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Question about sciatic pain going down the FRONT of my leg?

MsHumptyDumptyMMsHumptyDumpty Posts: 1,567
I have had sciatic issues on my left side and the pain (which one never forgets)ran down my but and the back of my leg.
I recently started having sciatic issues on my right side and today I bent over just a little bit & the sciatic pain grab me in the typical spot in my lower back BUT this time it ran down the front of my leg to my knee.

Is that normal when dealing with sciatic issues?

I have only experienced and heard of back of the leg pain.

PS: For those who know me I will be back here more regular soon. We have had several family crisis over the past month or so and then last week we lost our fur son to diabetes. :(
I got him as a birthday present several yrs ago and he passed away 2 days before my 50th birthday - it was really rough.
L1 - S2 "gone" useless in 1 way or another. DDD. RA. Bone Spurs. Tons of nerve damage/issues. Stenosis. Both knees replaced. 50 yrs old. I had a great fall (hence my user name) at age 41 and it has been a domino effect every since.


  • 39 reads and no one else has had this type/area of pain? I can't find anything online at search engines either. Now I wonder if I should be worried...
    L1 - S2 "gone" useless in 1 way or another. DDD. RA. Bone Spurs. Tons of nerve damage/issues. Stenosis. Both knees replaced. 50 yrs old. I had a great fall (hence my user name) at age 41 and it has been a domino effect every since.
  • I hope you get an answer but I suspect what you are having on top of your leg is not sciatica pain. It may feel like it but I dont think the nerve in that location is the sciatic nerve. I too have pain, numbness, tingling and sometimes stabbing pains in my right upper thigh. I can usually relieve it by shifting to another position or wiggling around a bit. Of course the morphine, methadone and gapapentin help some too.
  • Hi

    I also have the pain in front right thigh, this sometimes spasm,There is also a burning sensation in front right shin and most recently burning on the soles of my feet,My right leg was the only one affected until a couple of weeks ago, now my left leg has the burning sensation in the shins and feet area, My lower back aches 24/7, i find walking more than 100 metres brings on these conditions and standing more than a couple of mins,I can sit for a good while though,laying down brings on the back pain.
    I see the neuro surgeon on the 24th of this month, I have been through all the p/t chiro/pain management, without any real relief, hope the neuro can help.

  • My pain management said that the pain in the front of my thigh is from the bulging disc at L4/L5 sitting on that nerve which is different than the L5/S1 nerve which causes sciatica.

    I'm hoping I am remembering that correctly. I hope you get some relief soon.

  • This article shows which nerves cause pain in certain areas of the leg


    Hope that helps

    Amanda x
  • Thank you Amanda I will go look at this right now. Stabbing pain in lower right side of back continues with pain running down front of right leg to the knee :(
    L1 - S2 "gone" useless in 1 way or another. DDD. RA. Bone Spurs. Tons of nerve damage/issues. Stenosis. Both knees replaced. 50 yrs old. I had a great fall (hence my user name) at age 41 and it has been a domino effect every since.
  • sciatic pain can reveal itself on any part of the leg, upper or lower, front or back, it depends what nerve root is impinged/implicated. the sciatic nerve, if i recall correctly, begins at these nerve roots where the spinal cord ends. you could be referring to the "sacral" nerve roots that run the back of the legs (S1, S2 ....) and would have pain running down the back of the leg, these sacral nerve roots appear below the lumbar areas (L4, 5 ...). The lower L and S nerves are both part of the sciatic nerve.
  • I too belive i have this but my pain goes to Mt upper butt area and the sides just down my right hip to the beginning side of My thigh or i guess the end of my hip its sooo painfull...but, im not sure if its my nerve or not what does anyone think? :-( i hope u feel better! And im sorry about ur family member God bless.
  • So I talked to my chrio and he said sounded like a SI Joint type issue. I usually trust his knowledge but uh I don't think so this time - I think he is off course with the "ice it & it will get better" advice.

    I "know" something else is up. Guess it is time to go see main Dr.

    babyruth - that is my guess too - TY :)

    Ash - I hope some other members here can help you out :)
    L1 - S2 "gone" useless in 1 way or another. DDD. RA. Bone Spurs. Tons of nerve damage/issues. Stenosis. Both knees replaced. 50 yrs old. I had a great fall (hence my user name) at age 41 and it has been a domino effect every since.
  • Hi,

    I have been having this front of thigh pain since my fusion in oct 2009. I had hoped it was caused by my infected hardware but it is still there.

