Simon Standaert Osteopath

Specialisation

Pain radiating into the arms, legs and buttocks

Pain, tingling or numbness spreading into an arm, leg or buttock often originates in the spine or from an irritated nerve along its path. Simon investigates the source.

Radiating pain

Where does radiating pain come from?

Pain locationPossible source
Arm and handNeck vertebrae, a cervical disc herniation, the shoulder or thoracic outlet
ButtockLower back, sacroiliac joint or piriformis muscle
Back of the leg (sciatica)Lower back, a lumbar disc herniation or the sciatic nerve
Front of the leg or groinUpper lumbar vertebrae or hip

How does an osteopath treat radiating pain?

Nerve and spinal assessment

Neurological and orthopaedic tests help identify which nerve is involved and whether further imaging is needed.

Creating space

Mobilising the vertebrae and pelvis and relaxing the muscles around the nerve reduces irritation.

Nerve mobilisation

Targeted techniques and exercises to improve the nerve's ability to move.

When should you seek immediate medical attention?

Contact your GP or an emergency department immediately if you experience:

  • Increasing weakness in an arm or leg
  • Loss of sensation around the buttocks or genitals
  • Problems passing urine or controlling your bowels
  • Fever or unexplained weight loss alongside the pain

Frequently asked questions

Does radiating pain always mean a herniated disc?

No. Muscle tension, joints or an irritated nerve outside the spine can also cause radiating pain.

Do I need a scan?

Not always. Simon assesses whether imaging would be useful and refers you if needed.

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