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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Be The Reason Behind Dull Pain From The Bottom Of Buttock Down The Back Of My Right Leg To Calf Area?

For over one month, I have a dull pain from the bottom of my buttock down the back of my right leg to calf area. it started just hurting while sitting, but now I notice it standing/walking. I am 5'2'; 104 lbs and smoke about 1/2 - 3/4 pack of cigarettes per day. I am 55 years old. I run, play singles tennis, and take no prescriptions.
Appreciate any help/advice you can provide...
Mary
Thu, 9 Jan 2014
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General Surgeon,  's  Response
Hi Mary. This looks to be classical sciatica pain where the nerves are trapped in the lower spinal levels. I would advise you to undergo an MRI of lower spine to know the extent of compression on the spinal cord and visit a Neurosurgeon to ascertain the management - medical or surgical , and will depend upon your symptoms , the findings on physical examination and fitness. I am afraid to say you have to stop playing tennis till your neurosurgeon gives you go-ahead. NO bending of back. avoid constipation. I hope you do not have weakness in any of the lower limbs ( difficult to know as it is slowly progressive)
Please feel free to come back to us with your reports.
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What Could Be The Reason Behind Dull Pain From The Bottom Of Buttock Down The Back Of My Right Leg To Calf Area?

Hi Mary. This looks to be classical sciatica pain where the nerves are trapped in the lower spinal levels. I would advise you to undergo an MRI of lower spine to know the extent of compression on the spinal cord and visit a Neurosurgeon to ascertain the management - medical or surgical , and will depend upon your symptoms , the findings on physical examination and fitness. I am afraid to say you have to stop playing tennis till your neurosurgeon gives you go-ahead. NO bending of back. avoid constipation. I hope you do not have weakness in any of the lower limbs ( difficult to know as it is slowly progressive) Please feel free to come back to us with your reports.