    My latest surgeon says I have facet joint osteoarthritis at L4L5 and that could be causing my pain. Although he says there is no sign of nerve impingement so he can't explain the nerve pain, just my back pain.

    In two weeks I am trying facet joint injections and an esi at L4L5 to see if that helps.

    Good luck.
  • nel - thanks for the info. I sure hope this next treatment helps you. Please let me know how it goes :)
    L1 - S2 "gone" useless in 1 way or another. DDD. RA. Bone Spurs. Tons of nerve damage/issues. Stenosis. Both knees replaced. 50 yrs old. I had a great fall (hence my user name) at age 41 and it has been a domino effect every since.
  • cfdccfd Posts: 1
    edited 03/14/2013 - 4:22 PM
    It is strange that I have been on the internet half the day trying to find out about front leg pain today also. Having no luck either, I happened to stumble on this forum and there you were,...basically same question! A few days ago, while I was shopping, I started to have a kind of burning pain in my upper left thigh (inner area). It was kind of 'stabbing' at that time and I walked around for about 10 min and it resolved itself. Yesterday it started again. This time the pain would radiate starting at the top of the thigh and often moving on down in a burning sensation to the fleshy part of the inner side of the knee. Today, I have had it off and on all day. Sometimes it just starts burning at the top and sometimes more by the knee. I have experienced a lot of back pain but never this. I have had the sciatica, herniated disc, etc. I had my first back shot last year in my lower back. I have stenosis in my lower back and also found out about a year ago by accident that I have osteoporosis in the back and osteopenia in the hips and am now on a weekly fosomax. Yesterday, I was a bit scared because I didn't relate this to my back and my mind was racing as to what in the world this burning pain was. I actually started my internet search out in other areas, not realizing that, of course, the obvious has to be the good old back issues. I will let this new problem ride for a few days and hope it goes away. I just don't like going to the doctor :( Thanks for sharing. Now I don't feel like I'm the only one who has a front thigh pain issue.
  • Hi group any advise or information would be great. Without writing a book I will try to give a rundown of my history and see if anyone has a similar situation. On 4/18/13 I went to the ER intense sciatic pain that came on very suddenly. I woke up stretched my body out and wham the pain shot down my left leg all the way down to my toes. It was so intense it did not matter what body part I moved the pain intensified and the muscle spasms went from the hams to the outside of the calf. This was only the left side. I had to call 911 and was taken to the ER. Here is my history. I had an accident in 2004 that required me to have a laminectomy and discectomy of L4/L5/S1. Everything was great for years after. In 2007 I got a knee injury to my left knee from repeatedly getting in and out of my patrol car, traffic unit cop. I had a torn meniscus and grade 3 condral defect. Had knee surgery # 1 at the end of 2007, during PT another piece of cartilage in my knee broke loose and I required another knee surgery. The surgeon said eventually I will need the knee replacement because it will continue to deteriorate. The second knee surgery went well and I didn't have any issues for several years, but that could also be due to the fact that I worked as a Detective in an office after that and was no longer getting in and out of a car. I always tried to baby my knee because I wanted to put off the replacement as long as I could. In 2012 started getting a lot of knee pain and I started to notice alot of swelling over the knee cap. I realized that I was walking with a limp and so did my coworkers. This went on for over 7 months since it was a workers comp case I knew my yearly was coming up. In 9/12 I leaned over to pick up my cell phone and felt and heard a pop in my back which send me to the ground with intense sciatic pain. Was taken to the ER where it was found that the disc In L4 and L5 completely blew out left and right side and now I was bone on bone. My spine surgeon said he needed to do a one level fusion because there was nothing left of the disc, but he knew my knee was in bad shape and said you got to get the knee fixed before we can fix your back. 10/12 I had my third knee surgery (arthroscopy ). Knee Doc said another meniscus tear and that I was now bone on bone grade 4 and that a knee replacement was looming , but he was reluctant to do it because of my age. Late 30's. He did what he could but its hard when you have no cartilage on the bones or under the patella. After PT for the knee which was a joke because W/C does not send you to the PT that the doctor recommends but to the cheapest. This PT group did not deal with alot of post op knee patients. Well my back could not wait any longer either, after 10 weeks of PT for my knee my back had to be addressed. Had the spinal fusion on 12/12 and it went perfect. One level fusion L4/L5. The back PT thank God was with a group that dealt only with post op back and knee surgery patients. When I started they did their eval and were shocked when they saw that there was a 13 degree difference between my right leg and my left leg and that the muscle atrophy was awful. They asked if I had even had PT after my knee surgery, I told them I complained that my knee was not getting any better but because it is WC you are at their mercy. They PTed my back and had to PT my knee even though it was not their job, but had to to get my back strong. My back PT went excellent and they were able to get the leg difference from 13 degrees to a 6 degree difference. They said you need to get more PT on that knee from people who deal with post of knee. When the incident happened in April I am still dealing with intense pain in left leg radiating down my leg behind my knee down my calf into my foot, I also have numbness on the outline of my ham on the back and outside of my calf the bottom of my foot. My spine doc said this is being caused by an unstable/unsteady gait. I asked him if this could be piriformis syndrome he said no that would be isolated to my buttock. I lift left or right leg and I feel pain on the left side deep in the buttock near tailbone. Almost like a heavy or pulling sensation. My question is this sciatic or N1 nerve root irritation do to me walking with a limp still. Can an unsteady gait because of my knee injury cause irritation to these nerves? Would an MRI with contrast show were the irritation is. Any advise or information you could share with me would be wonderful. Sorry it was so long tried to keep it short but wanted to have as much info as possible.
    Laminectomy & Discectomy L4 L5 & S1 in 2004.
    Spinal Fusion L5-S1 2012
    Re-herniation of L5-S1 & L4-L5 2014
  • radiculopathousrradiculopathous Posts: 19
    edited 10/06/2013 - 11:21 AM
    I'm not sure if this will help:

