Pain in the buttock, radiating to the leg, in most cases affects one side (left or right), although it can be bilateral. It can intensify when climbing stairs, sudden movements. A person is not comfortable sitting, and when walking, he spares his sore leg and limps.Treatments for pain in the buttock extending to the leg
Pain can occur spontaneously. In the acute period, it does not subside even in the supine position, is accompanied by muscle spasms, increases with a change in posture, coughing. Difficulty turning the torso, bending or straightening the joints. Pain is a signal of a disorder that requires urgent help. There are various reasons causing it, including dangerous etiology. Therefore, it is important not to postpone a visit to the doctor (therapist or orthopedist) and find out what is happening in your body.
Causes of painful sensations
In most cases, pain in the buttocks radiating to the left or right leg occurs with osteochondrosis and osteoarthritis. Between the vertebrae L4 and L5 of the lumbar spine, the vertebrae L5 – S1 of the sacrum, there are nerve roots, which, when pinched or in the presence of a hernial protrusion, innervate pain or weakness through the buttock to the outer thigh, through the calf muscle to the front or back of the leg, causing numbness of the fingers or parts of the foot. If you raise your big toe, you feel weakness in the entire lower limb.
The appearance of pain can be provoked by such factors:
- hypothermia – general or lumbar;
- sedentary lifestyle;
- metabolic disease;
- excess weight;
- injuries to muscles and ligaments, including old ones, received long before the onset of pain.
After falling on the buttocks, muscle fibers in the area of injury are gradually replaced by a scar of connective tissue. Over time, it begins to squeeze the sciatic nerve, causing pain. Non-disease-related pulling pains can appear with the following conditions:
- intensive growth in adolescence.
Diseases with a characteristic symptom
To detail the pain syndrome, it is important to listen to your body. With various diseases, the sensations and symptoms of pain can be expressed in the following patient complaints:
- In the sacral region, passing into the legs. With protrusion, it periodically aggravates and subsides. It can be shooting, sharp, and can cause local spasm. Tingling and numbness appear in the legs and sacral area.
- Dull pain in the lower back, groin, and upper leg is characteristic of piriformis syndrome . Its reactive inflammation is caused by tuberculosis, osteomyelitis, arthritis, arthrosis of the hip joint .
- Pulling, radiating to the lateral part of the leg up to the foot (stripe-like localization) can be with a hernia and pathology of the hip joint.
- Burning pain in the same area occurs with Roth-Bernhardt disease.
- Aching or stitching. With malignant tumors of the pelvic bones, spinal cord, bursitis of the tendons of the gluteal muscles.
- Pressing or pulling in the lumbar region and knee is typical for diseases of veins and arteries, as well as damage to ligaments and tendons.
- Releasing to the front of the thigh and downward may appear after surgery in the lower abdomen. Severe – simultaneously with muscle atrophy, which is observed in diabetes mellitus, if asymmetric proximal neuropathy develops.
In children under 10 years of age, pain may appear with bone tuberculosis. Symptoms of pain in the buttock to the right and left, spreading to the legs, can be very different for such diseases:
- inguinal hernia;
- pathology of the pelvic organs in women;
- purulent-inflammatory processes;
- rectal pathology;
- kidney disease;
- herpes virus;
- chronic meningitis;
- post-injection abscess.
Acute sharp pain may appear during an injection into the buttock. This means that the needle has touched the sciatic nerve. In the patient, this can cause tingling in the legs and lower back, numbness, lameness: clinical disorders can be expressed in different ways and last for a long time.
Therapy depends on the underlying disease, its severity, and the age and sex of the patient. For orthopedic pathologies, it includes the following drugs:
- anti-inflammatory nonsteroidal (eg, Diclofenac, Ibuprofen);
- muscle relaxants (to eliminate muscle spasm);
- improving blood circulation.
It is advisable to stay in bed. With local purulent processes, Ichthyol ointment or Vishnevsky is used. The complex treatment for orthopedic pathologies includes the following methods:
- manual therapy;
The doctor necessarily prescribes physiotherapy exercises that restore blood circulation.
Pain relief methods
The first thing to do is relieve the pain. The doctor prescribes injections and pills, and if the pain is severe, such that analgesics and antispasmodics do not help – novocaine blockade. The pain will subside more quickly if the middle gluteal muscle relaxes. To do this, you can use this method:
- Lying on your back, slightly raise your legs, bent at the knees.
- Divide the buttock into 4 squares and find the pain point in the middle of the upper right. When you press on it, there is irradiation to the lower back and legs. Without stopping to press the trigger point, it is necessary in a standing position, the leg bent at the knee, put on a low stool so that the knee is at the level of the lower abdomen, and turn it 10–20 times to the side. If necessary, you can hold onto the support.
- Place a tennis ball under this point, lie there for 10 minutes, then take your leg to the side.
But these exercises will not relieve pain in all diseases, for example, with piriformis syndrome, they are useless.
If the discomfort is caused by inflammation of the sciatic nerve, you can use pharmacy warming ointments or such recipes for compresses of traditional medicine:
- from the leaves of white cabbage, heated and slightly softened with boiling water, make for 2-3 hours;
- from beeswax, heated to a plastic state, for the night.
Home remedies can be treated only after the doctor diagnoses the disease and in combination with therapy.
You can not prescribe yourself injections, massage, warming up in a bath or bath. Improper treatment, such as lumbagoischialgia, will lead to the fact that over time, the state of health will deteriorate and the disease will become chronic. You should not try to enhance the effect of analgesics with alcohol.
To prevent the disease from returning, it is important to listen to these recommendations:
- if you are working sitting or standing, take breaks to warm up your lower back and legs;
- sleep on a semi-rigid surface, preferably on an orthopedic mattress;
- do not lift weights;
- keep your back warm;
- Sit in a high-backed chair with a roller under your lower back
- to strengthen the skeleton, eat foods rich in calcium, and periodically support the body with courses of vitamin and mineral complexes;
- to restore your own spinal tissue, introduce meat with tendons and cartilage or similar pharmaceutical preparations into the diet;
- stop eating solid fats if your family has had cases of vascular disease;
- watch your weight.
It is important not to sit up, move as much as possible: run or walk fast, swim, do exercises every day. Physical activity should be proportionate to the state of health and age.