Changes In Bowel And/or Bladder Control
Consult your doctor immediately if you have any sudden, unexplained changes in your bowel and/or bladder control. These changes may include:
- An inability to control your bowel and/or bladder movements.2
- Difficulty in passing urine, a reduced urinary sensation, a loss of desire to pass urine, or a poor stream.2,3
These symptoms indicate a rare, but serious medical condition called cauda equina syndrome. In addition to incontinence problems, cauda equina syndrome may also cause:
- Sudden pain and weakness in both your legs4
- Numbness in your groin, buttocks, genitals and/or inner thighs .2
Cauda equina syndrome can occur suddenly or gradually and typically requires immediate surgery to control the symptoms.3 If patients with cauda equina syndrome do not receive prompt treatment, it can result in difficulty in walking and/or other neurological problems, including lower-body paralysis. Doctors advise treating this condition within 24 to 48 hours of symptom occurrence in order to preserve lower limb function.2,3,5
While rare, sciatica caused due to severe disc herniation in the lower spine may progress into cauda equina syndrome.
Overuse Injuries And Trauma
Frequent use and repetitive movement patterns can lead to overuse injuries to muscles, ligaments, and joints. This could include:
- Exercises and physical activities, like tennis or golf, that require repetitive twisting and bending in the same directions.
- Frequently lifting heavy objects for work, or any movements that are regularly repeated.
Trauma can also lead to lower back and groin pain. Trauma could result from:
- Car accidents
- Falls
- Sports accidents
These can result in both acute and chronic injuries to the body, like strained muscles or broken bones. Depending on the type of trauma, the healing time and treatment needed can vary.
Both overuse and trauma injuries to the lower back or groin area can lead to weakness in the legs, tingling, numbness, pain, stiffness, or popping sensations.
Common Causes Of Hip And Groin Pain
Hip muscle strains and sprains: Sprains and strains are often the simplest explanation for your hip pain. Hip strains and sprains can happen if you overdo it while exercising. This can injure the soft tissues, such as muscles, tendons, and ligaments, if they are stretched beyond their limits. A hip strain or sprain can cause pain during everyday tasks as well as during sporting activities.
Besides pain, you may experience swelling, limitation of movement, and muscle weakness.3 A home exercise program can relieve your pain and restore range of motion. Specific exercises to strengthen the muscles that support the hip will improve your endurance and flexibility and prevent such injuries in the future.
Tendinitis: Tendons are thick cord-like structures that connect muscles to bones. When tendons become inflamed and irritated, the condition is called tendonitis. Hip pain due to hip tendinitis is typically present on the outer part or front of the hip.4 You may also experience symptoms like mild swelling and limited mobility.
Hip tendonitis is common in people who take part in running, swimming, cycling, and other high-intensity sports.5 Treatment for hip tendonitis consists of a short period of rest, followed by physical therapy. It is important to stretch and strengthen the hip area with rehab exercises to prevent the problem from recurring.
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How To Help It:
Hip arthritis can be helped somewhat with strengthening and mobility exercises in the hips, depending on how bad the wear to the joint is. If it is a really degenerated joint, you may need surgery like a total hip replacement.
You can try some of the exercises below if you think you may have hip arthritis, but stop if they become painful:
What Are The Causes
Sciatica can be caused by a number of conditions that irritate or compress the sciatic nerve:
- Piriformis syndrome: Tightening or spasm of the piriformis muscle can compress the nerve.
- Trauma: A sports injury or fall can fracture the spine or tear a muscle and damage nerves.
- Herniated disc: The gel-like center of a spinal disc can bulge or rupture through a weak area in the disc wall and compress nerves.
- Stenosis: Narrowing of the bony canals in the spine can compress the spinal cord and nerves.
- Osteoarthritis: As discs naturally age they dry out and shrink. Small tears in the disc wall can be painful. Bone spurs can form. The facet joints enlarge and ligaments thicken.
