Sciatica Explained: Why Pain Travels from Back to Leg, Symptoms and Causes

Learn what sciatica is, why pain travels from the lower back to the leg, common causes, warning signs and when to seek medical care.
Pain that starts in the lower back and travels through the buttock and down the leg can be more than ordinary back pain. It may be a sign of sciatica, a condition involving irritation or compression of the nerves that contribute to the sciatic nerve. The pain can feel sharp, burning or electric, and some people also experience tingling, numbness or weakness in the affected leg.
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What Is Sciatica?
The sciatic nerve is one of the body's major nerves. It originates from nerve roots in the lower spine and runs through the buttocks into each leg. When these nerve roots become irritated or compressed, pain and other sensations can travel along the nerve pathway. Sciatica usually affects one side of the body, and leg pain may be more noticeable than lower back pain.
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Why Does Pain Travel from the Back to the Leg?
The nerves supplying the legs begin in the lower spine. When a nerve root is irritated, the brain may register pain along the area served by that nerve rather than only at the point where the problem starts. This explains why discomfort can extend from the lower back to the buttock, thigh, calf or foot. Coughing, sneezing, certain movements or sitting for long periods may make the pain worse.
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Common Causes of Sciatica
A herniated or slipped disc is one of the most common causes. Spinal discs act as cushions between the vertebrae, and when part of a disc pushes outward, it may press on a nearby nerve root. Other causes include spinal stenosis, which narrows the space available for nerves, a vertebra slipping out of position, and back injuries. Prolonged sitting, excess body weight and repeatedly lifting heavy objects with poor technique can also contribute to back problems.
Symptoms to Watch For
Sciatica can cause sharp or burning pain that travels down the leg, tingling or pins-and-needles sensations, numbness and muscle weakness in the leg or foot. Symptoms vary in severity and may worsen with certain movements. Many cases improve over several weeks to a few months, although recovery can take longer. Medical assessment is advisable if pain persists, worsens or interferes with everyday activities.
When Is Sciatica an Emergency?
Certain symptoms require immediate medical attention. These include new difficulty passing urine, loss of bladder or bowel control, numbness around the genitals or buttocks, or severe or worsening weakness or numbness in both legs. These can indicate serious nerve compression that needs urgent assessment.
Treatment depends on the cause and severity of the symptoms. A healthcare professional may recommend appropriate activity, exercises or physiotherapy. Avoid staying in one position for too long, and do not force stretches or take medicines without appropriate advice. Persistent or severe symptoms should be evaluated rather than self-diagnosed.
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