoubi M. A rare cause of chronic sciatic pain: Schwannoma of the sciatic nerve. J Clin Orthop Trauma. 2013;4(2):89-92. doi:10.1016/j.jcot.2013.04.001
- Mariniello G, Malacario F, Dones F, et al. Sudden post-traumatic sciatica caused by a thoracic spinal meningioma. Neuroradiol J. 2016;29(5):390-2. doi:10.1177/1971400916655479
Kathryn Pless lives in rural Florida and is a licensed cosmetologist and nail technician. She has had articles published in Nails Magazine and also had poetry published in The Sandhill Review, the literary journal of Saint Leo University.