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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Buttock Pain Radiating Down To The Leg

i have have very bad left buttock pain radiating down the back of my leg to my foot, along with tingling. Sitting increases it. My MRI shows minimal foraminal narrowing and minimal disc slippage L4, L5. My doctor thinks the pain is not coming from my back. What type of doctor diagnoses piriformis syndrome?
Tue, 12 Aug 2014
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Orthopaedic Surgeon, Joint Replacement 's  Response
Hi
Thanks for writing
After going through your symptoms, they are suggestive of sciatica along with low backache. The cause may be confirmed by physical examination, but most commonly it is due to slip disc that is prolapsed of intervertebral disc leading to nerve compression (pinched nerve).
The pinched nerve leads to numbness, tingling sensation and weakness of leg depending on severity of compression. In the follow up query I would like to know are you able to walk on your heels and toes? That will give me some idea of severity of nerve compression.MRI of spine is the preferred investigation.
following management-
1. Bed rest that is avoid unnecessary sitting and whenever possible take rest in lying down position.
2. No massage at back and you may take hot water fomentation to relax the muscle of back.
3. The medicine given is tab.pregablin,tab.thiospas A8,Gel.flexabenz for application at back and oral/inject able form of vitamin B12.
4. Physiotherapy also helps.
These are prescription only medicine so you may talk to your local doctor. Contact immediately to the emergency room (ER) if the weakness in right leg increases along with loss of bladder and bowel control.
Take care and I shall be glad to answer any further query.
Regards
Dr.chugh, Orthopaedic surgeon

http://bit.ly/drmchugh
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Suggest Treatment For Buttock Pain Radiating Down To The Leg

Hi Thanks for writing After going through your symptoms, they are suggestive of sciatica along with low backache. The cause may be confirmed by physical examination, but most commonly it is due to slip disc that is prolapsed of intervertebral disc leading to nerve compression (pinched nerve). The pinched nerve leads to numbness, tingling sensation and weakness of leg depending on severity of compression. In the follow up query I would like to know are you able to walk on your heels and toes? That will give me some idea of severity of nerve compression.MRI of spine is the preferred investigation. following management- 1. Bed rest that is avoid unnecessary sitting and whenever possible take rest in lying down position. 2. No massage at back and you may take hot water fomentation to relax the muscle of back. 3. The medicine given is tab.pregablin,tab.thiospas A8,Gel.flexabenz for application at back and oral/inject able form of vitamin B12. 4. Physiotherapy also helps. These are prescription only medicine so you may talk to your local doctor. Contact immediately to the emergency room (ER) if the weakness in right leg increases along with loss of bladder and bowel control. Take care and I shall be glad to answer any further query. Regards Dr.chugh, Orthopaedic surgeon http://bit.ly/drmchugh