If the shooting cramping pains from the pelvis to the legs bothers you.

If the pain spreads from the lower back to the back of your thighs and knees and interferes with your normal daily activities, if you have sciatica, we recommend that you read the following.

In this article, any accurate and scientific information that you need to know about cramping and shooting pelvic pain is written in simple language.

If you want to know the cause of pelvic pain shooting to the end of the leg, if you want to understand the proper treatment of pain that spreads from the pelvis to the bottom of the legs, read on.


what you will read next :


Many people suffer from leg pain and leg pain in many of these people starts from the pelvis and above the thighs or lower back and spreads down.

Shooting pain from the pelvis and buttocks down the legs is a common complaint in people with low back pain and foot pain.

Sometimes this cramping and shooting pain starts suddenly or sometimes a person with shooting pelvic pain suffers from burning and numbness in the leg and sometimes the strength of the lower pelvic muscles decreases in these people.


Under what circumstances do we experience sudden and shooting cramping pelvic pain to the legs?

In which of the following conditions have you experienced sudden pelvic pain and shooting cramps in your legs?

People report that they have cramped pelvic pain that spreads to the thighs after opening the legs too much, or more precisely after trying to move the thighs too far away from the central axis of the body.

Such pains are sometimes caused by long breaks.

You may experience radicular pain or, in fact, shooting pain in the front of the thighs or behind the thighs and behind the knee.

Certainly the source of the pain in the front and back of the pelvis will be different.


Causes of shooting cramping pain from the pelvis to the bottom of the foot

From the lower vertebrae of the spine, a thin nerve called the spinal nerve root emerges from each side. From the joining of these spinal nerve roots, the main trunk of the large nerves are formed, whose function is to supply nerve to the muscles and organs in the lower back, and thighs, and legs, and ankles, and toes.

If pressure is applied to the nerve in the path of these nerves from the root of the spinal nerve to the location of the target muscle, you will suffer from cramping muscle pain related to that nerve, the pain in this condition will be sharp or so-called radicular by doctors.

Doctors call this set of injuries radiculopathy and the pain associated with them is radicular.

Radicular refers to shooting pains that is accompanied by muscle cramps, loss of sensation, numbness of the skin in the area of ​​the nerve under pressure, and a tingling and burning sensation of the nerve pathway. In prolonged cases, the muscles of the nerve under pressure will become thinner and weaker.


What are the compressive factors on the nerves related to the pelvis and lower back and lower pelvis and legs?

Now let’s take a look at the compressive factors on the nerves related to the pelvis and lower back and lower pelvis and legs:


The intervertebral disc is actually a cartilaginous member that prevents the application of crushing pressures in the direction of the spine. In fact, the intervertebral disc plays the role of a kind of shock absorber and pressure regulator. As long as the person is young, this disc is flexible, meaning that the center of the disc is soft and flexible and is called the disc core, If a young person exerts a large vertical pressure on the vertebrae that is beyond the strength and tolerance of the disc, eventually this soft, flexible core presses against the circumferential ring of the disc, causing the disc to protrude between the vertebrae.

In medicine, the term hernia is used to describe the departure of an organ from its normal location.

Now that we understand the disc herniation, we need to know that if the pressure continues, the solid ring around the disc will eventually rupture.

Whether the disc is displaced or protrudes, both ruptures will put pressure on the root of the spinal cord.


As we age, the disc between the vertebrae also becomes thinner, and as a result of this change, the distance between the two bony vertebrae decreases and the abrasion of the bony surfaces of the adjacent vertebrae increases. The cartilage is no longer soft and flexible and has become weak and low.

The vertebral bones around the degenerated disc produce bony appendages to compensate for the weakness of the disc. these bony appendages along with a decrease in the height and thickness of the disc and a decrease in the strength of the disc between the vertebrae, are accompanied by an increase in the wear of the adjacent bones, and inflammation will occur at the articular surfaces of the vertebrae.

The joints that connect the adjacent vertebrae also weaken. The set of these changes is called osteoarthritis or spinal osteoarthritis.

Elderly people, people with spinal cord injuries, and people who have recurrent pressure on their spine suffer from osteoarthritis. The bony appendages mentioned above will put pressure on the roots of the spinal nerve and begin the process of radiculopathy and cramping pain spreading down the pelvis.


Narrowing of the space through which the spinal cord passes also causes the nerve roots to be compressed.

are considered as other causes.


Inside the pelvis is a pear-shaped muscle called the piriformis, where the sciatic nerve passes just behind and sometimes through this muscle. When you move your thighs too far away from the center axis of the body, this muscle contracts and tightens. Occasionally cramps and spasms of the piriformis cause pressure on the sciatica and inflammation of the nerves.

And it will cause pain in the lower back and buttocks and sometimes above the back of the thighs and behind the thighs.

Neurological disorders or neuropathies are actually pains caused by nerve problems. Doctors call these pains neuropathic pains (neuropathy means disorder and problem in the nerves) or neurogenic pains which means pain originating from nerve fibers.

Neurogenic pain occurs when the nerves that feed the pelvis and lower pelvis are damaged.

Diabetes and alcohol can also be associated with nerve damage outside the spinal cord or, in fact, peripheral neuropathy.

The most common cause of shooting pain from the pelvis to the end of the leg is injury and inflammation of the trunk of the sciatic nerve or the roots of the spinal nerves that make up the sciatic trunk.


The most important causes of leg pain

And finally, one of the most important causes of leg pain will be vascular problems.

If for any reason the blood circulation in any part of the pelvis and legs is disturbed, very severe pain will be caused due to the diffusion of the vascular involvement.

The most common pelvic vascular disorder, accompanied by shooting pain from the pelvis to the legs, is due to atherosclerosis or narrowing of the arteries. This disorder is called peripheral arterial disease, or PAD, and is very common in people with a history of coronary heart disease.

The most common pelvic vascular disorder, accompanied by shooting pain from the pelvis to the legs, is due to atherosclerosis or narrowing of the arteries. This disorder is called peripheral arterial disease, or PAD, and is very common in people with a history of coronary heart disease.

It is very important to identify the affected roots and nerves before treatment. In addition to a history and clinical examination with the help of EMG NCV, this process is proven to your doctor.

The NCV determines in which nerves the speed of nerve conduction has decreased or changed.

Spine imaging may also be needed, from a simple X-ray image that can show vertebral fractures and slips to an MRI that can detect tumors.


In cases where radiculopathy is diagnosed due to pressure and inflammation on certain nerves, what instructions will your doctor first give you for recovery?

Rest: Rest is enough for at last forty-eight hours. Longer rest is not recommended.

Cold Therapy: In the first forty-eight to seventy-two hours of the acute pain phase, a cold compress is good for reducing inflammation and pain. Try to apply a cold compress to your aching muscle every fifteen to twenty minutes.

Heat therapy: After this time, you can use an electric blanket or a warm towel on the sore muscle.

Along with these measures, OTC analgesics such as ibuprofen and naproxen or antispasmodics such as Methocarbamol are used.

If these recommendations do not lead to recovery, your doctor will prescribe stronger painkillers and anti-inflammatory drugs.

You need to start your standard stretching activities as soon as possible.


Types of physiotherapy

Types of physiotherapy for diffuse pain from the pelvis to the bottom of the legs include:




What tips should we pay attention to to prevent the mentioned pains?