Referred Pain - Know How To Treat It

This type of lower back muscle pain can also vary widely with regards to severity and quality. It tends to be achy, dull and migratory (moves around). It tends to come and go and often varies in intensity. It can result from the identical injury or problem that causes simple axial back muscle pain and is often no more serious.

Area of pain distribution

Referred muscle pain is usually felt in the low back area and tends to radiate into the groin, buttock and upper thigh. The pain often moves around, and rarely radiates below the knee. This type of lower back muscle pain is not as common as axial lower back muscle pain or radicular muscle pain (sciatica).

Referred muscle pain is analogous to the pain that radiates down the left arm during a heart attack. It is the result of the extensive network of interconnecting sensory nerves that supply many of the tissues of the low back, pelvis and thigh. An injury to any of these structures can cause pain to radiate – or be “referred” - to any of the other structures. It is important to understand that this type of pain is not due to “pinched nerves”.

Treatment of Referred Lower Back Muscle Pain

In general, referred muscle pain is treated with the same types of conservative care as axial back pain and will frequently diminish as the low back problem resolves. Once the possibility of a serious underlying medical condition as the cause of a patient’s low back pain is ruled out, treatment of referred low back pain is conservative (non-surgical) and may include one or a combination of the following:

1) A short period of rest (e.g. one or two days)

2) Physical therapy, active exercise and stretching

3) Ice packs and/or hot pads

4) Appropriate medications for pain relief

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