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What Causes Persistent Pins And Needles In The Buttocks Radiating To The Legs?

Posted on Fri, 13 Jan 2017

Question: 2 separate disc protrusions in low back.....experiencing persistent pins and needles from my bum radiating down both legs into the tips of my toes on both feet however right side is much worse(it also is the side affected by the larger of the disc protrusions). I also have increasing numbness that I can best describe like my right lower side has fallen asleep.

should I be concerned??

I'm taking eloquis 5mg 2x a day due to 3 confirmed dvt . I also take metformin 500mg 2x a day but I'm NOT diabetic. I take it to manage insulin resistant PCOS.

thanks

Answered by Dr. Ajay Panwar (2 hours later)

Brief Answer:
Nerve radicular compression due to disc

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

Lumbo-sacral disc protrusions usually causes nerve roots compression of the nerves which pass down into lower limbs upto feet.The compression on these nerve roots at the origin from spine causes pins needles like sensations in the feet along with numbness.Medicines like pregabalin,duloxetine,amitriptyline along with methylcobalamin and calcium supplementation should be taken under guidance.Vitamin D deficiency should be checked for and if present,needs correction.Lastly,alone medicines may not help and spinal exercises on a regular basis are crucial for healing.

Hope that helps.If you have any further questions,I shall be glad to have you in follow up.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)

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

Follow up: Dr. Ajay Panwar (31 minutes later)

hello.

thanks for your response. i 'm doing physiotherapy twice a week for almost a month at the referral of my family physician. however I feel little to no improvement and the symptoms described above have gotten worse. i'll try to see my family physician as soon as possible
to discuss the medications you mentioned. I have heard from my physiotherapist that lyrica is a good one. any thoughts?? also, can I take it while being on blood thinners??

thanks

Answered by Dr. Ajay Panwar (12 hours later)

Brief Answer:
Spinal exercises must be done regularly.

Detailed Answer:
Hi,
Thanks for being in follow-up.

Lyrica(Pregabalin) is of course the first line antineuralgic.I already mentioned about the same.Yes, it can be taken with blood thinners.

Further,I don't understand what do you understand by physiotherapy which you are doing twice a week. Physiotherapy actually means healing by physical exercises. So, the idea is that you should learn how to do spinal exercises from a physical therapist and do them on a regular basis at home.You will definitely show benefit.

Hope that helps.If you have some further questions,you are most welcome.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)

Above answer was peer-reviewed by : Dr. Prasad