- Spondylolisthesis: A weakness or stress fracture in the facet joints can allow a vertebra to slip out of position and pinch the nerves.
Leg pain can also be caused by a joint problem in the hip or sacroiliac joint. This type of referred pain is quite common, but is not sciatica.
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Causes Of Pain In The Groin And Down The Leg In Females
A great review for our readers who treat pain patients
Medical News Today
When pain in the groin extends down the leg, it can make sitting, walking, and other tasks uncomfortable. The type of pain a person has and when they experience it may give clues about the cause.
In this article, we look at the potential causes of pain in the groin and down the leg and their treatment options.
1. Pregnancy-related pain
Many pregnant women experience something called symphysis pubis dysfunction . According to a 2012 case report, SPD occurs in;31.7%;of pregnant women.
SPD happens when the ligaments that help align the pelvis stretch too much, causing pain and instability.
A person may feel a radiating shooting or stabbing pain in their lower abdomen, groin, back, thigh, leg, and perineum. The perineum is the area of skin between the scrotum or vulva and the anus.
SPD can get worse when a person changes position, walks, or climbs stairs.
Treatment
This kind of pain typically goes away on its own after pregnancy.
However, treatment options can include:
- soft tissue therapy, which is a type of massage
- pregnancy support belts
- physical therapy
2. Fibromyalgia;
According to the;Centers for Disease Control and Prevention , fibromyalgia is a chronic pain that causes widespread muscle pain.
One;2015 article;states that females with fibromyalgia report bothersome pelvic floor symptoms and may experience pelvic pain.
Fibromyalgia pain can originate at specific tender points throughout the body.
What Is The Sciatic Nerve
The sciatic nerve originates near the base of the spine, where nerve roots at the L4, L5, S1, S2, and S3 vertebrae exit the bony opening of the spine and join into a single, large nerve and exits a bony arch called the sciatic notch. The sciatic nerve travels through the pelvis, passing under the front surface of the piriformis muscle as it travels through the pelvis.
It then cuts into two branches before going down each leg, branching out at the back of the knee to divide into the tibial and peroneal nerves, both of which supply the lower leg and foot. The sural nerves branch off from the tibial and peroneal nerves, terminating in the foot.
The sciatic nerve is responsible for bending the knee, bringing the thighs together , and flexing and extending the ankles and toes. It also provides sensation to the back of the thigh, the entire lower leg, the ankle, and the sole of the foot.
Visualizing the piriformis muscle and the sciatic nerve
The piriformis muscle originates at the front of the sacrum near the sacroiliac joint capsule and attaches to a bony knob on the femur at the outermost part of the hip.
The piriformis helps externally rotate and abduct the hip, fancy words for turning your hip outward and bringing your thigh outward to one side while your hip is bent, such as when raising your knee and bringing your leg out when getting out of a car seat. It also offers stability while walking, running and standing.
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A Constant Pain In The Rear
This type of pain, when caused by sciatica, worsens when youre sitting. If you experience anything similar to that, its likely to be sciatica. The important thing is that you pay attention to your body before the situation becomes worrisome.
So, the pain in the rear is more commonly caused by sciatica, especially if you experience constant pain in the area. Now, since not everything is sciatica, the best thing you can do is to consult a chiropractor.
The pain in the rear is more like a deep pain than a pulling sensation that occurs on the lower back and the legs. So, paying attention to the type of pain also helps the correct treatment.
The Indirect Results Of Nerve Compression
Another reason you may be feeling pain in one of your hips is that when you have a pinched nerve in your back that affects one side of your lower body, you tend to favor that side. The pain may alter the way you move, which can place added stress on your already hard-working hips.
So, if your hip pain is more of a dull ache and youre also experiencing some of the more classic signs of sciatica, the two are likely related.
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Osteonecrosis Of The Femoral Head
This issue, known as ONFH, causes the hip bone to deteriorate and collapse due to a lack of blood to the area. The cartilage that covers the hip bones also deteriorates, resulting in arthritis.
