Leg pain is a condition that must be evaluated closely to ensure proper diagnosis and treatment.
Leg pain can be caused by a variety of different conditions. The most common cause that I see in the office is sacroiliac joint (SI) dysfunction. This is many times misdiagnosed as a sciatic problem or sciatica. Sacroiliac joint problems are quickly and easily evaluated in the office, but if missed can lead to continued pain unnecessarily for the patient. You must address the fixated part of the sacroiliac joint specifically to obtain a good result. Many doctors miss this. Aggravated gluteal muscles or the buttocks muscles will refer pain due to trigger point formation for working extra hard due to the SI joint restriction.
The second most common cause that I see in the office is referred pain from the joints in the lower back called facet joints. Some doctors will refer to this as a facet syndrome. In these cases the patient will experience lower back and leg pain. Pain referred by the lumbar facet joints follow sclerotogenous patterns which can be vague, ignoring normal nerve root patterns.
The third most common cause of leg pain would be nerve root irritation in the low back related to arthritis or disc involvement. Bone spurs may irritate the nerve roots causing a true sciatica or a disc bulge or herniation may do the same. Pain generated by nerve root irritation is typically well defined and may correlate with x-ray or MRI finding of the lumbar spine.
Skill in the diagnosis and treatment of leg pain comes with years of experience. Let me put my 20 plus years in treating leg pain to work for you. Call the office now at 407-522-5858 for your consultation to see how we can help you find pain relief once and for all.