Such pain disrupts not only the life, but even to walk. How is it possible that the pain caused by back, is able to penetrate the limb and cause lameness? Although the source is much higher, we will feel its effects, that the distance from the: back is sore, but numb and drag his feet. How back pain radiating to the leg?
Causes radiating pain in the legs can be draft, low back pain, hernia, tumors, and stress
This is due to a reflex nervous nature of pain, its ability to spread over the entire length of the nerve recovering from the spinal cord. If this nerve somewhere is irritated, there is a distant response.
One possible reason for the leg pain can be inflammation of the sciatic nerve
The Lumbosacral plexus is the nerve fibers emerging from the vertebrae l4, L5 and S1 — S3. This plexus is called the sciatic nerve. Comfortably the piriformis, it literally splits at the thigh and ankle muscles and joints, is the most effective and longest nerve in the human body.
Sciatica is thus similar to the lower limbs. The pain occurs in the lower back legs, called lumbosciatica. Usually suffers (is ill or pulls) one foot on the side of the nerve, but it happens and two-way reaction, in which both feet hurt.
The pain is not limited to, the patient stalking and other unpleasant feelings:
- Kolyat feet, lose sensitivity, pulling or numb
If the nerve is affected at the level of the sacrum, through the muscles of the buttocks and thighs, pain syndrome the sacrum and up the legs is called sciatica.
Very often people feel pain in back and leg in two different categories and see the root cause. "I have a pain in my right knee, numb foot. I can't become the legs and climb the stairs" — they describe in detail the condition of their limbs, forget the back, where everything before it. Surprised also, "incompetence" of the doctors, who, instead, that the treatment of the osteoarthritis of the knee, suddenly began to engage the spine.
But it is the spine, its complex nervous, muscular-ligament-vascular system is the root cause of sciatica.
Why sick, drag and numb feet
- Normal draft can be a cause of lumbago in the lower back, radiating to the legs. The same consequences that can result from sitting on cold surface swimming in cold water, and for the same reasons. All of them can be grouped into the term "hypothermia"
- Osteochondrosis — degenerative dystrophic process in the lumbosacral region is also at times leads to sharp pain, radiating to the extremities. The deformation of the disc touching the nerve fibers and cause inflammation
- The formation of the bulge and herniated discs can cause pain syndrome is very high intensity, if it is a compressed nerve. The pain impulse is distributed to the area of innervation with the speed of the current. I'm wondering what the feeling on the affected side also resemble the symptoms of a weak current: Tingling, burning, crawling skin crawling, feeling cold. These symptoms are called paresthesia. If the legs no longer hurt, and just numb, it could mean that because long-term compression of the nerve fibers, they began to atrophic processes
- Other diseases (ankylosing spondylitis, spondylosis, spondylolisthesis) leads to limitation and stagnation in the bone tissues, muscles, nerves and blood vessels, which stimulates inflammatory processes
- Spinal tumors and tuberculosis can also cause inflammation of the sciatic nerve and the feeling that drag and numb limbs
- Stress is not a harmless phenomenon and never goes unnoticed, especially if nerves are involved
The classification of the pain syndrome in back and legs
Its origin in all kinds of back pain radiating to the extremities, can be roughly defined into three main categories:
- The first group is associated with the neuroreflex the nature of the pain syndrome and pathological processes of the spine.
Here you can put all the DDP (degenerative process), because of which broke all the metabolic processes in the tissues and their diet, and infectious, inflammatory diseases and congenital dysplasia of the spine. The threat of nerve fibers here is two-fold:
- They are subjected to direct mechanical effects of parts of the spine
- Degenerative changes begin in the nerve fibers
- The second group is associated with muscle dysfunction in the back or legs. Cause it to turn different. This:
- Scoliosis of the spine, where it forms a permanent asymmetry of the muscle groups that are located on both sides of the arch
- The increased load on certain muscles as a result of awkward postures or physical stress
- Muscle myositis caused by hypothermia, infectious processes or congenital malformations
- Leg pain often occurs in a very banal reason — walking in high heels Cause foot pain can be uncomfortable shoes with heels
- Autonomic nervous system dysfunction — a third of the species the origin of sciatica
Vegetative-visceral disorders — this is a huge symptom, which includes all disorders of the internal organs and body systems related to impaired adjustment of the autonomic nervous system (ANS)
The autonomic system is closely linked to a Key principle of direct and feedback:
- The failures of the central nervous system, local damage to the spinal nerves, and the fibers cause irregularities in the VNS
- Autonomic disorders are a response to the nerves of the central nervous system, area of innervation, of which they are
Particularly often foot problems can occur when vegetative-vascular disorders in the area of the lumbosacral spine. Poor blood supply can cause pain in the back and limbs, muscular dystrophy of the foot.
To sum up the above, we can conclude:
To figure out why sick, drag and numb feet, because the pain is from the back, only after a thorough diagnosis:
- Anamnesis
- X-ray, CT and mri of the spine
- Angiography and
- Laboratory studies, etc.
For the treatment of back pain and leg
Treatment should be fully sufficient causes of the disease.
