Pain in the buttock, radiating to the leg - a neurologist on the causes and consequences

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Pain in the buttock, radiating to the leg - a neurologist on the causes and consequences
Pain in the buttock, radiating to the leg - a neurologist on the causes and consequences

Today we will talk about such a common symptom as pain in the buttock that radiates to the leg and interferes with normal life and work. I am a neurologist at the Free Movement clinic with more than 20 years of practical experience. Today I am ready to set aside time and talk on a very interesting topic for those who are mainly engaged in sedentary work.

Pain in the buttock radiating to the leg

Of course, pain and other unpleasant sensations in the buttocks can also occur in people who are engaged in physical labor. But they will have completely different reasons. Today it is interesting for me to touch upon a problem concerning office workers.

Many of them begin to experience serious discomfort in the pelvic area after 1-2 years of their office work. At first, it's awkwardness and a little stiffness at the end of a working day. Then irritable bowel syndrome begins to appear. It manifests itself in all different ways. But the most common symptoms are: alternation of constipation and diarrhea, flying pains along the intestines, cramps and bad mood.

Well, after 3-4 years of sedentary daily work, hemorrhoids, varicose veins of the lower extremities and overactive bladder syndrome develop. And few people realize that all these health problems have one common cause. This is a violation of the innervation of the pelvic region. Well, her first symptom is pain in the buttock area, which radiates to the leg. This symptom develops against the background of a prolonged degenerative dystrophic process in the cartilaginous tissues of the intervertebral discs.

How does all this happen?

To begin with, the stability of the position of the vertebral bodies and the provision of reliable protection of the radicular nerves extending from the spinal cord through the lateral foraminal foramen are provided by the intervertebral discs. They consist of a dense annulus fibrosus and a nucleus pulposus located inside them.

This structure does not have its own circulatory system and can receive fluid and nutrition only during the active work of the paravertebral muscles.

What happens when a person, while performing their professional duties for 8 hours in a row (with a short break), is in a stable position, sitting on a chair? Here are the pathological changes occurring in the area of ​​his spinal column:

  • muscle fiber spasm occurs, it does not contract or relax;
  • completely diffuse nutrition of the cartilaginous tissues of the intervertebral discs stops;
  • due to a decrease in the tone of the paravertebral muscles, the pressure on the discs from the side of the vertebral bodies increases;
  • the process of microcirculation of blood and lymphatic fluid is disrupted;
  • the fibrous ring of the intervertebral disc loses its elasticity and becomes dehydrated;
  • it takes part of the fluid from the nucleus pulposus located inside it;
  • the height of the intervertebral disc decreases;
  • at the end of the working day, when a person gets up from the table and straightens his back, his intervertebral discs cannot straighten out at the same moment and their compression occurs.

This is the initial stage of degenerative dystrophic disease of the intervertebral discs (osteochondrosis). After 6 - 8 months, it passes into the stage of protrusion (decrease in the height of the intervertebral disc). Constant compressive pressure begins to be exerted on the radicular nerves and their branches. There is a change in the process of innervation. The large nerves are the first to suffer. Pain in the buttock radiating to the leg is a sign of pinching of the sciatic nerve and the development of piriformis syndrome.

These two pathologies lead to very negative health consequences in the future.

Why is pain in the buttock dangerous?

So, above I talked about the mechanism of the appearance of pain in the buttock area. Now a little about what this symptom may threaten you in the future. So, soreness is associated with the fact that pressure is exerted on the sciatic nerve, located in the thickness of the piriformis muscle. Large blood vessels also pass there. All this is located in the channel formed by the connective tissue. If a violation of the blood supply to the piriformis muscle is observed for a long time (and during sedentary work this is a consequence of constant mechanical pressure on it), then the tissues are deformed. Scar tissue develops. It presses on the sciatic nerve and blood vessels.

As a result of this, a number of concomitant pathologies arise:

  • expansion of the veins of the lower extremities - if the innervation is disturbed, the valve system stops working and the venous blood stagnates, stretching the vascular wall;
  • the intensity of blood supply to the muscles of the lower extremities decreases;
  • muscle fiber dystrophy begins and the level of glycogen storage in myocytes decreases;
  • this negatively affects the general condition of a person, since it is glycogen that is the source of energy during fatigue, and its greatest reserves are formed precisely in the muscles of the lower extremities;
  • the innervation of the lymphatic vascular bed is disrupted and cellulite develops, with which it is completely useless to fight with various ointments and rubbing.

But this is not the worst thing. Sedentary work disrupts the blood supply to the internal organs of the abdominal cavity and small pelvis. And this is also closely related to the destruction of the intervertebral discs, since it is the compression of the nerve fiber that causes the change in the tone of the vascular bed.

What to do, who will help?

The first thing to do if you have a sedentary job is to rethink your work schedule. Be sure to implement this rule for yourself: after every 45 minutes of being in a sitting position, be sure to get up and do a few exercises for the lumbar and gluteus group. Only in this way can you stimulate the process of microcirculation of blood and lymphatic fluid. Do at least 15 squats and bends in different directions. This will be enough to keep your lower back and spine healthy.

If you already have pain in the buttock, radiating to the leg, then an experienced vertebrologist or neurologist can help. Make an appointment with this specialist and he will give you all the necessary treatment recommendations.

In Moscow, you can make an appointment right now for a free appointment with a neurologist or vertebrologist at the Free Movement manual therapy clinic. Experienced doctors work there who will be able to provide you with full-fledged medical care and relieve pain in the buttocks and legs.

Note! All information on this page is presented for informational purposes only. You cannot use it for self-diagnosis of your condition or treatment.

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