Lower back pain in the buttock

Osteochondrosis is characterized by acute or aching back pain. It may radiate to the pelvis or leg, as well as to the buttock. This causes an inflammatory process in the area of ​​the discs and cartilage.

This pain is characterized by strengthening during physical exertion or during sudden movements, the sensitivity of the legs is often impaired, a person may begin to limp, accepts and maintains a pose in which the discomfort feels minimal. Ointment for back pain can help, but the fight should not be with a symptom, but with the root cause. And for this you need to consult a doctor.

Diagnosis and treatment of the disease

If an osteochondrosis is suspected, the patient needs to come to a consultation with a vertebrologist and a neurologist, it is imperative to undergo an examination, physiological tests, which will be prescribed by a specialist. The treatment is aimed at relieving pain. This can be done with the help of NSAIDs, painkillers, muscle relaxants. After undergoing medical treatment, the patient is prescribed a therapeutic massage, gymnastics and physiotherapy procedures. Surgery is an extreme measure used in advanced cases.

The adult population most often suffers from osteochondrosis. If time does not take measures to cure, it can lead to disability. Also, back pain, extending into the buttock, can occur with intervertebral hernia.

Intervertebral disc pathology

Unlike bone tissue, which the intervertebral disk consists of, is most of all affected by negative factors, it wears out faster. In connection with this, tears and cracks appear in it, the development of a protrusion is later observed - a protrusion of the fibrous ring, which leads to discomfort and complications.

Diagnosis and treatment of the disease

When symptoms of radiculopathy appear, the patient should appear at the appointment with a vertebrologist. A specialist will conduct an external examination in order to identify neurological disorders. Most likely, an MRI or X-ray of the spine will be indicated. The treatment is aimed at eliminating pain (anti-inflammatory drugs are indicated), and after conducting medical treatment the patient is prescribed physiotherapy procedures: UHF, electrophoresis. Therapeutic massage, manual therapy, vitamins and chondroprotectors are designed to strengthen the tissues.

Pain in the lower back, radiating to the buttock and thigh, is well removed by special ointments.

Femoral nerve lesions

This situation is possible after surgery in the lower abdomen. At the same time, the knee jerk often drops out, there are sensory disturbances, weakness of the thigh muscles. The pain is not as pronounced as motor disturbances. Atrophy of the muscles of the thigh, which can give severe pain radiating to the limb, is not excluded. This is facilitated by anticoagulants and retroperitoneal hematoma (blood accumulates behind the peritoneum). Painful sensations localized in the lower back and on the front of the thigh.

If the pain is localized at the top and in the middle of the waist, this may be due to excessive muscle activity, overstrain, intercostal traumatic neuropathy, Bechterew's disease and Scheuermann's disease, thoracic spondylosis, spinal tumors.

There are other spinal abnormalities that can lead to lower back pain, spreading in the limbs. So, negative feelings arise because of:

  • osteoporosis,
  • lumbar spondylosis,
  • spondylolisthesis,
  • stenosis,
  • ankylosing spondylitis,
  • prolapse
  • disc protrusion
  • vertebral fracture,
  • myeloma,
  • vertebral tumors,
  • Recklinghausen's Disease,
  • Paget's disease,
  • congenital deformities
  • sacralization,
  • lumbarization,
  • osteophytes,
  • osteomyelitis of the vertebra,
  • facet syndrome.

Causes, localization and nature of pain

The causes of back pain are many. If back pain gives to the buttock and leg, then the patient may suffer:

  • Hernia or protrusion of the disc located between the lumbar vertebra.
  • Injury of the spinal column.
  • Hormonal failure.
  • Rheumatic diseases.
  • Oncology.
  • Pathology of the urinary organs.
  • Hypo-avitaminosis.
  • Osteoporosis.
  • Facet syndrome.

Also, the pain syndrome of the gluteal zone and lower back is caused by phlegmon, abscess, osteomyelitis, boils, pathologies of the coccyx, rectum, and other pathological processes. If the patient has low back pain, and the pain will be given to the thigh, then they are provoked by protrusion, a hernia of intervertebral disks. When a patient has hyperhidrosis, there is a high probability that he has a spinal oncology or sciatic nerve injured.

When a person has pain in the lumbar segment, and the pain worries right behind and closer to the buttock, or left, then there is a high probability that the sciatic nerve is strangulated. Painful sensations extending to the femoral zone in front can cause pathological changes in the nerve of the thigh. A dull pain syndrome in the lumbar area and knee joint can signal oncology of the reproductive system, arthrosis of the hip joint.

In ischialgia, the nerve roots of the sacral spinal segment are compressed. The pain will hit the lower back, the gluteal zone with the knee joint. With lumboischialgia, all the nerve fibers of the spine are constricted. The pathological process is characterized by pain in the lower back that extends to the entire spine, with the pain encompassing the lower femoral region.

How to remove back pain extending to the right leg

Some people, feeling the pain in the lower back, extending to the right leg and buttock, do not undertake the treatment and simply endure waiting for healing. It is wrong to do this - it is urgent for a specialist to appear in order for him to establish the cause and prescribe treatment.

