19/02/2026
Referral….pain or other sensations:
Referred sensation describes pain, tingling, numbness, or altered feeling that is perceived in the arm or leg but originates from a different structure—often the spine or nearby tissues rather than the limb itself. It is commonly not local damage to the structures/tissues experiencing the symptoms.
Mechanisms:
• Shared neural pathways: Sensory input from muscles, joints, discs, and nerves can converge at the same spinal cord segments, causing the brain to misinterpret the source of symptoms.
• Nerve root irritation or sensitisation: Compression or inflammation of a spinal nerve root can produce symptoms along its dermatome (e.g. pain or tingling down an arm or leg).
• Central sensitisation: The nervous system becomes more sensitive, amplifying or spreading symptoms beyond the original source.
Common sources of referred symptoms:
• Neck (cervical spine): Can refer pain or tingling into the shoulder, arm, or hand.
• Lower back (lumbar spine): May refer symptoms into the buttock, thigh, or leg.
• Myofascial trigger points: Muscles can refer pain in predictable patterns without nerve damage.
• Joint structures: Facet joints and discs can refer symptoms into the limbs.
Management:
Your therapist will be trained on finding the source of your referral and will provide appropriate management accordingly. This may include:
- Manual techniques to reduce pressure near a nerve or other structures involved.
- Targeted exercises and stretches.
- Bracing options may be considered.
The team are keen to assist. Call us now.