This type of pain interferes not only life, but even by foot. How is it that painful irritation that arose in the back, able to penetrate lead in the limb and lameness? Although the source is much higher, and we feel his influence to this great distance: back pain, but numb and the legs. In what way is the pain in the back of the leg?
The causes of the barking in pain in the legs can drafts, osteochondrosis, disc herniation, tumors, and Stress
This is done by a nervous Reflex of the nature of the pain syndrome, to spread his skills over the entire length of the nerve, an animal from the spinal cord. When this nerve is irritated somewhere, then a distant response.
A possible cause for pain in the legs inflammation of the sciatic nerve can
In the lumbosacral Plexus, the nerve fibers, from the spinal l4, L5, and S1 — S3. This Plexus called the sciatic nerve. The piriformis muscle, it branches out, literally, on the leg and the upper ankle joint muscles and joints, as the most powerful and longest nerve in the human body.
Inflammation of the sciatic nerve expresses itself thus, in the lower extremities. Pain in the lower back and in the legs, called lumbosciatica. Usually hurts to suffer (or pulls) a leg, on the side of nervous, but it happens and two-way reaction in which both legs hurt.
Pain is not limited, and the patients keep track of other unpleasant sensations:
- Legs stinging, sensitivity, lose, draw, or deaf
If the nerve is affected at the level of the sacrum, with the application of the muscles of the buttocks and the hips, pain from the sacrum to the feet sciatica.
Very often people with pain in the back and leg parts in two different categories and not see the cause. "I have pain in the right knee, numb feet. I can not step on the foot, and a staircase to be achieved", please describe, to forget the state of their limbs, the pain in the back, everything is gone. Also surprised the "incompetence" of the doctors instead of to cure osteoarthritis of the knee, suddenly, in the surgery of the spine.
But just the spine, with its complex nervous system, muscular-ligament and circulatory System is the cause of the sciatica.
Why hurt the drag-and-numb-leg
- The usual drafts can be the cause of lumbago in the lower back, on the leg. Lead to the same consequences of sitting on cold surfaces, bathing in cold water, and similar causes. You can all be together under the term "sub-cooling"
- Osteochondrosis — degenerative-dystrophic process in the lumbosacral in regular intervals leads to a sharp pain in the limbs. The cause of deformation of the disc, the nerve fibers and cause inflammation
- Education and a bulging herniated disc may lead to pain syndrome in a very high intensity, if this happens pressing together of the nerve. The pain impulse spreads in the area of Innervation with a speed of electricity. It is interesting that the feeling on the affected side is also similar to the symptoms of a weak shock: tingling, burning, crawling sensation of tingling, feeling of cold. Such symptoms are called paresthesia. When the legs are no longer numb to hurt, but only, then this may mean that due to prolonged compression of the nerve fibers in them began the atrophic processes
- Other diseases (spondylitis, spondylarthrosis, Spondylolisthesis) cause blood vessels to restrict the mobility and Stagnation in bone tissue, muscles, nerves and blood, it stimulates inflammation
- Tumors of the spine, and tuberculosis can also cause sciatica, and the feeling that it attracts and numb in the limbs
- Stress — not so harmless phenomenon, and never goes without a trace, especially where nerves are involved
The classification of the pain syndrome of the back and legs
In its origin, all types of back pain, radiating into the extremities, you can determine, roughly, into three main groups:
- The first part of the first group with neuro-reflex nature of the pain syndrome and pathological processes in the spine.
Here you can see all of the VPD (degenerative-degenerative processes), because of which violates all of the metabolic processes in the tissues, and your diet, but also infectious, inflammatory diseases and congenital dysplasia of the spine Threat to the nerve fibers here double:
- They are subject to the direct mechanical action on the part of the limbs the spine
- Degenerative changes occur in the nerve fibers
- The second group is associated with muscular dysfunction in the back or the legs. The reasons for its different again. It is:
- Scoliosis of the spine, when formed persistent asymmetry of muscle groups on both sides of the arch
- Increased strain on certain muscles in consequence of an uncomfortable posture or physical overexertion
- Muscle Myositis, due to hypothermia, infectious processes, or congenital pathologies
- Pain in the legs often occurs in a very banal reason — go on High Heels, the cause of the pain in the legs with an uncomfortable shoes with high heels can
- Capsula — the third type of origin of sciatica
Vegetative-visceral disorders is a huge Symptom, which encompasses all disorders of the internal organs and systems of the body in connection with the disturbed regulation of the vegetative nervous system (VNS)
The autonomic nervous system is closely related to the Central to the principle of direct and Feedback:
- Disorders in the Central nervous system, local damage to the spinal nerves and fibers to generate interference with the VNS
- Autonomic disorders also include the response of nerve cells of the CNS, in the area of Innervation of where you are
Especially often problems with the feet can occur when the back of vegetative-vascular disorders in the area of the lumbosacral. Poor circulation can result in pain, the sensations in the back and the extremities, to a dystrophy of the muscles of the legs.
Summing up the above, we can conclude:
You know, why pain, pull and legs are numb because of the pain originating in the back, only after a careful diagnosis:
- History
- X-ray, Computer and magnetic-resonance studies of the spine
- Angiography of the vessels
- Laboratory tests, etc.
Treatment of pain in the back and the legs
The treatment should be entirely sufficient reasons for the disease.
