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|Back Pain and Leg Pain
|Much more commonly, when lower back pain is accompanied by radiating pain, the radiating pain only travels into the buttock and thigh, and doesn't travel below the knee.
And, most commonly, the thigh pain is found in the back of the thigh, rather than in the front of the leg.
Most of the time, this radiating pain does NOT come from a herniated disc, and does NOT mean the problem is sciatica (caused by an inflamed sciatic nerve, likely caused by a disc herniation).
This type of pain that travels into the buttock and the back of the thigh is usually caused by mechanical changes in the sacroiliac joint and the spinal joints of the lower back. These mechanical changes relate to tight spinal muscles and inflamed spinal ligaments and tendons, with resulting loss of full mobility.
The good news is such problems are treatable with chiropractic health care. The underlying problems are structural, related to the joints and surrounding soft tissues, and chiropractic treatment is designed to restore balance and function. Symptoms typically begin to improve quickly.
In addition to treatment, your chiropractor will likely recommend stretches and exercises to help solve the problem and maintain physical health.
First of all, a little basic anatomy is useful. Spinal discs are weight-bearing shock absorbers. They contain a gel-like ball-bearing center, which is surrounded by tough fibrous cartilage, arranged in concentric, criss-crossing circles.1
As a person gets older, the discs naturally lose some of their water content, and cracks and fissures naturally develop in the fibrous cartilage. If a weight-bearing stress is unusual and unexpected, the gel-like material in the center of the disc can push through one of the fissures and possibly irritate a spinal nerve.
If enough of this material pushes through, the nerve can become inflamed and cause symptoms such as radiating pain and/or numbness, and possibly weakness, in one leg.
Typically, such pain and/or numbness radiates down the leg, traveling below the knee and possibly into the foot.
Such symptoms, with or without back pain, are highly suggestive of an inflamed spinal nerve. In fact, the person will usually say the leg symptoms are much worse and of greater concern than any back pain that may be present.
If the MRI confirms the disc herniation and suggests an inflamed nerve, the diagnosis is complete. What's next?
In the best scenario, conservative treatment may be sufficient and the nerve inflammation improves with time.2,3 Anti-inflammatory medication may be helpful. Chiropractic conservative therapy may include physical therapeutic modalities and gentle trigger point therapy to relieve associated muscle spasms.
A spinal surgeon should be consulted to provide an additional opinion and input. If pain is severe and there is neurologic loss, surgery may be the best option.
Of course, the best management, as always, is prevention. Pay attention to safe lifting procedures. Exercise regularly and get sufficient rest. Your chiropractor will be able to provide guidance and recommend effective protocols to help you achieve and maintain good health and wellness.
1Postacchini F: Lumbar Disc Herniation. Springer, 2004, Chapter 2.
2Rothoerl RD, et al: When should conservative treatment for lumbar disc herniation be ceased and surgery considered? Neurosurg Rev 25(3):162-165, 2002.
3Lumbar Disc Herniation. New Engl J Med 347(21):1728-1729, 2002.
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Such nice office space. The Front Desk Manager was extremely helpful in scheduling me in for a same day appointment. With years of seeking medical attention for a severe neck/shoulder pain, Dr. Peter was the first Dr to sit with me and listen to my concerns. He was patient, attentive and created a treatment plan that I felt comfortable. His practice is modern, up to date and so comfortable. I highly recommend his practice if you're looking for quality treatment.
~ Emory S.
I saw Dr Peter to help me with some chronic back and neck pain. He did a fantastic job. Took his time to go over everything and explain what he was doing throughout the assessment. After the adjustment I felt so much better. Neck and back felt significantly better. I'll definitely continue seeing him.
~ Rachelle P.
Today, the "teacher" became the student/patient. In desperation and severe pain, I called my former chiropractic student, Dr. Kantzilieris to see if he could "fix" me. After a treatment by his gifted and truly magic hands, I walked out of the office totally upright for the first time today with an 80% reduction in pain. I never had a doubt. In the Paramus and surrounding area, look NO FURTHER than Next Step Chiropractic for your wellness needs!
~ Mary F.
After years of receiving treatment for a chronic pain condition at several other locations without much success, I visited Next Step Chiropractic in April. Dr. Peter is by the far one of the most understanding, respectful, and knowledgeable chiropractors out there. He genuinely cares about his patients and offers a variety of treatments, such as cold laser therapy and ultrasound. He came up with an individualized plan for me and for the first time in years, I have felt long lasting relief! I love that the office has individual treatment rooms for privacy. I highly recommend visiting Next Step Chiropractic and Dr. Peter.
~ Veronica C.
Amazing doctor. Had issues with my legs. After therapy and followed his instructions 3 months later I'm GREAT. Will I go again? 110% yes
~ Robert R.