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What are the possible causes of pain in the back of the thigh in someone with a herniated disk?

What are the possible causes of pain in the back of the thigh in someone with a herniated disk?

Lumbar disc herniation is common in young adults aged 30-55 years old, 60% of patients have a history of lumbar sprain, and most patients have a history of previous back pain. Special occupations, such as long-term sitting work, drivers, etc. have a tendency to suffer from the disease. Its typical symptom is lumbar pain with double lower limb pain, then, many people do not understand, why lumbar disc herniation will cause leg pain, the reason is that after the lumbar disc herniation compression of the nerve roots, these nerve roots innervate the sensation and movement of the lower limbs, so it will cause pain in the lower limbs.

Most people with lumbar discs, experience pain in the back of the thigh, and what causes this?

Since 95% of lumbar disc herniation occurs in the lumbar 4-5 or lumbar 5 sacral 1 vertebral space, patients are mostly accompanied by sciatica radiating to the lumbosacral region, posterior gluteal region, posterior lateral thighs, posterior lateral calves up to the heel or dorsum of the foot. The pain symptoms will be aggravated when the patient bends, coughs, sneezes, or relieves his bowels.

Lumbar intervertebral disc with pain patients, daily life we need to pay attention to the following points: 1, need to have a lot of time to rest in bed, usually can not move more, bed for a long time to relieve the effect of pain will be better, to avoid prolonged standing, sedentary 2, the best choice of wooden board bed, avoid using soft bed. 3, avoid lifting and carrying heavy objects, to prevent the body's over-twisting and violent exertion. 4, pay attention to the lumbar warmth, as far as possible, don't Cold, you can wear a belt, is conducive to warmth and lumbar spine recovery. 5, you can use different massage, massage, spinning and lifting manipulation therapy, can be achieved to ease muscle spasm or change the inflammatory reaction of the protruding nucleus pulposus and nerve root, to achieve the purpose of symptomatic relief.

I hope the above answer can help you.

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There are two common causes:

I. Corresponding nerve root compression

II. Rear thigh muscle stiffness/tear


I. Corresponding nerve root compression

Each pair of nerves is responsible for perception and muscle power in a different location. When a nerve is compressed, symptoms such as pain and numbness usually occur at the corresponding location.

And there are usually the following reasons for this type of nerve compression:

1) Lumbar disc herniation compressing the S1 nerve root (e.g. L5-S1 disc herniation)

The S1 nerve root dermatomes are in the buttocks, the posterior aspect of the thighs. Consequently, when the nerve root is compressed in this area, it is possible to manifest pain in the back of the thigh;

For this type of condition, you can incorporate deep back muscle exercises with sciatic nerve stretches to relieve pain;

For example, flexor nerve stretching exercises:

The gist:

Sit in a chair with your hands clasped and behind your back.

Bend forward as low as you can and straighten your aching leg

Keep your thighs and calves straight and still

Turn your foot up and down using your ankle as a pivot point

Stretching at the red point

Repeat 10 times and return to the starting position

Caution:

1) This is a nerve stretching exercise so do not overstretch!

2) No more than 10 stretches per session

3) If the symptoms worsen after exercise, it is possible that the nerves are over-sensitized, then you can reduce the amplitude of the movement or include a head-up movement, i.e.: raise your head with your toes pointing upward; lower your head with your toes pointing forward.


2) Stiffness and weakness of the pyriformis muscle compressing the sciatic nerve

The sciatic nerve consists of L4-S1, and the areas it innervates will be the buttocks, the posterior lateral thigh, and the posterior lateral calf. Consequently, when the pyriformis muscle becomes entrapped, it can also cause pain in the posterior thigh;

In this case, stretching exercises for the pyriformis muscle and hip strengthening exercises can be added appropriately to relieve the symptoms by relieving the stiffness and weakness of the pyriformis muscle.

E.g. Hip Strengthening Exercise: Clam Stretching Exercise

Action Points:

  • Lie on your side with your knees bent at 90 degrees;

  • The ankles are in a straight line with the hips, back, and head;

  • Slowly open the leg above you while keeping your pelvis from falling backward;

  • 3 sets of 10 reps a day.

If the pain is too high, you can reduce the number of movements, versus the amount of elevation.

II. Rear thigh muscle stiffness/tear

1)When the posterior thigh muscle (hamstring) tears.Due to inflammation and other reactions, pain in the back of the thigh usually materializes;

For these cases, ice as well as hamstring stretching exercises can be performed appropriately, adding hamstring strengthening exercises at a later stage.