There are a number of diseases that can cause such unpleasant and painful sensations in the lumbar region and buttocks - these are diseases of the urogenital system, gynecological diseases, and protrusion of intervertebral discs, and osteochondrosis, and much more. Because it is very important to make the correct diagnosis and begin a complex of wellness procedures.

If during the diagnosis was revealed radiculitis or lumboischialgia, then the process of recovery will be quite long, and saturated with various manipulations and drugs.

If you feel pain in the lower back, extending to the right leg and buttocks, but have not yet learned its nature, it is also necessary to follow some rules at home:
  1. provide rest and rest - no physical exertion, it is desirable to maintain bed rest,
  2. it is recommended to sleep either on an orthopedic mattress, or simply on the floor,
  3. use a special medical bandage. If it is not, you need to insulate the lower back in a grandmother’s way - with a woolen scarf or shawl,
  4. smear the lumbar region with anesthetics and warming ointments and creams,
  5. maintain proper nutrition, helping to provide the body with the necessary vitamins and substances for recovery,
  6. If the pain is very severe, you can take an analgesic.

All of the above home procedures can soothe the back pain a little and alleviate the patient’s condition, but consulting a doctor is still the first and most important step on the road to recovery. Moreover, back problems do not tolerate delay.

Causes of lower back pain, buttock

Pain in the lumbar spine may occur after intense exercise, long walking, from heavy load on the spine. Sometimes it is felt when a person sits, lies. When back pain gives back to the buttock, it is a bell about a disease of the spine.

At the spine there are heavy loads during work, walking.

In a sitting position on the lower back, all his weight is being squeezed, which at the same time experiences a very heavy load.

Prolonged sedentary work without movement causes painful sensations in the back and hip joints. one of the buttocks.

Problems in the lower back and in the buttock can be provoked by other factors: overweight with a weak muscular corset, lack of vitamins and minerals in the body.

The problems of internal organs, stomach, various injuries, stretching - all this leads to problems in the belt.

From what discomfort a person feels, in what place where he gives, doctors judge the reason for its appearance. Pain syndrome can be acute. tingling, sharp, unpleasantly aching.

Sometimes it exists in a particular place, sometimes the entire back hurts, it is felt by pain in the lower back, extending to the buttock, it affects the joints of the thigh.

More often, these sensations are due to inflammation of the sciatic nerve - ischialgia. This nerve is the largest in our body, it consists of the roots of the sacrum and the two lower roots of the loin.

Its task is to innervate the entire posterior region, the surface of the thigh, legs, and feet. Therefore, when it is inflamed, unilateral pain occurs, which spreads along its course.

The painful, thrill can be a symptom of pathological changes in the spine - intervertebral, disk hernia. Her inflamed, swollen tissues touch the sciatic nerve, its roots, causing severe discomfort.

The situation when the back hurts, gives to the left buttock, is caused by many reasons.

In the first place, except for the hernias already listed, the following factors can be put:

  • Diseases of the genitourinary system. Sudden discomfort with bouts of nausea - sometimes vomiting occurs due to a blocked ureter.
  • Causes in the heart - angina, heart attack. Emerging sharp pain, causing deadly fear, does not subside when trying to change their position.
  • Digestive systems, gall bladder, despite their location on the right.
  • Left-sided pneumonia. irritation of the diaphragm pleura is felt pain syndrome on the left.

Painful sensations caused by the above nuances can not be treated independently with ointments, gymnastics.

Such a "treatment" only aggravates the patient's condition, and the delay in heart disease can be fatal.

When there is discomfort in the lower back on the right, it gives to the buttock, these are symptoms of many diseases that should not be ignored.

The reason may be:

  • Various diseases of the spine.
  • Muscle inflammation, injury.
  • Inflammation of the internal organs.

Frequently aching pain, especially in the morning, can occur with osteochondrosis and other problems of the spinal column. Big problems occur with radiculitis.

A sign of lumbago - a sharp pain, as if by electric shock, can be caused by physical overload, hypothermia, infections.

Any trouble in the lumbar region to the left. on right. who give to the buttock, you should visit the doctor. Only the correct treatment leads to positive results.

It is important to consult a doctor in time, even if it seems that the pain is not yet severe. A timely visit to a specialist will help you avoid more serious health problems. Take care of yourself!

Buttock pain in the leg: causes and treatment

Periodically, it happens so that the painful place absolutely does not coincide with its source. For example, here can be attributed the pain to the extremity, which may indicate a variety of ailments.

In the descriptions of patients, the sensations and symptoms of pain in the gluteus muscle are quite different from each other, but the descriptions may be as follows:

  • Spontaneous occurrence of pain in the buttock, giving way to the leg, which are aggravated by changing poses, walking, and when the body is upright
  • Severe pain makes it impossible to step on the foot, as it becomes numb
  • Painful sensations appear in the middle part of the buttock, after which they pass down the entire leg and are accompanied by shots
  • Pain in the buttock does not go away even during the week, and becomes stronger during the ascent up the steps
  • Painful sensations in the buttock are felt constantly, and do not subside even in the supine position, constantly accompanied by spasms.

The pain in the buttock, which gives to the extremity, can be either an independent symptom or a reflex, which will speak about the pathology of various organs and systems that are in close proximity to the buttocks. And despite the fact that the sources of this disease can be completely different, they can be divided into the following groups:

  • Circulatory disorders
  • Diseases of the hip joints
  • Neuralgia of the sciatic nerve
  • The presence of purulent-inflammatory processes
  • Deformity and disease of the lower spine.

On average, in 75% of cases, the causes of pain in the buttocks, which is felt in the left or right leg, are directly related to the pathologies of the spine in the lumbosacral region.

The diseases that cause such pain include the following:

  • Vertical bursitis
  • Inguinal hernia
  • Hip fractures
  • Polymyositis
  • Osteoarthritis of the hip joint
  • Lumbar stenosis
  • False intermittent claudication
  • Tumors of the retroperitoneal area
  • Bone tuberculosis
  • Occlusion of ileal arteries or aorta
  • Different types of ileal arthritis
  • Various pathologies of the pelvic organs in women
  • Intervertebral hernia
  • Radiculopathy
  • Osteochondrosis of the lumbosacral region
  • Syndrome of chronic compression of the gluteal muscles
  • Inflammatory process in the muscle tissue of the buttocks or myositis
  • All kinds of diseases of the sacroiliac region
  • Various injuries of the spine, sacrum or tailbone. This includes fractures, hematomas, and muscle strain.
  • Tendonitis of tendon of the gluteus medius muscle
  • Diseases of the rectum.

Due to the fact that painful sensations appear precisely in the area of ​​the buttocks, or are a reflex response to damage to nearby organs, the very first thing to do # 8212 is to remove these unpleasant sensations as quickly as possible. In most cases, doctors prescribe anti-inflammatory and analgesic drugs, but in addition to them, they also recommend to do a massage, attend physiotherapy and apply warming compresses. If local purulent processes are observed, it is possible to use dressings with Vishnevsky ointment or ichthyol ointment.

If you have muscle cramps that cause pain in your left or right leg,
Doctors prescribe a special medical gymnastics, which aims to ensure that the muscles are completely relaxed. Through such exercises, you can restore blood circulation in the painful area. These procedures are especially useful for spinal deformities. Surgical intervention is practically not used. Such measures are needed in case of unsuccessful long-term treatment of elderly patients who suffer lesions of the hip joints.

Sometimes it is not possible to resort to the help of physicians, so you have to turn to traditional medicine for help.
In these cases, help can come:

  • Beeswax, which will help get rid of pain. To use it, it is enough to warm it up to the consistency of plasticine and apply it on the painful area, cover it with polyethylene on top and tie it with a warm woolen scarf. This compress should be left overnight.
  • Turpentine will help get rid of the painful sensations in inflammation of the sciatic nerve and other disorders. To use it you need to mix water and turpentine in proportions of 3: 2. After that, you need to take a small crust of black bread and soak it in this solution.After 20 minutes, this crust should be applied to the sore spot and covered with a cotton cloth on top. With this dressing you need to sit for 10 minutes. In that case, if the patient feels a burning sensation, then it is best to remove the bandage and not bring it to a burn. After this procedure, you must immediately take a recumbent position. Also, you can put cabbage leaves, which were boiled in boiling water, on the gluteus maximus muscle.

Traditional medicine should be used only in anticipation of a doctor who will provide expert medical care.


In osteochondrosis the water-salt metabolism is disturbed, the processes of dystrophy, degeneration of the spinal column occur with the deformation of the discs located between the vertebrae. Gluteal muscles will be painful due to osteochondrosis changes affecting the lumbar, sacral spinal column. The pains are aching, they become aggravated during exhausting physical labor, the effects of low temperatures, and also when the person has turned sharply.

  • In addition to the pain of the buttocks, discomfort is felt in the sacral, coccygeal, lumbar segment, thigh.
  • There is hypertonicity of the buttocks, lumbar muscles, legs.
  • Mobility of the spine, hip joint is limited, spinal muscles are overstressed.
  • Myofibres of the femoral, ankle zone are weakened, sensitivity is reduced. The patient feels that he has tingles in his legs, and “goosebumps” crawl over them.

Pathology is the result of lumbar ischemic, ishialgic changes. There is an acute, shooting through pain syndrome of the lumbar zone with irradiation to the left or right leg. Caused by the effects of low temperatures, sudden movements, exhausting physical labor, including the lifting of heavy objects.

The patient's physical activity is reduced, he is lame, his fingers are numb on the lower limbs, his legs are cold or hot, he feels like goose bumps crawling over them. After some time, the pain may disappear, then it will become more intense.

Intervertebral hernia

In this pathological condition, symptoms are observed:

  • In the legs, back tingles, the person feels like goose bumps crawling over them, the loins are clamped.
  • Pulling pain on the sides of the thighs, legs go numb.
  • Limbs loose.
  • Involuntary urination.

