Why does my right leg hurt more and more due to adenomyosis?

The increasing pain in the right leg caused by adenomyosis may be due to radiating pain caused by lesion compression, or it may be related to nerve involvement, spread of inflammation or worsening of the disease. It is recommended to seek medical attention as soon as possible to relieve symptoms through drug treatment, physical therapy or surgery to avoid further deterioration of the disease.

1. Nerve compression and radiating pain

Adenomyosis is a condition in which endometriosis spreads to the myometrium, causing the uterus to gradually enlarge. When the enlarged uterus presses on the surrounding nerves, especially the pelvic or sciatic nerves, pain may radiate down the right leg or even the entire lower leg along the nerve path. This pain usually manifests as constant or radiating pain, which may be accompanied by numbness or tingling.

Suggested treatment methods:

Drug treatment: Nonsteroidal anti-inflammatory drugs such as ibuprofen and diclofenac can be used to relieve pain and inflammation. You can also consult your doctor to decide whether to use hormonal drugs such as the levonorgestrel intrauterine system or gonadotropin-releasing hormone agonists to suppress endometriosis.

Physical therapy relief: Using heat, acupuncture, or low-frequency electrical stimulation can help relieve pain caused by nerve compression.

2. Pain caused by the spread of inflammation

Adenomyosis is often accompanied by inflammation of the surrounding tissues, especially when the lesions involve the pelvic area. This inflammation may cause pain to spread to the right leg by affecting the relevant nervous system, especially during menstruation.

Suggested treatment methods:

Anti-inflammatory treatment: Drugs such as ibuprofen and naproxen can be used to reduce inflammatory responses, but it is recommended to monitor the condition regularly under the guidance of a doctor.

Dietary adjustment: An anti-inflammatory diet can help relieve inflammation, such as consuming more fish and nuts rich in Omega-3 fatty acids, as well as green tea and blueberries rich in polyphenols, while reducing the intake of high-fat foods and processed foods.

3. Exacerbation of illness or other lesions

As adenomyosis worsens, patients may experience persistent moderate to severe dysmenorrhea, with symptoms spreading to other parts of the body during menstruation, including the lower abdomen, waist, or lower limbs. When the lesions erode to a larger area, blood circulation may be affected, further exacerbating pain and discomfort in the lower limbs.

Suggested treatment methods:

Surgical treatment: For patients with severe conditions, such as those who are ineffective with hormone therapy or whose symptoms repeatedly worsen, surgical treatment may be considered, including hysterectomy or local resection of adenomyosis to preserve fertility. The specific plan needs to be decided by the doctor based on individual circumstances.

Postoperative rehabilitation: Rehabilitation therapy, such as physical therapy and nutritional support, is required after surgery to reduce the risk of postoperative complications and persistent pain.

Right leg pain may be a chain reaction caused by adenomyosis and should not be ignored. Patients are advised to check the cause as soon as possible, develop a personalized treatment plan, and pay attention to specific methods of pain relief, such as appropriate medication, diet, physical therapy or surgery. Scientific intervention can effectively improve the quality of life and avoid further impact of the disease on other organs.