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Leg And Back Pain
Myron Huett
Most types of leg and back pain fall under two broad categories: chronic and acute. Acute pain, also called short-term pain, is very common. Approximately four out of every five American adults suffer from acute leg and back pain, with symptoms usually lasting from several days to a few weeks.
Chronic leg and back pain, on the other hand, can last for more than two months. This type of pain is quite often a symptom of another and more serious underlying condition. If you suffer from chronic leg and back pain, it's important to see your doctor. You can't properly treat the pain until you determine the initial cause.
People can suffer from leg and back pain for a number of reasons. Two of the most common causes are sciatica and lumbar spine stenosis.
Lumbar Spine Stenosis
This degenerative disease of the lumbosacral spine affects up to 90 percent of the U.S. population, particularly those in the middle aged and elderly age groups. Lumbar spine stenosis causes disability, loss of productivity and morbidity.
Sometimes, the cauda equina roots, a type of nerve found within the spine, become entrapped within the dural sac, resulting in lumbar spine stenosis. The patient suffers excruciating and incapacitating leg and back pain. Progressive hypertrophy of any of the osseocartilaginous and ligamentous elements, which are the soft tissues surrounding the spinal canal, creates the entrapment of the cauda equina roots.
Complicating the problem further, these degenerative changes or possible trauma can cause the intervertebral disc to rupture or herniated. This disc is composed of a gelatinous substance with centrally located nucleus pulposes and a peripherally located annulus fibrosis.
Lumbar stenosis mostly affects middle-aged to elderly men, although it has been known to occur in women and younger patients. Leg and back pain is the earliest symptom of the disease. Unfortunately, many patients choose to treat the pain with self-care methods, rather than consulting a physician or specialist, resulting in delayed diagnosis.
Sciatica
Sciatica is a condition affecting the sciatic nerve, caused by a herniated lumbar disc. The sciatic nerve travels from the lower back through the buttocks and into the leg, so the pain often occurs in any of these affected areas. Leg and back pain caused by sciatica can range from mild to severe.
The herniation or degeneration of the lumbar disc causes it to compress onto one of the contributing roots of the sciatic nerve, resulting in sharp and 'shooting' leg and back pain. Often, pain in the leg, posterior, thigh or foot is much worse than the accompanying lower back pain. When the condition first occurs, the patient will usually experience severe pain that originates in the buttocks and runs all the way down through the legs or foot. Some patients report feeling no accompanying back pain at all.
In order to effectively treat either of these causes of leg and back pain, it's essential to treat the disorders themselves. Typical self-help remedies, such as over-the-counter pain medications, offer little or no help. Detecting the disorder in the early stages can help in finding effective pain relief, so it's important to consult with your health care professional if you suffer from chronic leg and back pain.
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