If the hernia increases in diameter, then the pain increases, spreads to the foot. When a hernia occurs, destruction of the intervertebral disc occurs, so the nerves are strangled, the back below the lower back hurts, the pain radiates to the right or left lower limbs. Observed whining, shooting, drilling, dull nature of pain.

Discomfort is triggered by weight lifting, sharp turns, injuries. Sudden pain, affect one side. Bilateral pains are less common. After 7-10 days of pain from the lower part of the waist go to the lower limb, the person begins to limp.

When the sciatic nerve is inflamed, compressed, then the lumbar region hurts, pain syndrome radiates to the back surface of the lower extremity. This nerve is inflamed due to:

  • Excessive physical exertion.
  • The effects of low temperatures.
  • Vertebral defects (Schmorl's hernia, osteophytes).
  • Osteochondrosis changes of the lumbar segment.
  • Oncology, lumbar tuberculosis.
  • Stressful situations leading to impaired muscle metabolism.

The lower limbs become less sensitive, they become numb, the discomfort increases. Upon awakening, the patient kneads the leg, which is difficult to bend, unbend. Painful sensations are constantly observed, the tone of the spinal muscles is increased, the functions of the excretory system are disturbed.

Bruises are the most common trauma to the soft tissue structures of the gluteal zone, occurring when a person has fallen, has hit. It is painful for the patient to sit, pressure on the affected area causes discomfort, a hematoma is formed under the skin. If the patient moves his foot, it causes pain. After a few days, the pain syndrome will disappear on its own.

If the hip joint is sprained, then the person is very sore inside the gluteal zone, in the inguinal region, in the thigh muscles. The lower limb is stationary, is in a forced position. Soft tissues are swollen, buttocks, thigh muscles are strongly tense, bruises are visible under the skin.

Fracture often happens due to accidents, falling from a height, caused by a strong blow. When injured, the patient suffers from severe pain. The joints lose their mobility, soft tissues are swollen, hematomas are visible under the skin. Severe injuries cause severe pain, if the patient does not eliminate the pain, there will be a traumatic shock.

The hip joint is inflamed due to various reasons. A pain syndrome occurs inside the gluteal region when a person walks. There is hyperthermia with swelling of the skin in the affected area.

With purulent form of articular inflammation, the hip joints with the buttocks hurt with minimal physical activity. The person suffers from hyperthermia, he gets very tired, the affected joint is hyperemic, it is swollen.

With rheumatoid articular inflammation, pain affects the hip joints on both sides, they are constrained in the morning. Infectious diseases of the respiratory system and other infections are often accompanied by reactive arthritis.

Inside the gluteal zone, acute pain syndrome manifests itself, hyperthermia, and other manifestations of the infectious process are observed. In psoriatic arthritis, the hip joints are affected by psoriasis. The pain syndrome manifests itself inside the gluteal zone, the skin in the affected area is cyanotic.

In this pathological condition, the hip joint tissues are destroyed due to degenerative, dystrophic processes, the functions of the joints are disturbed. At the initial stage of the pathological process, pain nagging occurs when a person walks. Then the discomfort becomes more intense, radiating to the groin, thigh. In the final stage, severe pains torment the patient constantly.

Pain in pregnant women

Painful sensations in pregnant women in the buttocks region are due to the overstressing of the lumbar, gluteal muscles, lower limbs, pelvis, because the uterus with the fetus is enlarged. The uterus is compressed vascular, nervous tissue of the pelvis, the spine is overloaded, the center of gravity shifts. Severe pain in the form of lumbago during pregnancy is observed to 36 or 40 weeks. When a woman gives birth, the symptoms should disappear, if they do not go away, then you need to see a specialist.

When help is needed

If a person has intolerable pain with irradiation to the buttock, leg, analgesics do not help, there is hyperthermia with dysfunction of the digestive organs, the leg is immovable, then urgent medical assistance is needed.

Therapy is carried out after establishing the causes of the pathological process. Drug treatment with physiotherapeutic procedures is indicated. To eliminate the inflammatory process, they are treated with nonsteroidal agents that remove inflammation.

To eliminate the swelling, they are treated by Lasix, Furosemide. Against spasm, Trental with Drotaverine is indicated. With the help of Mydocalm, which has a muscle relaxant effect, the muscles will relax, the pain will be eliminated. Due to the long-term use of chondroprotectors, cartilage tissues will be restored, metabolism will normalize. If the inflammatory process with pain syndrome does not pass, then corticosteroids are used. Treat Diprospanom, Prednisolone.

You can eliminate pain with analgesics. Treat with Paracetamol, Nise, Sedalgin. Normalize microcirculation using Piracetam, Actovegin, Glycine. In acute appendicitis, analgesics are not used, since the risk of peritonitis will increase. In this case, surgery is indicated.

