Back pain is a common health condition that affects many people of all ages, and back pain may be accompanied by pain in other areas of the body, which indicates some health problems that must be paid attention to, and in this article, we will learn about the causes of back and leg pain together. , and methods of treatment.


It can be one of the causes of back and leg pain at the same time. It is often caused by a herniated disk, a type of pain that spreads along the pink nerve that runs from the lower back through the hips, buttocks, and down the legs.

In the case of suffering from sciatica, it is usually on one side of the body, and its symptoms include:

  • Pain spreading from the bottom of the spine down the back of the leg.
  • burning sensation;
  • muscle weakness;
  • numbness;
  • Bladder and bowel problems.

The treatment of sciatica is through some medications prescribed by the doctor, such as muscle relaxants and anti-inflammatories to reduce pain. Injections may be made into the sciatic nerve. Some exercises can also be done that help reduce back and leg pain caused by sciatica. (1) (2) (3)

lumbar herniated disc

A lumbar herniated disc is a ruptured disc in the lower back, and it occurs when gel is pushed from the intervertebral disc, causing it to rupture. The ruptured disc compresses the spinal nerve, causing the leg.

Other symptoms of a herniated lumbar disc include:

  • Back and leg pain worsens and persists, especially when standing, coughing, or sneezing.
  • Leg muscle weakness.
  • Leg and foot numbness.
  • Spinal cord compression.

Treatment for a lumbar herniated disc varies according to the severity of the condition. In simple cases, the doctor may recommend rest, painkillers, and injections. The condition may require physical therapy or surgery until symptoms do not improve within a few weeks. (1) (2)

piriformis syndrome

Known as sciatica, it is a neurological disorder that occurs when the piriformis muscle compresses the sciatic nerve, a flat muscle found in the gluteus near the top of the hip joint. It helps stabilize the hip joint and raises and rotates the thigh away from the body.

Common symptoms of piriformis syndrome include:

  • Back and leg pain.
  • numbness;
  • numbness in the buttocks;

Treatment is with analgesics that relieve pain, and may require surgery in some cases, in addition to physical therapy, and the doctor can put some home instructions for the patient, such as sitting properly, avoiding strenuous physical activities, getting rest, and making cold and hot compresses. (1) (2)


The arachnoid is a membrane that protects the nerves of the spinal cord, and arachnoiditis can cause back and leg pain, as it affects the nerves in that area.

This condition causes the following symptoms:

  • Tingling and numbness in the legs.
  • muscle spasms;
  • Bowel or bladder weakness.

Although there is no complete cure for arachnoiditis, the treatments prescribed by your doctor can relieve pain, whether with oral or injectable analgesics, and your doctor may recommend physical therapy and exercise appropriate for the condition. (1) (2)

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It is a chronic condition that causes back and leg pain, and the pain can come and go at different times. Symptoms of fibromyalgia include:

  • Increased sensitivity to pain and temperature.
  • Fatigue.
  • headache;
  • Memory and concentration problems.
  • depression and anxiety;
  • Numbness or tingling in the hands and feet.
  • sleep difficulties
  • Digestive problems.

This condition needs some medications to treat it, which the doctor must prescribe, in addition to physical therapy, and the practice of relaxation techniques. (1) (2)

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Arthritis in the lower spine or hips can lead to back and leg pain at the same time. The most common forms of arthritis include:

  • Osteoarthritis is the gradual wear and tear of joint cartilage over time.
  • Rheumatoid arthritis and psoriatic arthritis, which are conditions in which the immune system mistakenly attacks healthy joints.

The symptoms are as follows:

  • Joint redness and swelling.
  • Difficulty moving due to pain.

Arthritis treatment depends on the type of inflammation and severity of symptoms, but it often includes a combination of lifestyle changes, physical therapy and medications, and some cases require surgical intervention. (2)

Spinal infection

Infections of the spine or surrounding tissues can lead to back and leg pain, if the infection causes inflammation or damage to the spinal nerves.

The infection results in a number of symptoms, including:

  • fever and chills;
  • Swelling, redness, and warmth in the affected area.

The doctor determines the treatment according to the cause of the infection, whether antibiotics or antifungal drugs, and some cases may require surgical drainage of the infection or removal of infected tissue. (2)

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severe stress

Excessive stress may be one of the causes of back and leg pain, which is caused by one of the following:

  • Sports injuries.
  • Excessive movement.
  • Lifting heavy objects incorrectly.
  • Sitting in incorrect positions.
  • sudden movements

Stress is treated with rest, warm and cold compresses, and stretching exercises.

Physiotherapy sessions may be recommended by the doctor if the back and leg pain is severe. (2)