Why Do My Legs Hurt When I’m On My Period?

It is common to feel aches and discomfort in the legs during menstruation. This pain can range from a mild ache to a more intense, throbbing sensation extending from the lower back or pelvis into the legs. Understanding these reasons can help manage symptoms.

Common Explanations for Leg Pain

Leg pain during menstruation is linked to the body’s physiological processes. Prostaglandins, hormone-like chemicals, cause uterine contractions to shed the uterine lining. High levels of prostaglandins intensify pain and inflammation, radiating to the lower back and legs.

Pain originating in the pelvic region can be felt in the legs due to referred pain. Nerves supplying the uterus, lower back, and legs are closely connected, meaning uterine discomfort can be felt in the legs. This can manifest as a deep, throbbing sensation in the upper legs or groin that coincides with the menstrual flow. Hormonal fluctuations during the menstrual cycle can affect nerve sensitivity and blood flow, contributing to leg discomfort.

Other Underlying Conditions

While common physiological responses account for much leg pain during menstruation, certain medical conditions can also cause or worsen this symptom. Endometriosis, where tissue similar to the uterine lining grows outside the uterus, is a notable example. These growths can cause pain and numbness in the hips, buttocks, and legs, particularly if they put pressure on pelvic nerves like the sciatic nerve. Sciatic endometriosis, where endometrial tissue grows around the sciatic nerve, can lead to pain, numbness, cramping, and tingling down the leg.

Uterine fibroids, non-cancerous growths in the uterus, can also contribute to leg pain. Large fibroids located at the back of the uterus can press on the sciatic nerve or other pelvic nerves, causing pain to radiate down the legs. This nerve compression can lead to sciatica-like symptoms, including sharp, shooting pain, tingling, or numbness. Adenomyosis, where uterine lining tissue grows into the muscular wall of the uterus, can similarly cause leg pain due to nerve pressure or inflammation.

Strategies for Relief

Several strategies can help manage leg pain during menstruation. Over-the-counter pain relievers, particularly nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen, are often recommended. These medications inhibit prostaglandin production, reducing uterine contractions and inflammation that contribute to pain.

  • Applying heat: A heating pad on the lower abdomen or a warm bath can relax muscles and improve blood flow.
  • Light exercise: Walking, yoga, or gentle stretching can alleviate discomfort by releasing endorphins and reducing muscle tension.
  • Massage: Focusing on the legs can help relax muscles and ease tension.
  • Hydration and diet: Maintaining proper hydration and a balanced diet rich in anti-inflammatory foods may support overall comfort.

When to Consult a Doctor

While some leg pain during menstruation is common, certain symptoms warrant medical attention. Consult a doctor if the pain becomes severe or worsens with each cycle, or if it is new or different from typical period pain. Pain that does not improve with over-the-counter relief or interferes significantly with daily activities should also be evaluated.

  • Heavy bleeding.
  • Fever.
  • Unusual discharge.
  • Pain occurring outside the menstrual period.
  • Radiating or shooting pain, numbness, tingling, or weakness in the legs.

A medical professional can help determine the underlying cause and recommend appropriate treatment.