Although endometriosis is frequently associated with menstrual pain, in some patients the pain is not limited to the groin. Pain that spreads especially to the lower back, hips and legs can often be seen in the deeper forms of this disease that involve the nerves.
So How Does This Pain Arise?
Endometriosis tissue can sometimes extend beyond the pelvic region and come into contact with nerve structures. If the sacral plexus, the sciatic nerve and the structures around them are affected in particular, the pain can spread along the nerve. This can cause sensations such as burning in the hip, a dull pressure in the lower back or pins and needles in the leg.
Which Conditions Is It Confused With?
Lower back, hip and leg pain is most often confused with a herniated disc, sciatica or musculoskeletal problems. However, if this pain:
increases before or during menstruation
does not decrease with rest and is persistent
does not pass despite medication
is seen together with other endometriosis symptoms (painful periods, pain during intercourse, bowel problems)
then nerve involvement caused by endometriosis should come to mind.
Why Is the Diagnosis Delayed?
Pain of this kind is usually taken for an orthopaedic or neurological problem and can be investigated for a long time in different specialities. However, the effect of endometriosis on the nerves is not always visible with classical methods. Specialised pelvic MRI imaging and assessment by a physician experienced in endometriosis are of great importance at this point.
Is Treatment Possible?
Yes. Both medical and surgical treatment options exist for nerve involvement caused by endometriosis. With the correct diagnosis this pain can be managed and quality of life can increase considerably.
If the unexplained pain in your lower back, hips or legs is linked to your menstrual periods, it may also be coming from a gynaecological source. Do not ignore it…