Hip pain is typically the first symptom, and it may accompany a throbbing pain or dull ache in the buttocks and groin. As the condition progresses, it may be difficult to put weight on the hip and any movement may be painful.
This may progression can take several months to a year, and getting an early diagnosis leads to a better outlook.
Treatment
Internal causes of hip and groin pain may stem from underlying conditions or growths in other regions of the body. The issue may be:
Tension In The Neck Relief And Motion Restored With Chiropractic
Special spot. Nice skilled therapist touching his patients neck while pressing the special spot
Muscle tension in the neck is a common musculoskeletal disorder.; The neck is made up of flexible muscles that support the weight of the head. The muscles can experience injury and irritation from overuse and poor posture habits. Worn joints or compressed nerves can cause neck pain, but muscle spasms or soft tissue injuries commonly cause neck tension. Neck tension can present suddenly or progress slowly. Sleeping in an awkward position or straining the neck while engaged/involved in some activity can cause muscles to tense up. Chronic neck tension that comes and goes over the course of weeks or months could have a cause that goes unnoticed, like teeth grinding or being in a hunched position for extended periods.
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What Can I Expect If I Have Been Diagnosed With Sciatica
The good news about sciatic pain is that it usually goes away on its own with time and some self-care treatments. Most people with sciatica get better without surgery, and about half of these recover from an episode fully within six weeks.
Be sure to contact your healthcare provider if your sciatica pain is not improving and you have concerns that you arent recovering as quickly as hoped.
Sciatica Symptoms In Hip Is It Sciatica Or Something Else
Sciatica symptoms in the hip is a very common feature of sciatica but it can also be a sign of a completely different issue entirely. Use this handy guide below to find clues as to whether your pain is a sign of sciatica symptoms in the hip or a different problem.
Before we dive in, please be aware that we are part of the Amazon Affiliate programme. This page may contain Amazon affiliate links, so if you choose to purchase a product for your sciatica that we recommend through a link on this page, we will receive a small commission at no extra cost to you. This helps us keep Overcome Sciatica alive! Thank you for your support. Please be assured that we only ever recommend products that we truly believe can help.;
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Hip Pain And What Might Be Causing It
Hip pain is often much less serious than sciatica, as its not caused by nerve damage. Hip pain refers to any pain or irritation you may be feeling in the outside of your hips, upper thighs, your hip joint, or buttocks. This pain is often caused by damage to the muscles, ligaments, or tendons. It is a pain that radiates from the soft tissue instead of from the nerve.;
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Sciatica Symptoms Or Something Else
Sciatica isnt the only reason for pain in the legs, ofcourse. Other conditions can mimic sciatica:
- Vascular disease: Narrowing of the bloodvessels in the legs can cause pain and cramps and might make it hard to walk.
- Peripheral neuropathy: Small nerves inthe legs can become damaged, causing burning, pain, tingling or numbness in thefoot or lower leg. This type of nerve damage is often related to diabetes,alcohol use disorder or other medical conditions.
- Peroneal neuropathy: An injury to the peroneal nerve below the knee can cause weakness and make it hard to lift the foot.
How can you tell if youre dealing with sciatica orsomething else? Sciatica tends to affect the length of the leg, not just thefoot. And most often, that pain radiates downward from top to bottom, Dr.Thomas says.
Another clue: Sciatica usually strikes just one side. If you have pain in both legs, it is less likely a disc herniation, but more likely due to degenerative changes like spinal stenosis, he says.
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Leg Pain From Hip Disorders
When the hip is affected, you may have groin pain on the affected side, reduced range of motion of the hip, thigh pain, knee pain, or buttocks pain. The pain usually does not go down below the knee, and there is no associated numbness or tingling. You may feel more pain when walking or standing, and the pain improves with rest. You may sense a limited range of motion when trying to get out of the car, chair or bed.;Occasionally, pain in the hip could be secondary to inflammation of a hip bursa. This can happen if you have tight hip abductor muscles, difference in leg length or hip arthritis. Hip pain can also be caused by something more serious but less common, like fractures, tumors, infection or avascular necrosis.
