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What Causes Pain In Right Buttock And Burning In Feet Post An Injury?

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Posted on Wed, 6 Apr 2016
Question: I have buttock pain following car accident also bilateral neuropathy. Pain is worse at night what could be cause I had Mri a year ago with generalized degeneration had cortisone injection no help. Pain and neuropathy getting worse
doctor
Answered by Dr. Ajay Panwar (48 minutes later)
Brief Answer:
Please tell some more details.

Detailed Answer:
Hi Sbellatty,
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar,a neurologist,here to answer your query.

I understand your concerns well and I shall try to address them in the best possible way,but I need to know some more details beforehand-
1)When did you met with the car accident?
2)Is the pain more on left buttock or right buttock?
3)Is bilateral neuropathy proven on testing(Nerve conduction studies)?
4)Do you have any complaints in lower limbs?tingling,numbness or weakness in lower limbs?
5)Do you tend to have morning stiffness?If yes,for how much duration?Are movements at the hip joint painful?
and lastly 6)Do you have any other disease or medical history?

I shall be glad to have you in follow-up with the above mentioned details, so that I can guide you well regarding the further management plan.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ajay Panwar (12 minutes later)
Accident 2012 April, car flipped and hit a pole. Pain more prominent on right buttock and I have numbness when going to bathroom. Tingling and burning of feet. Diagnosed with neuropathy test. Healthy but not medically. Had bilateral dcis in 2010 lumpectomy and radiology. Also have pulmonary sarcoidosis currently I remission but take 5 mg of prednisone. Take prolia injection every 6 months. Have to wear athletic shoes to lessen pain
doctor
Answered by Dr. Ajay Panwar (11 hours later)
Brief Answer:
Lumbosacral radiculopathy.

Detailed Answer:
Hi Sbellatty,
Thanks for being in follow-up and providing further details.

Your clinical details of pain more prominent on right buttock along with numbness, is likely pointing towards lumbosacral radiculopathy as the cause.This may be present in addition to the neuropathy. Though you mentioned that you had a degenerative spine on MRI one year back but generalized degeneration does not precisely says for anatomical correlation of the pain.There must be some canal stenosis or forminal narrowing at the L-S spine region for the current symptoms.At this time,I suggest you to undergo a fresh MRI of L-S spine to look for the same.Once the extent of pathology is localized,we can plan the intervention for the pain.Epidural injections may be tried for response though you mentioned that one cortisone injection made a little difference. Depending on the extent of the pathology,it can be decided whether you are a candidate for surgery or minimal interventions will suffice.

Hope this helps.I welcome you for any further questions in follow-up.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Ajay Panwar

Neurologist

Practicing since :2007

Answered : 1827 Questions

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What Causes Pain In Right Buttock And Burning In Feet Post An Injury?

Brief Answer: Please tell some more details. Detailed Answer: Hi Sbellatty, Thanks for being on healthcaremagic.com. I am Dr.Ajay Panwar,a neurologist,here to answer your query. I understand your concerns well and I shall try to address them in the best possible way,but I need to know some more details beforehand- 1)When did you met with the car accident? 2)Is the pain more on left buttock or right buttock? 3)Is bilateral neuropathy proven on testing(Nerve conduction studies)? 4)Do you have any complaints in lower limbs?tingling,numbness or weakness in lower limbs? 5)Do you tend to have morning stiffness?If yes,for how much duration?Are movements at the hip joint painful? and lastly 6)Do you have any other disease or medical history? I shall be glad to have you in follow-up with the above mentioned details, so that I can guide you well regarding the further management plan. Regards Dr.Ajay Panwar, MD,DM(Neurology)