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Why Does My Lower Back And Legs Hurt

Blood Vessel Causes Of Leg Pain

Your Leg Pain Questions Answered with Dr. Joshua Dearing

The arteries and/or veins in the legs may get inflamed or blocked, causing leg and foot pain. Common causes include:

  • Peripheral artery disease: Decreased circulation caused due to blocked arteries.2
  • Deep vein thrombosis: Blood clot in the deep vein of the leg causing decreased or altered blood flow.3
  • Superficial thrombophlebitis: Blood clots in the superficial veins of the leg causing varicose veins or spider veins to form underneath the skin surface.4

Blood vessels may also get ruptured and cause bleeding within the tissue spaces of the leg, causing acute pain and swelling.

Low Back Pain Fact Sheet

If you have had lower back pain, you are not alone. Back pain is one of most common reasons people see a doctor or miss days at work. Even school-age children can have back pain.

Back pain can range in intensity from a dull, constant ache to a sudden, sharp or shooting pain. It can begin suddenly as a result of an accident or by lifting something heavy, or it can develop over time as we age. Getting too little exercise followed by a strenuous workout also can cause back pain.

There are two types of back pain:

  • Acute, or short-term back pain lasts a few days to a few weeks. Most low back pain is acute. It tends to resolve on its own within a few days with self-care and there is no residual loss of function. In some cases a few months are required for the symptoms to disappear.
  • Chronic back pain is defined as pain that continues for 12 weeks or longer, even after an initial injury or underlying cause of acute low back pain has been treated. About 20 percent of people affected by acute low back pain develop chronic low back pain with persistent symptoms at one year. Even if pain persists, it does not always mean there is a medically serious underlying cause or one that can be easily identified and treated. In some cases, treatment successfully relieves chronic low back pain, but in other cases pain continues despite medical and surgical treatment.

What Does The Sacroiliac Joint Do

The SI joints support the weight of your upper body. They act as shock absorbers during the transfer of loads from the trunk of your body into your pelvis and legs. They also support your range of motion when you bend or twist at your hips.3

These joints are sturdy, have minimal mobility, and can withstand tremendous pressure.1,3

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What To Do If You Suspect Something Else

Theres only one major tiphere: See a doctor, whether it is your primary care physician or aspecialist. Each condition that mimics spinal problems comes with its own treatments,but the first step is an accurate diagnosis. For example, a nerve test such aselectromyography can help a doctor spot neuropathy, and a blood-flow testsuch as the ankle-brachial index can distinguish between spinal stenosisand peripheral arterial disease.

Its so important to look atall of your symptoms and history and do a thorough examination, Dr. Khalafsays. Its how we can tell the difference between a back issue and a medicalcondition.

Risk Factors For Leg Pain

Causes of Leg Pain, Symptoms, Prevention &  Treatment

A few risk factors associated with leg and foot pain include:

  • Advanced age
  • Poor posture
  • Occupations, such as heavy labor, sports, or military service

While the listed causes and risk factors are not comprehensive, one or more of these conditions are typically associated with leg and foot pain.

Read more: Leg Pain and Numbness: What Might These Symptoms Mean?

Several causes of leg pain can produce overlapping signs and symptoms. It is important to accurately diagnose the underlying cause of leg pain in order to effectively treat the condition as well as rule out serious problems, such as tumors, infections, or nerve damage.

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Ready To Address Your Back Pain

The University of Maryland Spine Network can help you put your pain behind you. With convenient locations throughout the state, the UM Spine Network is home to the region’s leading spine surgeons and specialists that can help you identify the source of your pain and put an end to it for good.

Put an end to your back pain. Find a spine specialist near you.

In This Section:

What Are The Risk Factors For Developing Low Back Pain

Anyone can have back pain. Factors that can increase the risk for low back pain include:

Age: The first attack of low back pain typically occurs between the ages of 30 and 50, and back pain becomes more common with advancing age. Loss of bone strength from osteoporosis can lead to fractures, and at the same time, muscle elasticity and tone decrease. The intervertebral discs begin to lose fluid and flexibility with age, which decreases their ability to cushion the vertebrae. The risk of spinal stenosis also increases with age.

Fitness level: Back pain is more common among people who are not physically fit. Weak back and abdominal muscles may not properly support the spine. Weekend warriorspeople who go out and exercise a lot after being inactive all weekare more likely to suffer painful back injuries than people who make moderate physical activity a daily habit. Studies show that low-impact aerobic exercise can help maintain the integrity of intervertebral discs.

Weight gain: Being overweight, obese, or quickly gaining significant amounts of weight can put stress on the back and lead to low back pain.

Genetics: Some causes of back pain, such as ankylosing spondylitis , have a genetic component.

Smoking: It can restrict blood flow and oxygen to the discs, causing them to degenerate faster.

Backpack overload in children: A backpack overloaded with schoolbooks and supplies can strain the back and cause muscle fatigue.

