Recently, more and more often young people turn to specialists about back pain of different localization. Many doctors associate this with the lack of mobility inherent in urban residents who work in the office and move on cars. This way of life significantly increases the risk of various diseases of the musculoskeletal system, but not always the cause of such pain can be associated with the spine. Let us consider in more detail why the lower back can ache and at the same time give (irradiate) to the legs.
Aching low back, giving in the foot - reasons
Pain syndrome, which hurts the lower back, giving in the leg, can have different intensity and character, be acute and chronic. So, patients can complain about burning, pulling, aching, shooting pain, giving to the buttock, thigh, shin, foot. In this case, the following may be noted in different cases:
- The waist hurts from one side - on the right or on the left - and gives in a leg;
- the loin hurts and gives in the right, left or both feet.
Against the background of this pain syndrome, scientifically called lumboschialgia, other symptoms are often observed:
- limited movement in the lumbar region;
- change in skin color, swelling of the lower limbs;
- numbness, burning sensation in the legs;
- irradiation of pelvic pain;
- increased pain during exercise, etc.
The following factors can provoke the appearance of lumbosciagia:
- insufficient or excessive physical activity;
- rachiocampsis;
- hypothermia;
- pregnancy;
- excess weight;
- disturbance of metabolic processes in the body;
- stress, etc.
The causes of such pains, associated with diseases of the spine, are often the following pathologies:
- osteocondritis of the spine;
- intervertebral hernia;
- arthrosis of the intervertebral joints;
- dysfunction of the vertebral-motor segments;
- spondylitis ;
- osteoporosis;
- disorders of the spinal circulation;
- tumors of the spine;
- spinal epidural abscess.
Back pains that give up the leg, which are not related to the pathologies of the spinal column, can arise for the following reasons:
- fibromyalgia;
- lesion of the lumbosacral plexus (in particular, in pathological processes in the retroperitoneal space),
- myofascial syndrome (more often affecting the small gluteus muscle);
- neuropathy of the sciatic nerve (associated with an unsuccessful injection or with a squeeze in pear-shaped muscle syndrome);
- defeat of the hip joint;
- postherpetic neuralgia;
- psychogenic factors, etc.
Treatment of low back pain in the leg
In the syndrome, characterized by the fact that the loin hurts and gives in the leg, the treatment is prescribed after diagnosis and clarification of the disease that lies at its basis. For this purpose:
- general clinical examination (clarification of complaints, collection of anamnesis, laboratory tests of blood, urine, etc.);
- radiography of the spine;
- computer or magnetic resonance imaging;
- myelography of the spinal cord.
In the acute period, general appointments, as a rule, are:
- bed rest;
- taking pain medications;
- therapy with nonsteroidal anti-inflammatory drugs;
- taking sedatives;
- use of muscle relaxants;
- physiotherapeutic procedures.
After the pain subsides, the treatment may include:
- massage;
- manual therapy ;
- therapeutic gymnastics.
Balneological, reflexotherapeutic methods of treatment give a good effect. If there is no positive result of conservative therapy, surgery may be recommended.