- If pain arises in the MDC, it is:
- Painkillers and anti-inflammatory drugs (Nsaids)
- Summary of techniques (stretching of the spine, which exhaust gas devices)
- Chiropractic and acupuncture
- Application of low frequency currents, magnetic therapy and other physical therapy methods to the hardware
- Exercises physical therapy
- Muscle dysfunction caused by scoliosis, in addition to the application:
- Specific corrective exercises
- Wearing a corset
- Treatment of myositis performed:
- Irritating ointments (if myositis is due to infection)
- Massage, physiotherapy
- In some cases, you may need antibiotic treatment
- Dystonia prescribed complex treatment:
- Vasodilators
- Angioprotectors
- Vitamins and stimulate the metabolism
- Sedatives sedatives
Treatment reflect pain is always a long process, because they usually occur in chronic long-term diseases that affect the human nervous system
Therefore, if back pain, try to immediately determine the cause of the pain and start the treatment without waiting for the moment when you start to hurt, go numb or pull the leg.
If the pain radiates to the leg, first think about lumbago sciatica (sciatica) or sciatica. Especially if your fingers go numb and my leg aches. Most often the case. And few people remember that such symptoms may be, and other diseases, such as acute appendicitis.
Reasons
- The most common cause is pathology of the spine (osteochondrosis, scoliosis, radiculitis, sciatica, disc herniation, ankylosing spondylitis, spondylolisthesis and other diseases of degenerative nature, as well as post-traumatic complications, tumors and inflammation);
- The pathology of the organs of the lower abdomen (kidney stones, cystitis, oophoritis, adhesions, inguinal hernia, appendicitis, etc.).
Important: rare diseases, leading to the emergence of a described syndrome, should not be forgotten.
Pathology of bone and muscle structures
Pain in the lower back, associated with disease of the spine and stretches the lower limbs, called lumbosciatica.
Degenerative process of the lumbar pain often develops due to compression of the nerve root and radiates to the lower extremity of the main nerves of the lumbosacral plexus, the sciatic, which is divided into fibular and tibial. The latter gives the popliteal fossa to rise to the nerves of the lower leg.
Compression of nerve roots occurs when the destruction of the intervertebral cartilage on the background of degenerative reactions. This reduces the distance between adjacent vertebrae and, therefore, less openings in the spine nerve roots. When herniated, they get annoyed directly to the protrusion of the hernia, tumors, abnormal tissue growths, although spondylosis is bony overgrowths, called osteophytes.
The underlying pathological process is always evolving inflammatory reaction in the form of swelling and dysfunction of the surrounding tissues, worsening the blood circulation to the affected area, preventing normal metabolism. The resulting increased muscle tone in the area of innervation of the roots of the disadvantaged, leading to a strengthening of pain.
Development changes in the spine usually marked the end of the process of ossification around 25 years, and it is considered a normal physiological phenomenon. This early aging of bone and cartilage structures can be suspended if you do not follow the principles of proper nutrition and strengthen the back muscles with special exercises.
The different nature of the pain syndrome
Diseases of the spine occur in the following types of sciatica:
- Bone-tonic — manifested a strong pungent convulsion, and at the same time develop a compensatory curvature of the spine, mobility of the lower back limited;
- Autonomic-vascular — pain burning in nature, accompanied by a feeling of numbness in the foot, you may get the feeling of cold or heat extremities, especially when you try to change the position of the body. So delicate vascular system of the pathological process;
- Neurodystrophic — evolving burning spasms mainly at night, sometimes the skin above the pathological foci thinner.
Important: the most common pain syndrome is mixed. One form of sciatica in its pure form are rare.
The clinical symptoms of some diseases of the spine
- When osteoarthritis pain can be acute or chronic. Acute pain occurs after sudden movements or heavy weights. Often, it is numb both feet are aching in the area of the hip joints, and mobility in the lower back is severely restricted.
Chronic pain is almost a constant companion of life, which almost used because of the lucid interval is very small. Thus pull in the lumbar region and along the branches of the sciatic nerve.
- When herniated, localized in the lumbar spine, pain is not necessarily at all, but the disturbed function of the pelvic organs: often pull the "piss toilet", can develop incontinence, it should be noted the legs, tingling and "pins and needles".
With the development of the pain syndrome may develop paralysis of the lower limbs caused by a complete compression of the motor rootlets. But more such serious consequences of the pathological process is not received.
- Sciatica, lumbago lower back radiates into the leg, which is lameness, muscle pains and pulls. Can reduce sensitivity at the posterolateral surface of the leg and the back side of the foot. Relief comes in the supine position, the back should be relaxed. Sometimes the pain syndrome is attenuated by the "fetal position".
Pathology of internal organs
Often lower back pain radiating to the leg, are a manifestation of diseases of internal organs. Limbs when this is the condition, the nerves pull and the pain can also give in the groin.
- Kidney stones can occur described the syndrome when the stone moves in the ureter;
- And adhesive disease of the nerves can put pressure spikes;
- Salpingoophoritis, uterine fibroids, endometriosis also manifest as discomfort in the lumbosacral segment and the leg on the affected side;
- Appendicitis with atypical location of the appendix (retroperitoneal is the rear surface of the cecum) is a pulling pain in right lumbar region, which shoots down my right leg. If on your back trying to lift straight right leg, she involuntarily bent and unfold outward.
These phenomena are explained by the peculiarities of the innervation of the pelvic organs and legs.