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Symptoms Coming From Your Back

Here are the most common symptoms of problems coming from the low back:

  • Central low back pain. Central low back pain is usually caused by small disk bulges or muscular strain in the low back. This type of low back pain usually responds to gentle stretches and postural correction.
  • Central low back pain with pain down both legs. This presentation is very typical of a condition called spinal stenosis. This condition occurs when the spinal canal is too narrow and the nerves that travel down the legs are compressed. The common presentation of stenosis is low back and leg pain with walking short distances that are relieved with sitting or bending forward at the waist. Research shows that physical therapy can be an effective treatment for spinal stenosis and should be considered before any surgical intervention.
  • Low back pain to one side or another, but confined to areas above the thigh. This presentation of pain is usually due to muscular strain and should readily respond to postural correction and gentle stretching. A small bulging disc may also cause this type of back pain. Degenerative arthritis may cause some bony overgrowth around a joint in your spine, and this may also pinch a nerve, leading to pain in your back or buttock.
  • If pain is accompanied by the sudden loss of muscular strength or loss of bowel or bladder control, an immediate visit to a healthcare provider is necessary.

    How To Tell The Difference

    Lower Back Pain During Leg Raises (THE FIX!)

    If you have leg pain without significant back pain, it can be hard to tell if the problem is your back or your hip. Vinita Mathew, MD, FAAPMR, is a physical medicine and rehabilitation specialist at Northwestern Medicine Integrated Spine Center. Here, Dr. Mathew explains what to look for and what to expect if you see your physician for leg pain.

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    Sharp Pain In The Lower Back And Hip On One Side

    A shooting and sharp pain felt on one side on your lower back and hip may be caused by muscle spasm, joint dysfunction, and/or nerve compression in the region. Common conditions that cause this type of pain are discussed below.

    Spasm of the piriformis muscle located deep in the buttock may cause 5:

    • Moderate to severe lower back, hip, and buttock pain
    • Referred pain that may extend into the back of the thigh
    • Inability to sit for a long time

    The pain is typically felt on one side and may be worsened by hip movements, such as when getting out of bed.5

    Piriformis syndrome is commonly caused by overactivity of the hip rotator muscles or sitting on hard surfaces for prolonged periods of time. An injury to the buttock may also cause this pain.6

    Read more: What Is Piriformis Syndrome?

    What Are Some Common Lower Back Pain Causes

    The causes of lower back pain are sometimes viewed as being mechanical, organic or idiopathic. Sometimes spinal conditions are congenital or acquired meaning the disorder develops later in life.

    • Mechanical lower back pain is often triggered by spinal movement and involves spinal structures, such as the facet joints, intervertebral discs, vertebral bodies , ligaments, muscles or soft tissues.
    • Organic lower back pain is attributed to disease, such as spinal cancer.
    • Idiopathic refers to an unknown cause.

    These are some of the things your doctor might look for or rule out when you schedule a visit for back pain.

    The common symptoms of lower back pain.

    Sprains and strains. Ligament sprains and muscle or tendon strains are the most common causes of lower back pain. Theyre often related to overuse.

    Degenerative disc disease. While the name sounds worrisome, it just means you have a damaged disc causing pain. Over time, discs become thinner and flatter due to wear and tear. That leaves them less able to cushion the vertebrae and more likely to tear .

    Herniated disc. The protective covering on intervertebral discs can tear over time. When this happens, the soft inner disc tissue may push through the outer layer. A disc that bulges or slips out of place is known as a herniated disc, bulging disc, or slipped disc. The herniation may press on nerve roots, leading to symptoms such as pain, tingling, numbness or weakness in the area that the nerve serves

    Read Also: Exercise For Lower Back Pain Mayo Clinic

    A Fat Wallet Can Trigger Piriformis

    You might not think of too much cash as a source of pain, but a fat wallet can trigger piriformis syndrome. The condition can affect men who wear their wallet in the back pocket of their pants. This puts chronic pressure on the piriformis muscle and can aggravate the sciatic nerve over time. You can avoid this problem by keeping your wallet in a front pocket or jacket pocket.

    Other Conditions That Cause Back Pain In Older Adults

    Pin on Leg pillow for back pain under knees better sleep experience

    We often see a range of less serious but still painful spine conditions in seniors. Most patients with these conditions will not require surgery. Physical therapy, medication, injectable anesthetics, or a combination of treatments usually can control symptoms.

    • Degenerative disc disease, which can cause whole spine pain, and lumbar arthritis, which usually causes low-back pain, commonly develop with age and are considered wear-and-tear conditions.
    • Sacroiliitis is an inflammation of the joints that connect your spine and pelvis. This condition can cause pain in the low back, glutes, and upper legs.
    • Ankylosing spondylitis is an inflammatory arthritis that causes patients spines to become inflexible, resulting in a continual hunched forward position and spine pain.
    • We also check for adult degenerative scoliosis and kyphosis, spine-curving conditions that can result in back pain and weakness in the lower extremities.

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    Can Further Bouts Of Back Pain Be Prevented

    Evidence suggests that the best way to prevent bouts of low back pain is simply to keep active and to exercise regularly. This means general fitness exercise such as walking, running, swimming, etc. There is no firm evidence to say that any particular back strengthening exercises are more useful to prevent back pain than simply keeping fit and active. It is also sensible to be back-aware. For example, do not lift objects when you are in an awkward twisting posture.

