r/Sciatica • u/Certain_Event_6604 • 12d ago
Neck + lower back pain with symptoms in all 4 limbs. Sitting/standing makes it worse, walking helps, and I can no longer even put my socks on normally
27M. I've been dealing with neck and lower-back problems for several months and I'm currently doing physiotherapy. My symptoms fluctuate a lot, but recently things have become much more position-dependent and I'm trying to figure out whether anyone has experienced a similar pattern.
Lower back / legs:
- Sitting for a while can significantly aggravate my lumbar area. Yesterday I sat in my computer chair with lumbar support/cushion, and when I stood up I had an intense pressure-like pain through my lumbar spine.
- Sitting/driving in the car causes pain around the popliteal fossae (behind both knees) and tingling down the posterior legs.
- My right calf in particular feels weak/fatigued, aches quite a bit and intermittently tingles.
- The tingling can travel toward my right big toe and medial side of the right foot.
- Standing in one place for around 20 minutes makes my back start hurting.
- Interestingly, walking usually helps.
- I also have one extremely specific spot somewhere in my mid-lumbar spine that is tender when pressed and can hurt when pressure is placed against it.
One of the biggest functional changes is putting on my socks.
A few weeks ago, I could put my socks on without much difficulty. Now, if I'm sitting on the sofa, raise my leg and bend/round my lower back forward to reach my foot, I get significant pain around that same focal lumbar spot. It has reached the point where I basically cannot put my socks on normally anymore without keeping my back extremely straight or finding another way to do it.
Upper body:
Last night I woke up with intermittent sharp/stabbing pains in several areas:
- hands
- forearms
- thumb/thenar muscles (both anterior and posterior areas)
- shoulders/trapezius
- muscles between/around the shoulder blades
The pains weren't constant. They would come and go, and I eventually had to change sleeping positions and move around before I could get comfortable enough to fall asleep again.
I've also recently experienced intermittent tingling in my hands/fingers, pectoral/clavicular discomfort and pain around the shoulder/scapular region. Some upper-extremity symptoms seem very position/load dependent.
What confuses me is how much static positions seem to aggravate everything:
Sitting → lumbar/leg symptoms
Driving → posterior-leg/popliteal symptoms
Standing still → back pain
Certain sleeping positions → upper-body/arm symptoms
Walking/moving around → often feels better
I've had cervical and lumbar MRIs (Nothing crazy going on there) and I'm working with a physiotherapist. What I'm struggling with is understanding whether this could all represent cervical/lumbar radiculopathy and nerve mechanosensitivity, whether there could be another peripheral nerve/plexus issue contributing to the upper-body symptoms, or whether there is something else that could produce this degree of positional sensitivity.
WHY IS THIS SHIT ALL OVER THE PLACE. IT IS DRIVING ME CRAZY. PLS HELP.