The use of physiotherapeutic procedures is shown. Perform 10-15 sessions of massage, acupuncture, laser therapy, galvanotherapy. The organism is affected by currents of different frequency for anesthesia, relaxation, also magnetic therapy with electrophoresis, applications with ozokerite, paraffin are used.


Physical therapy (physical therapy) is used only when there is no exacerbation. Gymnastics is chosen by the doctor individually for each patient. The doctor takes into account the individual characteristics of the patient, the severity of the pathology. Approximate set of exercises:

  • We must sit on the floor, legs held together, arms lowered along the body. It should be raised on the socks with raising hands up and deflection of the lumbar area. Perform 15 times.
  • We must kneel, palms rest on the floor. It should sag and bend 15 times.
  • You need to lie on your back, arms stretch along the body. The legs are raised at a right angle, then they are lowered down, the waist does not come off the floor. Perform 10 times.

Nontraditional treatments

In addition to the main treatment using traditional methods. Before their use should consult a doctor. Taken crushed to powder form chestnut with melted lard, camphor oil in the same proportions. The components are thoroughly mixed, applied to a slice of black bread, which is applied to the sore leg and hold from 45 minutes to 1 hour.

Proteins are taken from chicken eggs 4 pieces, mixed with 100 g of vodka. Make a warming bandage on the affected area. After 2 hours it is necessary to wash off the composition, such a compress is used 3 times within 7 days. It is necessary to take black pepper 100 g and 300 g of vodka, poured into a container, close, insist 14 days in a dark room. Rub the affected area, which is then wrapped. Rub tincture can be 2 times within 7 days.

Prepare a decoction of oak bark, to which is added 2 tablespoons of mustard powder with 1 teaspoon of almond oil. The components are thoroughly mixed, then daily lotion is applied to the affected area. The ingredients are crushed and mixed in equal proportions: lavender with chamomile, dandelion root with horsetail, yarrow. Pour 500 ml of water, boil for 30 minutes, then add 100 g of pork fat. Impregnate the bandage with this mixture, apply to the affected area, then you need to wash off the composition.

Warm water is poured into the bath, no more than 200 g of sea salt is added with 50 ml of lemon juice. You can also add 5 drops of lavender essential oil and grape seed oil. In the bath, it is desirable to be 20 minutes, then you have to warm up and lie down. Finely chopped hop cones 100 g, mixed with lard 150 g. Leave for 7 days. This ointment is applied to the affected segment, applied every day for 14 days.

Take 1 tablespoon of crushed Hypericum, to which is added 200 ml of boiling water, insist 10 minutes. Drink 1 tablespoon every day for 30 days. If there are pains in the buttocks, back, leg, then it is necessary to urgently seek medical help, and not to self-medicate, which will cause serious complications that are not always curable.

Causes of pain in the buttocks

There are quite a number of reasonswhich cause pain at the same time in the lumbar and thighs.

The list of the most common factors causing pain, includes:

  • Weight lifting, increased or abrupt load on weak back muscles,
  • Intervertebral hernia (usually formed as a result of the lack of treatment of osteochondrosis),
  • Problems in the endocrine system (diabetes, overweight),
  • Pathological diseases of the joints and periarticular tissues,
  • Excessive use of alcohol and tobacco,
  • Diseases of the genitourinary system (cystitis, pyelonephritis),
  • Tumor formations in the tissues of the spinal column,
  • Insufficient supply of cells with nutrients (lack of vitamins and minerals), as a result of which diseases of the spine develop,
  • Inflammation of the sciatic nerve (usually pains occur on one side of the body, worse at night),
  • Displacement of the spinal discs (in addition to pain in the damaged part, numbness of the limbs and back, muscle weakness, inflammation may occur),
  • Back injury.
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Curvature of the spine (scoliosis, lordosis, kyphosis)

Lower back pain that gives back to the buttock and leg can be a “companion” of an inactive, sedentary lifestyle. Improper posture eventually causes curvature of the vertebrae, and the person takes more and more often the position that does not cause discomfort.

Indicative signs of spinal curvature are: shoulder asymmetry, gait disturbance, rapid fatigue of the back while maintaining the correct position, chest deformity.

This disease means inflammation of the sciatic nerve. Ischialgia is characterized by lower back pain, which "give" to the left gluteal muscle. Factors provoking the disease include infectious lesions, frequent exposure of the body to hypothermia, traumatic damage.

Another cause of pain in the lower back and the continuation of pain in the buttocks can be a lesion of the nerve roots of the lumbosacral region. During movement, the pain intensifies and can reach the phalanges of the toes, often the patient feels chill or hot in the lower limbs, Goosebumps and numbness.

Hip arthritis

Hip joint inflammation is progressive and can occur at almost any age. Pathology can form as a result of hereditary predisposition, with constant loads on the legs, with hip injuries and dysplasia.

In the form of pain in the lumbar region on the right side, followed by localization in the legs and gluteus muscle, urological or gynecological diseases, pathological processes in the gastrointestinal tract, kidney disease can manifest.

Why do they appear

Pain syndrome, which is localized in the lumbar region and gives to the right or left, or both buttocks, in medicine called irradiating.

