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Dr. Andrew Rynne

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What Causes Leg And Buttock Pain After A Lumbar Puncture?

I had a lumbar puncture last Friday that was very painful when the nerve would float in to the needle. It would cause pain in the right leg. Two days ago that leg and buttock area became very painful. Is it possible it inflammed the sciatic nerve and will it clear up?
Thu, 21 Feb 2019
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Physical Therapist or Physiotherapist 's  Response
Hello,

As going through the history I don't think it will be sciatica. The pain can be due to multiple other reasons like muscle weakness, changes in the spinal column leading to nerve root entrapment.

I will advise you first to take proper bed rest. Taking hot water fermentation should help release the spasm of the paraspinal muscles has occurred due to lumbar puncture as a protective body's mechanism.

You need to wait and watch it if there are changes in the pain and symptoms. Then only we can conclude if it's related to disc herniation or prolapse.

But for now, it's totally a muscle spasm at the lumbar region which needs to be corrected. also icing the lumbar region will reduce the pain as well.

You should be fine once the paraspinal muscle spasm reduces.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Jay Indravadan Patel, Physical Therapist or Physiotherapist
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What Causes Leg And Buttock Pain After A Lumbar Puncture?

Hello, As going through the history I don t think it will be sciatica. The pain can be due to multiple other reasons like muscle weakness, changes in the spinal column leading to nerve root entrapment. I will advise you first to take proper bed rest. Taking hot water fermentation should help release the spasm of the paraspinal muscles has occurred due to lumbar puncture as a protective body s mechanism. You need to wait and watch it if there are changes in the pain and symptoms. Then only we can conclude if it s related to disc herniation or prolapse. But for now, it s totally a muscle spasm at the lumbar region which needs to be corrected. also icing the lumbar region will reduce the pain as well. You should be fine once the paraspinal muscle spasm reduces. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist