Video Transcript

There are two basic ways that the spine can cause leg pain. The first is referral pain from structures within the spine itself, such as the disc, facet joint, sacroiliac joint. Structures that can become painful can also refer pain down into the leg. That pain tends to be more dull, deep, vague, achy. The way that we usually think about pain coming from the spine into the leg is more radiating, electric, burning pain. This comes from irritation of the nerve root within the spine.

There are a number of variables within the spine that can cause that irritation of the nerve root - herniated discs, spondylolisthesis where the bones slip on each other, facet joint arthropathy with the little joints in the back of the spine become arthritic and hypertrophy, ligamentum flavum buckeling and hypertrophy with the ligament in the back of the spine. Basically, a number of different arthritic types or processes or acute processes like a herniated disc, all of which have a common denominator which is that the hole where the nerve exits becomes smaller and, as a result of that, there is more of a propensity towards an inflammatory response along that nerve and that can send pain shooting down into the leg, often there is associated numbness, sometimes there is some weakness.