The mechanism of its development is connected with the fact that the vertebral column, the bones, closer to the pelvis, the right and left lower extremities - constitute a single system, and the pathology in one part of it causes disturbances in the work of the others.

In addition, the structure of the lumbar, sacral and coccyx spine, as well as abdominal organs innervated by nerves alone.

Accordingly, the irritation of one branch of the nerve causes the excitation of other branches and pain on the right and left in nearby tissues.

The source of unpleasant sensations with back pain and buttocks can be localized as in the spine or muscles of the lumbar spine., and in the internal organs of the pelvic region, and sometimes even the patient himself can not determine what it hurts.

Related symptoms

One of the important criteria when making a diagnosis of pain in the back and buttocks - the accompanying symptoms. As a rule, their number includes neurological manifestations, disorders of various organs and systems, deterioration of general well-being.

  1. Intestinal bleeding. One of the most dangerous signs, which is observed in pathologies of the gastrointestinal tract, which require surgical intervention, sometimes immediate. They can be quite strong, moderate or even hidden (blood in the feces is invisible to the naked eye, but the feces often become greenish or black), and are accompanied by pain in the abdomen, lower back and buttocks.
  2. Muscle weakness for lower back pain and buttocks can be observed both in the lower part of the spine and in the legs. Most often, a similar set of symptoms is observed in osteochondrosis, radiculitis, scoliosis.
  3. Neurological disorders and paralysis. Numbness, tingling, crawling "goosebumps" and paralysis are signs of degenerative processes in the bone and cartilage tissues of the spine (protrusion, hernia). In the early stages, pain and other symptoms are usually mild, but in advanced cases, partial or complete loss of mobility is possible.

Intervertebral hernia

The destruction of the fibrous ring of an intervertebral disk with the exit of the gelatinous contents of its nucleus is called an intervertebral hernia. PTransient pain in this pathology is acute and severe, localized in the gluteus maximus muscle or the affected area of ​​the lumbar spine, and then descends into the thigh.

The associated symptoms include neurological disorders, weakness and numbness of the lower limbs, problems with urination and defecation.

Inflammation of the sciatic nerve

Sciatica, or inflammation of the sciatic nerve, is caused by other diseases of the musculoskeletal system, hypothermia, or injury. The condition is manifested by aching pain in the sciatic nerve - the lower part of the waist, buttocks, the upper part of the thigh.

As a rule, it is localized on one side of the body, sometimes both buttocks or legs are involved in the process, and intensifies at night.. In the later stages, the pain syndrome becomes so intense that a person cannot bend and perform elementary movements.

Disk offset

The displacement of the vertebrae, which is popularly mistakenly called the displacement of the discs, is a shift of the vertebral bodies relative to each other. If the pathology is localized in the lumbosacral region, a person develops a nagging or shooting syndrome of pain, which spreads to the buttocks and increases after physical exertion. Numbness of the legs and back, muscle weakness, symptoms of inflammation of nerve fibers can be added to the unpleasant sensations..

Injuries to the lumbosacral region

Mechanical damage to the lumbar region and pelvis occurs during falls, car accidents or severe shocks (vertebrae fractures are the most dangerous of them). The intensity and nature of the pain syndrome in such cases depends on the characteristics, location and extent of damage..

Sometimes the patient feels light discomfort in the lumbar region and buttocks, and in some cases the pain is so strong that it prevents normal movement. Related symptoms are neurological disorders, paresis and paralysis, disorders of the digestive tract.

The lesion of the nerve fibers of the lumbosacral region occurs due to a combination of negative factors - they include degenerative processes, reduced immunity, hypothermia, abnormal physical activity, etc.

It manifests as aching and pulling back pain.which are permanent, give to the buttocks and legs are strengthened when walking, tension, after physical exertion. Secondary symptoms include:

  • burning and tingling of the skin,
  • swelling of soft tissue
  • increased sweating
  • muscle weakness and trembling,
  • redness of the skin over the affected area.

Radiculitis is an inflammation of the nerve roots that pass through the lumen of the spine.

As a rule, the disease begins acutely, with severe painful "lumbago" in the lower back and buttocks.that occur after physical exertion or sudden movements.

After some time, the pain may disappear, but then returns with even greater intensity.

The second common symptom of radiculitis is partial or complete loss of sensation in the area of ​​the affected nerves, which may be accompanied by burning., tingling, numbness of the limbs, muscle weakness.

Internal organs

Lower back pain and buttocks occurs in diseases of internal organs. In the projection of the lower part of the spine is the intestine, bladder, kidneys, uterus and ovaries in womentherefore, the pathological processes associated with their work can cause corresponding symptoms.

Anal abscess

Anal abscess or paraproctitis is called a filled cavity in the area of ​​the anus and rectum, which is filled with purulent contents..

It occurs due to inflammation of the glands that are located inside the anus.

Pain in this disease is acute, spread to the lower back and buttocks, aggravated by walking, coughing, palpating the affected area.

