
Suggest Treatment For Pain Above Buttocks That Radiates To Legs

Question: I'm 51 years old male and I get pain in the mornings when I get up from bed and stand which eventually eases up during the course of the day by normal activity. The pain starts from right hand side just above the buttocks which initiates and slowly radiates towards the right leg and the pain is not continuous and it is more on and off. I already had a right leg foot drop at the age of 40 from which I could recover well on time and the next 11 years, I could do my normal work. My recent MRI findings taken at end 2013 shows mild disc herniations at L3-L4,L4-L5 and grade 1 spondylolisthes at L5-S at my lumbar section of the spine. Presently I have not gone for a scan just because of the pain takes place only in the mornings for short time and I'm comfortable without pain for the rest of the day. This pain started about a month ago when I was playing badminton with stretching too much while playing but without any warming up exercises prior playing. Consulted a physician who is qualified as M.D. (PMR) suggested that this could be piriformis syndrome and he started treating with bio flex laser therapy which eventually doesn't give solution as the pain comes as usual in the mornings and he is suggesting if not by this,then he says he will put me on an therapy called IDD (intervertebral differential dynamics) for the disc herniations problem which I have from before but also he is little hesitant to carry out this since I have a grade 1 spondylolisthesis at L5-S. I'm totally confused and please help me out whether to go for an MRI or any other scan which can find out the exact problem as I also myself suspect whether this could be sacriloiliac joint syndrome or sciatica due to disc herniations. Kindly give me a solution.
Brief Answer:
yes You should do MRI spine with SI joint
Detailed Answer:
Hello
I have read your query.
yes you should do MRI spine for confirming diagnosis.
you can start therapy after MRI spine with SI joint.
disc bulge may aggravate due to therapy so first do MRI.
I hope I have answered your questions. If you have further questions please feel free to contact us. I will be happy to answer. Take care.
yes You should do MRI spine with SI joint
Detailed Answer:
Hello
I have read your query.
yes you should do MRI spine for confirming diagnosis.
you can start therapy after MRI spine with SI joint.
disc bulge may aggravate due to therapy so first do MRI.
I hope I have answered your questions. If you have further questions please feel free to contact us. I will be happy to answer. Take care.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar


Brief Answer:
First do MRI
Detailed Answer:
Hello
I have read your query
I will advise you MRI first.
If there is large disc bulge compressing nerve then symptoms may worsen after therapy.
Therapy is good for mild compression only.
I hope I have answered your questions. If you have further questions please feel free to contact us. I will be happy to answer. Take care.
First do MRI
Detailed Answer:
Hello
I have read your query
I will advise you MRI first.
If there is large disc bulge compressing nerve then symptoms may worsen after therapy.
Therapy is good for mild compression only.
I hope I have answered your questions. If you have further questions please feel free to contact us. I will be happy to answer. Take care.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar

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