2)And for the stiffness of the muscles in the back of the thighs.Because the nerve is attached to the muscle, if the muscle is more rigid and at the same time the nerve is compressed, it isIt can increase nerve sensitivity and aggravate pain in the back of the thighs, are also more prone to painful sensations in the muscles of the back of the thighs, especially the tendons in the popliteal fossa on the back side of the knee.


In this case, it is best if you need to incorporate stretching exercises for the muscles at the back of the thighs to ease the pain by increasing the flexibility of the muscles.

Examples include hamstring stretches:

Action Points:

Sit in a seated position, keeping your low back upright;

Stretch the leg on the painful side as far as you can, with your heel on the ground, and just feel the stretch on the back of your thigh;

If there is no stretch, you can increase the stretch in your legs by leaning forward at the waist (note that you are not bending over);

Hold for 10 seconds;

3 sets of 10 reps a day.

If the pain is too high, you can reduce the hold time and range of motion.


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Herniated lumbar discs can lead to a wide range of clinical complications. For some patients with lumbar disc herniation, there may be pain in the back of the thigh, what exactly is the cause of this?

If the body is protruding in the direction of the opposite side of the existence of leg pain, then it may be its muscles to maintain balance, and cause excessive muscle pulling pain, ultimately leading to the patient, for this situation, at this time you can try to take yoga movements such as the pigeon pose to carry out the corresponding relief.

If the patient has pain on the same side of the leg in the direction of protrusion, then this can be categorized as follows. First, the patient's muscles in order to maintain balance, and a long time in the contraction of tension, and ultimately lead to the pain situation. In addition, it may also be its lumbosacral protrusion compression of the sciatic nerve, and ultimately caused, for the first situation of patients, at this time you can try to relieve through yoga movements, while the second type of patients, you can try medication to ease the way.

For patients with lumbar disc herniation, daily nursing care is actually very critical. Patients should pay more attention at this time, in order to better assist the treatment of their disease. Sleeping on a hard bed can reduce the pressure on the patient's intervertebral discs, and if the patient sleeps in a side-lying and bent-knee position, he or she will often feel more comfortable.

In addition, patients should also pay attention to do a good job of keeping the waist warm, try to minimize the occurrence of cold. Pay attention to avoid catching cold and craving for cold things, try to avoid long time in the air conditioning, so as not to have a bad effect on their waist, when they feel the back strain situation exists, this time should be to lie down or sit in a chair with a backrest to rest is. Whether the patient is in a standing position, sitting position or other positions, at this time should pay attention to support the back at any time to reduce its pressure. When lifting heavy objects, avoid bending at the waist and keep the knees flexed, avoiding excessive twisting of the body and exerting force.

With the change of people's lifestyles, lumbar disc herniation has become a more common clinical type of disease, we must pay attention to do a good job in daily life related to prevention, in order to reduce the incidence of the disease, so as to better ensure the health of the organism.


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  Most people with lumbar disc herniation will have the symptom of pain in the posterior thigh area. This is because the herniated lumbar disc compresses the nerve roots, which innervate the sensation and movement of the lower limbs, and therefore cause pain in the lower limbs. This pain is characterized by cascading or radiating pain, which can radiate along the buttocks to the posterior thigh, lateral calf or posterior lateral thigh, and in some patients it can also radiate to the ankle, the dorsum of the foot or the soles of the feet, accompanied by numbness of the limbs, fear of coldness, and weakness and other symptoms. The pain is aggravated by coughing, sneezing or straining to defecate, but can be alleviated or relieved by lying down and resting.

  After lumbar disc herniation due to lumbar muscles after acute and chronic injury, the damaged muscles in the process of self-repair, will produce nodules, adhesions, muscle shortening, tension to make the distance between the vertebrae narrow, squeezing the annulus fibrosus, excessive pressure, the annulus fibrosus is ruptured, the collagen outflow compression of the sciatic nerve, the nerve transmits pain signals to the posterior side of the thighs on the emergence of pain.

  You should sleep on a hardboard bed if you have a herniated disc. Sleeping on a hard bed can reduce the pressure on the discs. When you sleep, you will feel more comfortable if you lie on your side and bend your knees. Pay attention to the lumbar warmth, try not to get cold. Avoid catching cold and craving for cold and raw food. Don't stay under air-conditioning for a long time, which is not good for the waist, and strengthen the protection of the lower back. During the recovery period of physical therapy, wear a lumbar girdle (lumbar belt), which is favorable to the recovery of lumbar spine. Whenever you feel strain on your back, lie down or rest in a chair with a backrest. If hunchback, in the sitting position, should keep the knee joint higher than the hip joint, which is conducive to supporting the back, at the same time, the soles of the feet should be able to fully contact with the ground, or else should be placed under the feet of a small wooden stool or reduce the height of the seat. Of course, you can also see a traditional Chinese medicine practitioner and take some Chinese medicines to dispel wind and remove paralysis and activate blood circulation and eliminate blood stasis.

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Hello, I'm happy to answer this question for you, I'm Ma Wenhui, a Saipu Fitness Rehabilitation Instructor.

Herniated discs in the lower back are one of the common and more worrisome back pains that we all suffer from. However, many people find that a patient with a herniated disc not only has pain in his lower back, but he also experiences corresponding tingling as well as numbness in the back of his thighs and even his calves as well as his feet, and that's what we're going to talk about today.

First of all, we need to first understand the following what is a lumbar disc herniation, lumbar disc herniation and why will produce pain. Lumbar disc herniation is mainly due to the lumbar disc parts (nucleus pulposus, annulus fibrosus and cartilage plate), especially the nucleus pulposus, there are different degrees of degenerative changes, under the action of external factors, the annulus fibrosus of the intervertebral disc rupture, the nucleus pulposus tissue protrudes from the rupture place (or out) in the posterior or in the vertebral canal, leading to the adjacent spinal nerve root suffers from irritation or compression, which results in lumbar pain, numbness of the lower limbs on one side or both lower limbs, pain and a series of clinical symptoms.

From the above we can learn that the pain of a herniated lumbar disc is a pain in the nerves and not in the soft tissues, etc. ,

Lumbar disc herniation is most prevalent in lumbar 4 to 5 and lumbar 5 to sacral 1, accounting for about 95% of cases. Then when we herniate, the more common nerve root that gets stuck is also the nerve root between lumbar 4, lumbar 5 and sacral 1, which is what we often call the sciatic nerve.

As we can see from the picture, the location and composition of the sciatic nerve is exactly between the lumbar 4, lumbar 5 and sacral 1, so when we herniate a disc in the lumbar area, it will press on our sciatic nerve. We all know that our skin and muscles are innervated by nerves, and when we have a problem with a nerve, it will affect the area it innervates, and the area innervated by the sciatic nerve is exactly the back of the thigh.

Because of this, when we have a herniated disc, the nucleus pulposus squeezes the sciatic nerve at the back, leading to tingling and numbness in the area innervated by the sciatic nerve, i.e., the buttocks and the back of the thighs.

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I suffered a sprain in the summer of 2012, which was undiagnosed after radiographs were taken. After participating in the company's 5 km cross-country process in the lumbosacral region needle-like stabbing pain. And then fell ill. Go to Weifang 89 hospital after taking MRI, the doctor said nothing happened, at this time I was bedridden all day, can not get up, a move on the pain. After that in Qingdao Qingda Hospital regular checkups have been diagnosed with lumbar muscle strain, from the treatment to the recommended conservative treatment, until May 2015 when the diagnosis of disc herniation after still following the doctor's advice conservative treatment. In October 2017, the back muscles, lumbar muscles, shoulder muscles, neck muscles, often appear intolerant pain, massage, pressure pain relief, aggravated by any labor, exercise. The pain is relieved after massage and pressure, and aggravated after any labor and exercise. The pain is often accompanied by pain along the entire spine from the neck upwards, and is noticeable in the joints. In the legs, there is constant pain in the upper part of the knee, with limited relief after pressing and hammering, and from time to time, there is a sudden uneven walking (the clinic reset several times, but it is felt that every time a part of the symptoms are relieved, the symptoms will recur soon afterward).In November 2017, the deputy director of the pain department of the Qingdao Medical College recommended that the pain be unrelieved for more than 6 weeks, and that the central protrusion be considered to have an increase in the intramedullary pressure, and that a minimally invasive surgery be performed, and I am considering it now for the fear that the surgery cannot completely cure the disease. Recently, I am considering it, but I am worried that the surgery can not be completely cured, and now the pain is seriously affecting the quality of life, and I can not do any physical work. I hope that some patients or doctors can give me some hope.

Overall symptoms: right side feels distinctly sore only after light hammering, left side slightly less so. Severe pain in the right side of the lower back, with bilateral pain in the back up to the neck. The right thigh is obviously sore, the knee is sore and weak, Ming from time to time obvious tingling, need to press the thigh or knee party to alleviate. Soreness in lower back after sitting for a long time, with aggravation of pain in legs after standing for a while. Muscle aches and pains are relieved when lying down, but when getting up the spine in the middle of the waist is obviously unable to support standing, relieved by pressure to assist walking.