Hemorrhoids are one of the most common diseases among adults. In the early stages of the pathology, severe pain is usually absent - a person may feel itching, burning and discomfort in the anus.

As the pathological process develops, pain in the anus, buttocks and lower back appearsCharacterized by patients as long-lasting and intense, aggravated after bowel movements.

Along with unpleasant sensations, bleeding, loss of hemorrhoids, constipation and other symptoms appear.

Hemorrhoids can significantly impair a patient’s quality of life.and, moreover, in the advanced stages it leads to serious complications - thrombosis, necrosis and infection of tissues.

Pelvic bone cancer

Malignant tumors of the pelvic bones are dangerous because they may be asymptomatic in the early stages. As pathology develops, 70% of patients develop pain in the groin area, buttocks and lower back.

At first it has a low intensity and may spontaneously disappear, but over time it becomes stronger and longer., intensified at night and poorly stopped by analgesics.

In addition to pain, a short-term fever, swelling and reddening of the affected area, limiting the mobility of the joint are observed in cancer patients.

Pelvic cancers are more common in men than in women, and have quite a favorable prognosis - when pathology is detected in the early stages, the five-year survival rate is about 90%.

Inflammation in the urogenital area

Inflammatory processes in the urogenital organs are more characteristic of women, but can also occur in the stronger sex.

Their cause is bacteria in the bladder and reproductive organs., resulting in certain symptoms, including pain. It is pulling or aching in nature, is localized in the lumbar region, lower abdomen and pelvis, it increases during intercourse and urination.

Intestinal infections

Colitis and enterocolitis caused by pathogenic microorganisms entering the intestinal lumen are almost always accompanied not only by fever, intoxication, abnormal stool and vomiting, but also pain in the abdomen, lower back and buttock area.

Its nature and intensity depend on the clinical course of the disease.. In dysentery, for example, pain is usually paroxysmal: patients experience nagging and aching sensations in the lower abdomen and back, and acute pain occurs only during defecation.

Drug treatment

To eliminate lower back pain and buttocks, the following groups of medicines are used:

  • analgesics (Ketorol, Ketanov, Tempalgin),
  • nonsteroidal anti-inflammatory drugs - Ibuprofen, Indomethacin, Nurofen,
  • antispasmodics - No-spa, Papaverine, Drotaverinum,
  • narcotic painkillers (for example, Tramadol).

The above drugs can be used in the form of tablets, ointments or injections. They relate to the means of symptomatic therapy, relieve pain syndrome and alleviate the patient's condition, but do not affect the cause of the pathology. To eliminate it, complex treatment is necessary, which includes not only drugs, but also physiotherapy, physiotherapy, massage etc.

Physical therapy is most often recommended for diseases of the spine, but sometimes this method is used for others - it improves blood circulation in the affected tissues and normalizes the work of the internal organs.

Exercises are appointed after the relief of acute symptoms. (pain, swelling, fever, etc.), and performed under the supervision of a specialist. To obtain the desired result, physical therapy classes should be regular, last for at least a month.


Physiotherapeutic methods are another effective method of treatment, which is used in case of disorders in the work of various organs and systems.

Physiotherapeutic procedures include:

  • electrophoresis with drugs
  • UHF
  • magnetic therapy
  • electrostimulation,
  • laser therapy
  • galvanotherapy,
  • ultrasound exposure
  • ozocerite, mud and paraffin baths.

As well as physiotherapy, physiotherapy is prescribed during the recovery period - it is strictly forbidden to perform similar procedures for pain, temperature or other symptoms..

Vitamin therapy is an integral part of the treatment of any diseases. Vitamins can be used in the form of injections (in case of spinal diseases, injections of vitamins B2, B6, B12 are prescribed) or special pharmacy complexes.

In addition, for a quick recovery of the body, the patient needs a special diet containing fresh fruits, vegetables and other foods rich in vitamins and microelements.


Acupuncture (acupuncture) is one of the most effective treatments for lower back pain.. The impact is carried out directly on the nerve endings, so the procedure quickly eliminates the discomfort and inflammation, relieves the clamped nerves and muscles, relieves swelling of the tissues.

According to reviews of patients, acupuncture gives a good effect during degenerative processes in the spine.e, disorders of the urinary system and reproductive organs in women and men. The course of treatment is determined by a specialist - as a rule, to improve the condition requires 7-10 sessions.

Exercises for prevention

Therapeutic gymnastics is conducted by the course and is included in the complex therapy. For prevention at home, you can perform the following exercises:

  1. Stand on all fours, lower the pelvis to its feet, freeze in that position for a few seconds. Then smoothly move the body forward with support on straight arms, bending gently in the back. Repeat the exercise 5 times.
  2. Get up on all fours. Raise both lower legs with the support on the knees and perform hip joint turns to the left and right sides.
  3. From a position, standing on all fours, slowly lower the pelvis to the floor to the left and to the right, linger on the floor for 2-3 seconds.

When pain occurs in the lumbar spine, in the gluteus muscle, there is a feeling that “pulls” the legs, numbness of the limbs, constant muscle tension and other unpleasant symptoms that limit movement, should immediately contact the therapist, which will give a referral to a specialist of a narrow profile, and will help prevent the development of the disease.