- If the pain syndrome produced VPD, then it is:
- Painkillers and anti-inflammatories (NSAIDs)
- Traction techniques (stretching of the spine with the help of the exhaust system devices)
- Manual therapy and acupuncture
- Application of low-frequency currents, magnetic therapy and other physiotherapeutic Hardware methods
- Exercises of physiotherapy
- In the case of muscle dysfunction, which is used by scoliosis, in addition:
- Special corrective exercises
- Wearing a corset
- The treatment of myositis successfully carried out:
- Irritating ointments (Myositis if not caused by infection)
- Massage, Physiotherapy
- In some cases, antibiotic therapy may be required
- In the case of vascular dystonia prescribed treatment:
- Vasodilators
- Angioprotectors
- Vitamins and stimulants metabolic processes
- Sedatives Sedatives
Treatment reflective pain — there is always a long process, since they usually arise in the case of chronic of chronic diseases is reflected in the nervous system of the human
Therefore, if back pain, try immediately the cause of the pain, determine and start the treatment without waiting for the Moment when they start to hurt, stun, or drag your feet.
If the pain in the lower back to the leg, first and foremost, lumbago (sciatica) or radiculitis think. Especially when the fingers are numb and my feet hurts. Most of the time it is so. And hardly anyone remembers that such symptoms can also in other diseases, e.g. acute appendicitis.
Causes
- The most common cause is a pathology of the spine (osteochondrosis, scoliosis, sciatica, sciatica, intervertebral disc herniation, ankylosing spondylitis, Spondylolisthesis and other diseases, degenerative diseases, and post-traumatic complications, tumors and infectious process);
- The pathology of the organs of the lower divisions of the abdomen (Urolithiasis, cystitis, Salpingitis, adhesions, hernia, appendicitis, and others).
Important: About rare diseases to the emergence described by us syndrome, you should not forget.
Pathology of the muscular-skeletal structures
Pain in the lower back, associated with disease of the spine and spreads to the lower extremities, it is called lumbosciatica.
In the case of degenerative process in the lumbar spine pain is often caused by compression of the nerve roots and in the lower extremities on the nerve lumbosacral Plexus sciatic, peroneal, and tibial nerve. The latter, in the popliteal Fossa of origin of the nerves of the lower leg.
The compression of the nerve roots in the destruction of the Band of cartilage on the background of degenerative reactions. Here, the distance between the adjacent vertebrae is reduced, and accordingly less holes for the spinal roots. In the case of disc, you incidents directly irritated vypâčivaniem hernias, tumors — pathological tissue neoplasm, spondylosis — bony growths that are brought to the so-called osteophytes.
Against the background of the pathological process is an inflammatory reaction in the Form of swelling and injury of the surrounding tissues, the blood circulation of the affected area worsens, the normal metabolic processes are suppressed. The result is an increased muscle tone in the area of Innervation of strangulated nerve roots, which leads to an amplification of the pain syndrome.
The development of the changes in the spine usually with the end of the processes of ossification, with about 25 years and is regarded as a normal physiological phenomenon. Such premature aging of the bones and cartilage structures stop when the principles of proper nutrition and strengthen the back muscles with special exercises.
The Other Character Of Pain Syndrome
Disease of the spine manifested following types of sciatica:
- Muscle-tonic strongly manifested violent seizures, developed a compensatory curvature of the spine, limited movement in the lower back;
- Vegetative-vascular syndrome, burning character, accompanied by a feeling of numbness in the area of the foot, you may feel the cold or heat in the limbs especially if you try to change Position of the body. The vascular system responds to pathological process;
- Neurodystrophic — developed a burning cramp mostly at night, sometimes the skin thins over pathological focus.
Important: in most cases pain syndrome is mixed. While it is a Form of sciatica, in its pure form is rare.
Clinical symptoms of some diseases of the spine
- Pain syndrome in osteochondrosis can be acute or chronic. Acute pain occurs after lifting a sudden movement or weight. Often both legs are numb, hurts in the area of the hip joints, and the movement in the lower back are sharply limited.
Chronic pain is an almost constant companion of life, to get used to the almost as lucid interval is very small. It pulls in the lumbar area and the course of the branches of the sciatic nerve.
- In the case of herniated discs localized in the lumbar spine, pain can not be, but impaired function of the pelvic organs: often pulls "always small in the toilet", urinary incontinence can develop in the legs celebrated a sensation of tingling and "crawl".
In the development of the pain syndrome, paralysis of the lower extremities may develop, due to the complete compression of the motor nerve roots. But more and more often to such a serious consequences of the pathological process has not yet been reached.
- Sciatica, and lumbago in the lower back to the leg, the lameness appears, the muscles hurt and pulls out. May the sensitivity be reduced to the posterolateral surface of the tibia and on the back of the foot. Relief comes in the prone position, the back should be relaxed. Sometimes, pain syndrome weakened in "a pose of the embryo".
Pathology of the internal organs
Often back pain radiating into the leg, are a Manifestation of the pathology of the internal organs. The finiteness of stunning, along the nerve and the pain can also be in the abdomen.
- Urolithiasis is the described Symptom of, if the stone is the ureter;
- In the case of adhesive disease of the nerve Spikes can press;
- Salpingitis, myomas, endometriosis, discomfort in the lumbosacral Segment, and leg of the affected side;
- Acute appendicitis in a stranger's arrangement of the plant (retroperitoneal on the posterior surface of the cecum) is manifested drawing pains in the right lumbar region, which is in the right leg. When in the supine position, try to lift the right leg straight, you will bend involuntarily, and to unfold to the outside.
Similar phenomena explains the peculiarities of the Innervation of the pelvis and the legs.