This is the lumbar disc herniation pressed to the nerve, the back side pain is pressed to the bladder meridian, themselves with a little sharp things such as chopsticks, ballpoint pens, etc. Points to press the back of the stream point, the left side of the pain point right hand, right side of the pain point left hand, the point of the best waist back and forth left and right small range of activity activities, each time three to five minutes on the line, near the acupuncturist, then you can also do acupuncture, will be able to get rid of it soon. I hope to help you.

Some patients with lumbar disc herniation are not only limited to the waist, there are also many people say that the thigh numbness and pain, this is because of the lumbar disc herniation of different parts of the lower limbs caused by the range of pain is not quite the same, but if you say that is the back of the thigh pain, but also to consider is not the sciatic nerve compression or pyriformis muscle compression caused by.

If the leg pain is caused by lumbar disc herniation, conservative or surgical treatment can be chosen to reduce the edema of the nucleus pulposus, and traction massage is also effective, in order to make the herniated nucleus pulposus reduced or restored, and reduce the irritation and compression of the nerves, so that the symptoms of lumbar pain and leg pain will be relieved. If the conservative treatment is not effective, then the choice of surgery. Of course, if the pain is caused by compression of the sciatic nerve or the pudendal muscle, it can only be recovered by medication or physical therapy, and major surgery is still not an option for many people, so it is best to identify the cause of the leg pain before treating the symptoms.

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In the case of a herniated disc with pain in the back of the thigh, there are some characteristics of this pain, which is that it will be cascading or radiating pain, for example, there will be pain that radiates from the buttocks to the back of the thigh, the outside of the calf, and the back of the calf on the outside. However, there are some patients who are inconsistent in that he may have pain to the ankle, instep, or sole of the foot, along with numbness in the limb, coldness, and weakness.

First, the cause of lumbar disc herniation thigh pain at the back of the thigh

For the cause of pain in the back of the thigh from a herniated disk, it's very simple: the nerve is compressed, which then leads to sciatica. If you are still unsure, you can go to the hospital for a CT or MRI to further confirm the diagnosis!

But how to treat it, this depends on the hospital analysis, but generally to cure the disease well, surgery may be needed.

Second, the lumbar disk herniation compression nerve leg pain how to do

For this condition, to get relief from the pain, you can follow these points:

1、Lumbar traction

This method has a very obvious relief effect, usually at home when you can do it yourself! The specific method is to lie flat on the bed, hands fixed, in the place of the ankle tethered to the weight, and then hang the weight toward the ground, but the weight can not touch the ground. Just like this every day to do, but you can also buy a traction bed back to do, if the method is right, you can relieve without surgery.

However, very serious herniated discs are better treated professionally in a hospital and recover faster.

2、Bed rest

Herniated lumbar disc is the need to have a lot of time to rest in bed, usually can not move much, bed for a long time to relieve the pain of the effect will be better. However, the way to lie in bed must be correct, the main is to lie flat, pillow to lower some, and in the popliteal fossa of the feet where to put a pillow cushion, on the spine has a relaxing effect.

3. Soak your feet or take a bath

It is important to regularly soak your feet in hot water, or take a bath, mainly because it increases blood circulation in the body and provides a temporary relief from herniated disc pain.

4、Localized hot compresses

Due to the compression of the nerve, making the nerve edema and inflammation, the muscles of the lower back will be tight, resulting in poor blood flow in this area, and then it may make the pain worse. However, applying hot compresses to the lower back, legs and feet can speed up the blood flow and help to relieve the pain.

There is also usually pay attention to keep the lower back warm, when you sit down to find a support for the lower back, when you feel tired you have to stop labor, to sit down and rest, do not hold on strongly.

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The main thing is not to be anxious to seek medical advice, I also lumbar protrusion + disc stenosis compression neuralgia, after a year, all types of ointment and multiple tendon relaxation drugs, have tasted once, but not much use, of course, is not useless, for example, the ointment can be hot, put on a few hours or a certain amount of relief. But this kind of relief and their own expectations are completely too far away, so discarded, and then chose is physical therapy, began to hang the bar, Swallow fly and so on, as long as the name of it, are one by one to try it again, and then found that I hang the bar as well as the individual therapies will be more and more uncomfortable, and then changed to lie down to do Swallow fly and five-point support, as well as the side of the foot, morning, noon and night to do thirty, as well as with a few drops of the sciatic nerve spirit! Massage, plus infrared physical therapy lamp irradiation for half an hour, I did not expect to adhere to a week, the compression of neuralgia obviously improved, and now more than a month, the symptoms of pain disappeared, numbness of the situation and a little.

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