    Can Lower Back Pain Be Related To Weather

    If you feel like your lower back pain worsens on days when its cold or the weather is changing, you are not imagining things. Back pain can indeed be related to barometric pressure and outdoor temperature. Changes in pressure can sometimes cause pain in arthritic joints, including the spine. Muscles and joints in general react to the environment, which can make them stiffer and more likely to suffer an injury.

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    Arthritis Of The Spine

    Arthritis of the spine the slow degeneration of the spinal joints is the most frequent cause of lower back pain. All of us experience wear and tear as we age, and it is normal for your lower back to start acting up as you get older. As the cartilage breaks down between the spinal joints, surrounding tissues may become inflamed. The inflammation and the thinning of cartilage increase friction in the joints, which may cause pain in the lower back.

    Lower Right Back Pain Symptoms

    Why You Get Back/Leg Pain with Standing/Walking and What to Do About It!

    The back provides both strength and stability to the entire body, leaving it vulnerable to many kinds of injury. It’s possible for even severe back pain to be confined to just one side of the back. When the pain is entirely on the lower right side, it may suggest a specific type of injury or illness, and it’s important to have it examined. Low back pain is also called lumbago or sciatica.

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    Why Does My Lower Back And Hip Hurt

    Your lower back and hip are codependent structures. A problem in one of these structures can cause dysfunction and pain in the other. 1

    • If you have chronic lower back pain, the movements in your hip may be reduced and the muscles surrounding your hip joint can become tense and painful.2,3
    • If theres an abnormality in your hip function, the mechanics of your lower back may be altered, causing pain in both regions.4

    The lower back and hip share many groups of muscles. When a specific muscle is affected, it may lead to compensatory movements, fatigue, and pain in the other surrounding muscles.1

    Read on to learn how lower back and hip pain can occur together. While some conditions may affect one side of your lower back and hip, others can cause pain on both sides at the same time.

    What Exactly Is The Lower Back Anyway

    Your lower back is known as the lumbar region of the spine. It has a lot of heavy lifting to do: The lumbar spine carries the weight of your entire upper body, plus biomechanical stresses that occur with movement.

    The lumbar spine has five vertebraebackbones. Each vertebra has a large disc cushiony gel wrapped in a tough membrane on its front side that acts as a shock absorber. Each vertebra also has two cartilage-lined facet joints on its back side. Working together, discs and facet joints allow the spine to safely bend and twist.

    Your lower back also includes ligaments, tendons, and muscles. Ligaments are strong bands that hold the vertebrae and discs together. Tendons attach muscles to the vertebrae. These structures help limit excessive movement that could harm the spinal cord.

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    You’ve Been In Pain For Over A Week

    Most back pain will subside after a few days, but if you’ve been experiencing pain for over a week, then it’s time to call a doctor. Your doctor will perform any examinations or tests required to help get to the bottom of your pain before it could become a bigger problem. As is the case with many health conditions, prevention and addressing problems early is key.

    What Structures Make Up The Back

    Why does my back and leg hurt so much

    The lower backwhere most back pain occursincludes the five vertebrae in the lumbar region, which supports much of the weight of the upper body. The spaces between the vertebrae are maintained by round, rubbery pads called intervertebral discs that act like shock absorbers throughout the spinal column to cushion the bones as the body moves. Bands of tissue known as ligaments hold the vertebrae in place, and tendons attach the muscles to the spinal column. Thirty-one pairs of nerves are rooted to the spinal cord and they control body movements and transmit signals from the body to the brain.

    Other regions of vertebrate are cervical , thoracic , and sacral and coccygeal segments.

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    Less Common Causes Of Low Back Pain

    Inflammation of the joints of the spine sometimes causes back pain. Osteoarthritis is the common form of arthritis and usually occurs in older people. Ankylosing spondylitis is another form of arthritis that can occur in young adults and which causes pain and stiffness in the lower back. Rheumatoid arthritis may affect the spine but you are likely to have other joints affected too.

    Various uncommon bone disorders, tumours, infection and pressure from structures near to the spine occasionally cause low back pain .

    The rest of this leaflet is mainly about nonspecific low back pain – the common type of low back pain.

    What Are The Most Common Lower Back Surgery Procedures

    Spine surgery is not necessary for most people who have lower back pain. If you do need it, your doctor will recommend an appropriate procedure to address your specific symptoms and medical situation. Common spine surgeries include:

    Spinal Fusion. Two or more vertebrae are permanently fused together to limit excess spinal motion. Your surgeon will use a combination of bone, bonelike material, screws, plates and rods to hold the vertebrae together so they can heal into a single unit. Spinal fusion may be done to correct spinal deformities or to increase the spines stability in severe cases of spinal osteoarthritis or herniated discs.

    Laminectomy and laminotomy. Laminectomy is a surgery in which your surgeon removes the back portion of one or more vertebrae to create more space for the spinal cord or other nerves. In people with severe arthritis, bone spurs within the spinal canal can grow large enough to press on the spinal cord, causing pain and limiting mobility. In a similar surgery known as laminotomy, your surgeon will remove a small piece of bone called the lamina from the back of the vertebra.

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