Impact on nerve endings


Radicular syndrome (radiculopathy) develops due to compression of the nerve roots that extend from the spinal column. This disease is a consequence of osteochondrosis, intervertebral hernia, spinal cord neoplasms, injuries or infectious lesions of the spine (osteomyelitis, tuberculosis).

Nature of pain

Pain in the infringement of the nerve roots are pronounced, give the leg and buttock on the affected side. Sometimes, due to pain and numbness, a person cannot move his leg at all, he has urological disorders (difficulty urinating or, conversely, frequent urge). With a long course of the disease, the muscles in the affected limb begin to atrophy, which is why it dries out and decreases in size.

Diagnosis and treatment

With symptoms of radiculopathy the patient should consult a spinal doctor, which will conduct an external examination to identify neurological disorders, appoint an MRI or radiography of the spine. Treatment consists of removing pain syndrome with anesthetic or nonsteroidal anti-inflammatory drugs, after which the patient is prescribed physical therapy (UHF, electrophoresis), massage, manual therapy, taking vitamins and chondroprotectors to strengthen the tissues.

Most often, back pain that extends into the buttock develops when the sciatic nerve is pinched when there are problems with the musculoskeletal system, inflammatory or infectious diseases.

Scoliosis (curvature of the spine)


Scoliosis is a curvature of the spinal column to the right or left relative to its axis. The cause of the disease in most cases is unknown and begins in early childhood, and the risk factors for its development are improper lifestyle, sedentary work, congenital or acquired spinal pathologies, injuries, etc.

The highest risk of developing scoliosis is present in adolescent girls due to weak back muscles and the intensive development of the body.

Nature of pain

Low back pain with scoliosis can be severe or progressive or mild, but constant. In addition, patients have the following symptoms:

  • asymmetry of the shoulder blades and elbows,
  • chest deformity
  • increased back fatigue,
  • gait disturbance,
  • dysfunction of the heart, lungs, intestines and other organs.

Diagnosis and treatment

The diagnosis of scoliosis is performed by orthopedic doctors, sometimes it is necessary to consult a neurologist or a vertebrologist. Most often, scoliosis can be detected after an external examination of the patient, but sometimes the patient is referred for MRI, CT and other studies to rule out concomitant diseases.

Inflammatory diseases


Inflammatory processes in the muscles or organs of the pelvis can also cause lower back pain. Such diseases include myositis, diseases of the kidneys, intestines and bladder, in women - gynecological diseases.

Nature of pain

In inflammatory diseases, the loins can ache in different ways: stabbing, cutting or aching pain radiating to the buttock, thigh, leg. Their main difference from spinal pathologies is that the inflammatory process is accompanied by symptoms such as fever, malaise, and problems associated with the affected organ (problems with urination, defecation, abnormal discharge, etc.).

Diagnosis and treatment

To diagnose inflammatory diseases, first of all you should go to a general practitioner who, after the initial examination and anamnesis, will refer the patient to a specialist and for additional examinations. Treat such diseases should be exclusively under the supervision of a physician, especially if the pathological process is acute, with fever and deterioration of general well-being.

In the above diseases, there may be pain in the lower back, extending to the left leg and buttock or, conversely, to the right side of the body, depending on which side the affected area of ​​the spine or organ is located.

When is urgent medical care needed?

There are times when back pain is a signal that a person needs medical help as soon as possible. These include:

  • a strong attack of pain, which is not removed by conventional painkillers,
  • intense pain for more than 3 days,
  • discomfort caused by spinal injury, sacrum or abdominal injury,
  • unpleasant sensations occur simultaneously in the lower back and the whole leg, from the hip to the foot,
  • high fever, confusion, problems with stool and urination, gait disturbance that accompany the main symptom.

How to remove the attack of pain yourself?

  • Take a pose in which the pain is felt the least. Despite the fact that most people are tempted to lie down, prolonged bed rest is not recommended in this case.

The optimal posture for back pain radiating to the buttocks and limbs is considered to be the fetal and cat posture.

  • Make a light massage of the waist, and if the pain is not too strong - try to stretch a little (alternately bend your knees, make bends in both directions, etc.).
  • Put a warm compress on the affected place or take a hot bath. The exceptions are recent injuries (no more than 24 hours) and inflammatory diseases of the pelvic organs.
  • Take Ibuprofen, Nimesil, Tempalgin, Ketanov or another painkiller, as well as any muscle relaxant (for example, Sirdalud).
  • Grind the lower back with a warming ointment (“Fastum-gel”, “Finalgon”, “Voltaren”) - this is especially effective in the infringement of nerve roots, injuries, osteochondrosis.

Watch a video of useful exercises.

With timely treatment to the doctor, the correct diagnosis and adequate treatment, you can quickly remove even the most severe pain and return to an active way of life without consequences and complications.

Watch the video: How to Relieve Pain From a Sciatic Nerve (April 2020).