Are Restless Leg Syndrome Multiple Sclerosis Carpal Tunnel Syndrome Plantar Fasciitis Shingles Or Bursitis Related To Sciatica
While all these conditions affect either the spinal cord, nerves, muscles, ligaments or joints and all can cause pain, none are directly related to sciatica. The main causes of these conditions are different. Sciatica only involves the sciatic nerve. That being said, the most similar condition would be carpal tunnel syndrome, which also involves a compression of a nerve.
A final word about sciatica. . . .
Most cases of sciatica do not require surgery. Time and self-care treatment are usually all thats needed. However, if simple self-care treatments do not relieve your pain, see your healthcare provider. Your healthcare provider can confirm the cause of your pain, suggest other treatment options and/or refer you to other spine health specialists if needed.
Last reviewed by a Cleveland Clinic medical professional on 03/25/2020.
References
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Where Is Sciatic Pain Typically Felt
An individual suffering from sciatica feels pain due;to radiating along the sciatic nerve. It starts from your lower spine and travels to the back of your leg and down the buttocks. Various problems in your lower back can cause the sciatic nerve to become irritated or pinched, which then causes nerve pain in these areas.
The pain is generally felt in one leg only. Sciatica symptoms include a type of pain that may be searing or sharp. Burning pain is also a type of pain possible.
You will experience different kinds of muscle pain, lower back pain, upper back pain, neck pain, or arm pain,; depending on where your sciatica is located. Different nerve roots produce other sensations and different pain signals based on location.
Sciatica is most commonly associated with the lumbar spine and sacrum. The source of your sciatic pain will create slightly different symptoms from each other.
L4 Nerve Root
Pain in the hips, thighs, inner knees, calves, and feet may be caused by irritation to the L4 nerve root. The thighs and hips may feel weak, and the calves may feel numb.
If sciatica is at the L4 level, the person may lose the ability to bend their foot or walk on their heels, and their knee-jerk reflex may be decreased.
L5 Nerve Root
S1 Nerve Root
The third, fourth, and fifth toes may also be numb or tingling in individuals with sciatica from the S1 level.
Your Sciatica Pain Symptoms Can Be Relieved
Sciatica pain symptoms can be very uncomfortable and should be treated before they escalate to a more chronic condition.
If you feel as though you are suffering from any of the symptoms described above a proper examination can confirm the cause of your sciatica pain. For a sciatica assessment call one of our Sydney CBD chiropractors today or book online to see if sciatica treatment can help you.
GET EFFECTIVE SCIATICA TREATMENT
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What Sciatica Pain Feels Like
Firsthow do you first realize you may have sciatica? What does sciatica pain feel like, and why is it happening to you?
Because the symptoms of sciatica usually appear in the buttocks and leg , many people mistakenly believe theyve sustained a leg injury. Actually, sciatica pain is a lower back issue. It originates in the largest nerve in the human body, the sciatic nerve. Also called the ischiadic nerve, the sciatic nerve begins in the lower back and runs behind the thigh to the knee, where it splits into the tibial and common peroneal nerves that continue down into the feet.
So when you feel a shooting pain or tingling, burning sensation somewhere in your leg, the actual source of these symptoms is some part of the sciatic nerve in the lower back or buttocks being pinched, damaged, or inflamed. For example, a vertebral disc may slide out of alignment, putting pressure on the nerve. Likewise, a back muscle may be swollen or inflamed from overexertion or injury, which can crowd the area around the spine and apply pressure.
The causes of sciatica pain can vary. Sports or accidents may contribute, as can degenerative spinal conditions. Pregnancy is also a very common cause.
Before treating your pain, your doctor will need to examine you and to determine the reason youre experiencing symptoms. Often, treating the underlying cause takes the pressure off the nerve and makes the symptoms disappear.
What are these symptoms, exactly?
- Pain anywhere along the leg
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