We can have leg pain for a whole variety of reasons: It may be due to sciatica (trapped spinal nerve), or pain from the hip or knee, or there may be a problem with the blood supply into the leg.
Or first task is to establish the cause of the pain. We use a number of orthopaedic and neurological tests to establish whether there is a sciatic problem. Manipulation is helpful for some patients with sciatica  [2, 3] .
One of the concerns that all practitioners have is whether there is any compression of the nerves controlling the bladder and bowel. This is something that needs to be considered. Any patients with sciatica who are experiencing bladder or bowel problems or any numbness in their pelvic floor area should seek advice at A+E, as this is a condition that may require surgery. Sometimes this is known as ‘cauda equina syndrome’.
The leg pain may come from the hip or the knee as well and manual therapy and we often use rehabilitative exercises to treat these conditions   . Sometimes we will use acupuncture techniques to as well   but the research evidence for this is mixed  .
If your leg is cool and the pulses in the ankle are hard to feel, or if you have on-going nailbed infections, there may be a problem with your circulation. This can make the lower leg hurt, particularly when you walk. It can sometimes be hard to distinguish this pain from the pain of spinal stenosis. Spinal stenosis is narrowing of the spinal canal due to degenerative changes in the lower vertebrae of the spinal. This can compress the nerves that exit from the lower spine. Spinal stenosis occurs more frequently in older patients, and it can quite a challenging condition to improve. Physical treatments are normally part of the first-line treatment of this type of leg pain .
READY TO TALK?
Get in Touch
If you’re ready to book an appointment or have any questions then please get in touch. You can send us a message, book online or contact us by phone or email.