    (A) There's a kind of map of which nerves deserves which regions of the human body which you can find online, called a "dermatome chart." You should be able to find which nerve root corresponds to your odd front-leg region. In my case, the chart was SPOT ON in relation to the source of my pain. (Accessorily, it's also surprising to me how this map applies to humans in general; I would have expected more variance between people from nature)

    (B) In my experience, even though a specific nerve root may be affected, I felt some minor amount of pain in areas served by nearby nerve roots (not herniated). I'm not sure if this is true, but it certainly felt like inflammation can extend a bit and affect nearby nerve roots if it's really intense.

  • i had MicroD for L4/L5 5 weeks ago and i had relief from leg pain but still have strong pain when sitting, so 2 weeks ago i took a corticosteroidal injection in the muscle and i felt better after 5 days i could sit for long periods and got back for my work and my foot is not numb anymore.

    4 days ago i had burning feeling in my foot and today it is very painful i can't withstand any touch and i tried ice it doesn't help alot.

    i am on lyrica 150 mg twice daily and ibuprofen 600 three times

    is this a part of nerve healing process or is this not normal?? and also is there anything to do or take to relief these burning?

  • I know this is old but I too am having the front thigh burn in BOTH thighs post op microdiscectomy! 
    How did yours end up!
    This is not only painful,it's scary
  • MarieElenaMMarieElena Shoreline, WAPosts: 1
    I have had lower back issues with radiating pain from my upper inner thigh down the center of my  thigh area - Quads- femur bone to my Knee where it can burn and radiate intensely (often pulsing) down into my front lower legs into my ankles and then into the bottom of my feet. My lower leg muscles often cramp and spasm with great intensity; very painful. I Have a blown degenerating disc at L4. My pain even on opiate pain management can be so so so severe that I want to cut my legs off to stop the pain. Because I am on disability Medicare etc I have not received quality thorough medical treatment and tend to spin in circles seeing doctors and feel blown off...long story..blah blah blah - this thing has gotten so out of control. I finally have a group of docs who care.

    I found this link on: Cauda Equina Syndrome, which fits me perfectly as it is now effecting my lower bowls and colon. :(

    I thought it may help those with similar pain or questions regarding said pain.

  • Penny102088PPenny102088 North CarolinaPosts: 1
    Did you find answers and get help?
  • LizLiz Posts: 8,071
    Hello Penny

    This is an old discussion created by a member no longer on the forum so I am closing it.
    I suggest you create a new discussion using the link below

    Please click on the link for useful information

    Liz, Spine-health Moderator

    Spinal stenosis since 1995
    Lumber decompression surgery S1 L5-L3[1996]
    Cervical stenosis, so far avoided surgery
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