Pain in the lower back is often accompanied by pain going down the legs as a result of irritation to the nerve endings in the area. This is most commonly as a result of a disc herniation or spinal stenosis. When the nerve endings around the spine are either compressed or irritated by an inflammatory process it can cause referred pain going down the legs, numbness, tingling, or muscular weakness in the legs or feet. This type of pain is commonly referred to as sciatic pain, as it typically affects the sciatic nerve that runs from the end of spinal cord through the legs.
Proper treatment of lower back with leg pain begins with a proper diagnosis which includes establishing which of the four main pain generating tissues of the spine is responsible for causing a patient’s pain. This can be accomplished through asking detailed questions about your condition and performing a thorough physical examination. In some instances, further testing may be ordered including X-ray, MRI, CT scan, DEXA scan, blood work or EMG/NCV studies so a proper diagnosis can be reached and more serious conditions can be ruled out .
At Comprehensive Medical, our skilled team of physicians and therapists specialize in creating a personalized treatment strategy with each individual patient’s goals and condition in mind. The overwhelming majority of low back pain with leg symptoms can be successfully managed completely conservatively with physical therapy and chiropractic care. Treatment may include exercise, manual therapy, manipulation, modalities, massage, mechanical traction, hot/cold, and advice on how to properly manage your condition while you are not with us in the office.
For the minority of patients who do not respond to conservative care we have other treatment options including pain management with our board certified physicians with treatment including trigger point injections, epidural steroid injections, facet injections, sacroiliac injections and radiofrequency ablations.
We are dedicated to providing the highest quality non-surgical care for back pain with leg symptoms in a warm, caring environment.