Home / Lower back pain: causes, treatment, in men, in women during pregnancy / Lower back pain radiating to buttock and leg: causes, treatment

Lower back pain radiating to buttock and leg: causes, treatment

The deformations in the lumbar spine load on the muscular system is uneven, which causes pain radiating to the gluteus Maximus. The spine, pelvis and skeleton of the lower extremities is a single functional system. Therefore, any deformation or abnormality in any of the divisions of this system causes unequal distribution of muscular tone, so that there are pain syndromes in muscles.

Bol v poyasnice, otdaushaya v yagodicu

Types of pain

Recurrent or persistent pain in the lower part of the lower back are:

  • Muscular-tonic ones, with spasms of the lumbar muscles and restriction of movement in this area;
  • Autonomic-vascular – for which characteristic signs are numbness of the limbs and burning pain, especially sharp when you change the position from horizontal to vertical;
  • Neurodystrophic – burning pain that worse at night, often pain in the buttocks extends to the lower leg and the foot, which is especially characteristic of inflammation of the sciatic nerve (sciatica).

Reasons

About the cause of pain in the lumbar region and the doctors are judged on what place she felt, and what her character: is the pain sharp or dull, sharp or tingling radiating to the left buttock or right, sore all over my back, joints, hips, feet, etc.

Reasons, which can hurt the lower back can be diseases of the spine:

  • Osteochondrosis, osteoporosis, curvature (scoliosis, lordosis, kyphosis);
  • Herniated;
  • Offset discs;
  • Sciatica;
  • The spondylosis and others.

Such localization of pain can be caused by injuries such as rupture of the intervertebral discs. Lumbar pain, extending to the muscles of the buttocks, are observed in inflammatory processes in the muscles and inflammation and diseases of internal organs (adnexitis, cystitis, practice and paraproctitis), or due to prolonged and severe birth complicated by injuries.

pochemu voznikaut irradiiruushie boli v poyasnice

Therefore, despite the fact that such pains are usually treated by a neurologist, in some cases, accurate diagnosis may need to consult doctors of other profile – therapist, orthopedist, urologist, gynecologist, gastroenterologist, endocrinologist, rheumatologist, neurologist and others.

Diagnosis

Because the lumbar pain radiating to buttocks (as left or right side or both sides), caused by different reasons, the doctor on the basis of anamnesis and clinical examination (assessment of muscle strength, tendon reflexes, sensitivity), may recommend to undergo a number of relevant surveys:

  • General and biochemical analysis of blood and urine;
  • Ultrasound examination of abdominal cavity;
  • X-rays;
  • Magnetic resonance imaging (MRI) gives the most accurate picture if you suspect the presence of a herniated disc.
  • Computed tomography (CT);
  • Electromyography (EMG);
  • Other types of surveys (e.g., glucose tolerance a bone scan etc.) on the testimony.

This list of events when lumbar pain radiating to the buttocks, is not compulsory and individually chosen, therefore, to Refine the analysis of the assigned support media: anti-inflammatory and analgesic drugs with antispasmodic effect, plasters, ointments and injections.

Treatment

If you experience pain in the lower back many don't rush to the doctor, and begin to self-medicate, that is fundamentally wrong, because this pain is a symptom, behind which may hide serious illnesses. Moreover, self-treatment can complicate the course of disease, since such attacks most usually begins to attach to the lower back heating pad and to put warm compresses. These actions are wrong, as cause even more spasm in the muscles and increases the pain. To reduce the pain needed cold compresses to reduce the spasms and relieving inflammation.

Apply a warming and anti-inflammatory drugs (gels and ointments) may be the case if the pain were the result of physical overloads, myositis, hypothermia, lumbalgia or injury. But even if the pain cannot stop, it is not exempt from mandatory visits to the doctor, who will make the diagnosis and prescribe treatment. After you have set the cause of discomfort in lower back treatment – conservative or surgical, based on the nature of the pathology.

Conservative treatment includes measures aimed at the removal of pain and elimination of discomfortlumbar. With this purpose is shown at rest, low movement, restorative therapy. Appointed anti-inflammatory and analgesic drugs, in some cases, a massage, mechanical traction to the spine, good results give manual therapy, acupuncture. Medical treatment of back pain involves taking such drugs as:

  • Nonsteroidal anti-inflammatory drugs (NSAIDs) – Aspirin, Nurofen, Ibuprofen, Diclofenac; Indomethacin, Ketoprofen;
  • Muscle Relaxants Is Tizanidine, Some Cyclobenzaprine, Carisoprodol, Baclofen;
  • Glucocorticoid hormones (Cortisone, Hydrocortisone), and synthetic (Dexamethasone, Triamcinolone, Betamethasone);
  • B vitamins;
  • Chondro – synthetic (Inoltra, "Hyalual"., Astrolon) and homeopathic (Traumeel, the purpose of the T).

If back pain caused by a herniated disc, trauma or severe bone pathologies with different etiology – is the optimal surgical treatment.