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Why Does My Back Hurt When I Lift My Legs?

Published in Back Pain Causes 3 mins read

Your back might hurt when you lift your legs due to various reasons, often related to the interconnectedness of your back muscles, nerves, and spinal structures. Lifting your legs engages core and hip flexor muscles, which can put strain on your lower back.

Possible Causes of Back Pain When Lifting Legs

Here are some potential reasons why you experience back pain when lifting your legs:

  • Muscle Strain or Spasm: Lifting your legs, especially if done incorrectly or with added weight, can strain the muscles in your lower back, leading to pain and spasms.

  • Sciatic Nerve Involvement:

    • The sciatic nerve, the main nerve running down your leg, can be irritated or compressed. According to the reference, pain associated with the sciatic nerve often "originates higher along the spinal cord when nerve roots become compressed or damaged from narrowing of the vertebral column or from a slipped disk."
    • Lifting your legs can stretch the sciatic nerve. If the nerve is already inflamed or compressed, this stretching can exacerbate the pain, causing it to radiate down your leg and/or trigger back pain.
    • Example: Sciatica can cause pain when doing leg raises or even just lifting your leg to get into bed.
  • Disc Problems: A herniated or bulging disc can put pressure on nearby nerves, causing pain that worsens when you lift your legs. This is because lifting the legs can increase the pressure on the spinal discs.

  • Spinal Stenosis: This condition involves narrowing of the spinal canal, which can compress the spinal cord and nerves. Lifting your legs can further compress these structures, leading to pain.

  • Sacroiliac (SI) Joint Dysfunction: The SI joint connects your spine to your pelvis. Problems with this joint can cause pain in the lower back and hips, which can be aggravated by leg movements.

What to Do If You Experience Back Pain

  • Rest: Avoid activities that worsen the pain.
  • Ice/Heat: Apply ice packs for the first 24-48 hours to reduce inflammation, then switch to heat for muscle relaxation.
  • Gentle Stretching: Perform gentle stretches to improve flexibility and reduce muscle tension. Consult with a physical therapist or healthcare professional before starting any new exercise program.
  • Over-the-Counter Pain Relievers: Medications like ibuprofen or acetaminophen can help manage pain and inflammation.
  • See a Doctor: If the pain is severe, persistent, or accompanied by other symptoms like numbness or weakness, consult a healthcare professional for diagnosis and treatment. This is especially important because the pain could indicate a serious underlying condition, such as a problem with the sciatic nerve or the spinal cord.

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