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Suggest Treatment For Severe Pain In Gluteal Region
Question: Doctor, I have had some facet neuropathy for a while. It had gotten really good and I was starting to play golf a little. 2 days ago, I got a massage on the back...and after that I felt good) I was walking and afterwards I sis my peroformis stretches. I remember overdoing one of the stretches (pulling my knee over my legs (Right then left)and putting it on the ground)...which was more than I usually do. I didn't notice anything then. BUT that night I really began having severe pain in the glute area and some down the thighs too.It hurts more standing than sitting and it hurts sitting down and getting up.Sitting itself seems ok. I have some muscle relaxers . Can I ask:
1. Is heat better than ice? How often?
2. What else should I take right now? Should I stretch any"
3. Should I give it a rest or go to the inside track I use and walk a little?
4. Should I get an MRI?
5 In the past, a pain management doc gave me trigger point injections in my back...Can I do that again?
1. Is heat better than ice? How often?
2. What else should I take right now? Should I stretch any"
3. Should I give it a rest or go to the inside track I use and walk a little?
4. Should I get an MRI?
5 In the past, a pain management doc gave me trigger point injections in my back...Can I do that again?
Brief Answer:
Treatment with NSAID, rest and muscle relaxers should be tried first.
Detailed Answer:
Hello and thanks for using HCM.
I have read your questions and understand your concerns.
The symptoms you describe seems to be muscular related, but nerve pain could not be excluded definitely.
1. In your case heat is better than ice, 3-4 times a day for few days.
2. You can use both muscle relaxers and Advil for a couple of days.
3. Rest instead of exercising few days.
4. If the symptoms persist after few days, even with above mentioned measures, you should look for further investigations (neurologic examination and lumbar column MRI) in order to evaluate other possible causes of your symptoms such herniated disc disease, degenative spine disease etc.
5. Trigger point injections could be tried as a possible symptomatic treatment if symptoms persist after above treatments.
Hope you found the answer helpful.
I remain at your disposal for further questions and clarifications.
Take care.
Treatment with NSAID, rest and muscle relaxers should be tried first.
Detailed Answer:
Hello and thanks for using HCM.
I have read your questions and understand your concerns.
The symptoms you describe seems to be muscular related, but nerve pain could not be excluded definitely.
1. In your case heat is better than ice, 3-4 times a day for few days.
2. You can use both muscle relaxers and Advil for a couple of days.
3. Rest instead of exercising few days.
4. If the symptoms persist after few days, even with above mentioned measures, you should look for further investigations (neurologic examination and lumbar column MRI) in order to evaluate other possible causes of your symptoms such herniated disc disease, degenative spine disease etc.
5. Trigger point injections could be tried as a possible symptomatic treatment if symptoms persist after above treatments.
Hope you found the answer helpful.
I remain at your disposal for further questions and clarifications.
Take care.
Above answer was peer-reviewed by :
Dr. Neel Kudchadkar
Doctor, may I please ask
I also have some Lidoderm patches and some Voltaren gel. Are they ok to use after the heat treatment? Ill try that Advil with the musc relaxers.
Is stretching ok now? It hurts bad in that glute area and upper thigh when I sit down...(not the sitting itself) and if I bend over to pick something up....or should I wait on the stretching? Is resting it this weekend better?
Thank you
I also have some Lidoderm patches and some Voltaren gel. Are they ok to use after the heat treatment? Ill try that Advil with the musc relaxers.
Is stretching ok now? It hurts bad in that glute area and upper thigh when I sit down...(not the sitting itself) and if I bend over to pick something up....or should I wait on the stretching? Is resting it this weekend better?
Thank you
Brief Answer:
Better rest.
Detailed Answer:
Welcome back.
In my opinion, treatment measures mentioned previously should be sufficient to improve your symptoms.
You can use Voltaren gel after warm procedures too, it is fine.
As I mentioned before, rest for few days is best at this moment.
Hope I helped you.
Best regards.
Better rest.
Detailed Answer:
Welcome back.
In my opinion, treatment measures mentioned previously should be sufficient to improve your symptoms.
You can use Voltaren gel after warm procedures too, it is fine.
As I mentioned before, rest for few days is best at this moment.
Hope I helped you.
Best regards.
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Neel Kudchadkar
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