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Published on: 7/14/2026
Pain across the buttocks that radiates down the legs is most commonly caused by sciatica or lumbar disc degeneration, both of which involve irritation or compression of nerves in the lower spine. In rare cases, this type of pain may also result from complications of a perianal abscess.
Because these conditions range from manageable to serious, identifying the likely cause early can help you avoid worsening symptoms and get the right treatment faster. A free, instant, online symptom check can help you clarify what may be driving your pain and guide your next steps—whether that's home care, seeing a primary care provider, or urgent evaluation.
Reviewed for medical accuracy: 07/15/2026
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Submit your own QuestionPain that spreads across the buttocks and down the legs may happen for several reasons. One common cause is sciatica, which occurs when the sciatic nerve is irritated or compressed. This can lead to pain, tingling, or numbness that travels along the path of the nerve, often starting in the lower back and moving down to the legs.
Another possible cause is lumbar disc degeneration. This condition affects the discs in the spine, which can become worn down over time. When this happens, it might cause pain that radiates to the buttocks and legs.
While less common, a perianal abscess can sometimes lead to complications that cause pain in these areas. An abscess is a collection of pus that forms near the anus, and if it spreads, it can potentially affect the surrounding nerves or tissues, leading to discomfort.
If you're experiencing such pain, you can start by using our free AI symptom checker to help understand your symptoms, and then consult a healthcare professional for an accurate diagnosis and appropriate treatment.
(References)
Davis D, Taqi M, & Vasudevan A. (2025). Sciatica. Unknown Journal, 29939685.
Gujrathi R, Gupta K, Ravi C, & Pai B. (2016). An Extremely Rare Complication of the Perianal Abscess. Polish journal of radiology, 27733887.
Liyew WA. (2020). Clinical Presentations of Lumbar Disc Degeneration and .... International journal of rheumatology, 32908535.
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