What Causes Burning Sensation In Pelvic Area And Leg?

Posted on Wed, 30 Jul 2014

Question: i checked with urologist he ruled out prostititis,my EMG and nerve conduction test were normal.but i have pain.As per your advise i have started taking pregabalin its helping me.

But yesterday for 4 hours had burning sensation in my pelvic area.today my 1 leg was burning for 4 hours.but after that i am ok now.

pain comes and goes.can you tell me what is causing this

Answered by Dr. Sudhir Kumar (1 hour later)

Brief Answer:
Pain is related to nerve involvement

Detailed Answer:
Hi,

Thank you for getting back.

I am glad to note that your prostatitis was ruled out, and EMG/nerve conduction studies were normal.

The pain and burning seems related to nerve involvement in the pelvic/lumbar/sacral area.

Pregabalin is the drug of choice. Based on the improvement, the dose may be increased gradually to 150-300 mg per day in two divided doses.

I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.

Wishing you good health,

Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX XXXXXXX
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sudhir Kumar (4 hours later)

THANKS for your reply but i also have pins and needle sensation all over my
body .tinglin in my wrists.sometimes one of my finger in hand when i wake up is bent and numb.r MS

when i walk i feel sometimes i feel like my sole of feet has a cut.
my doctor ordered a head ,c spine and t spine mri.its going to be after 1 month.

my b12 is 137.
my doctor is giving me b12 injections once a month

my left hand also has dull pain.my doctor wants to rule out MS.
do you think its fibromyalgia oR MS or something else?

Answered by Dr. Sudhir Kumar (3 hours later)

Brief Answer:
MS needs to be ruled out.

Detailed Answer:
Thank you for getting back with more information.

Vitamin B12 deficiency could explain all these symptoms. However, we need to rule out multiple sclerosis (MS). MRI of brain and spine would help in that.

In the meanwhile, please continue the B12 injections and Pregabalin capsules.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sudhir Kumar (13 hours later)

Please answer these 3 questions:

1)what causes vitamin b12 to be this low of 137?
In my case I am non vegetarian.

2)you have written that "The pain and burning seems related to nerve involvement in the pelvic/lumbar/sacral area. "
what if I dont have MS what shall be the next check up?

3)I am getting little cough sometimes is this a side effect of pregabalin?

Answered by Dr. Sudhir Kumar (2 hours later)

Brief Answer:
Answers are below:

Detailed Answer:
Thank you for getting back.

1. Vitamin B 12 may not be getting absorbed in the gut due to presence of antibodies against intrinsic factor and parietal cells.

2. MRI would show up all the possible causes, other than MS also, so, no further tests are needed.

3. Cough is unrelated to pregabalin.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology)

Above answer was peer-reviewed by : Dr. Prasad