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What Causes Leg Pain And Pinching Sensation On Buttocks?

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Posted on Mon, 21 Apr 2014
Question: 3 months ago my left leg was excruciating after I put a heating pad on it. It stayed this way for a week. Then I started having stiffness in other parts of my legs. At first I thought it was a blood clot but an ultra sound for dvt showed I didn't have anything in either leg. During this time I also had sinus issues and was given a z pack. The leg and sinus seemed to help for the time being. It came back a week later stronger. I was then given prednisone and it felt better during that time. Every morning I wake up and my left butt check feels pinched. Sometimes under my arms it feels pinched like you are about to take blood work after you tied your arm. I have had several doctors check to see if its lymph nodes and they say they don't feel it. About 3 weeks ago I stood up and my pulse shot up to 170. It took the er to get it down. I went home and it did it again. The doctors finally put me on Cardizem because my blood pressure had been high since December at 140/90 average. I had several other episodes of the fast pulse of 170. I was diagnosed with svt. Since three weeks ago I get headaches(which had a ct scan without contrast of my head and it was negative). I was admitted still to the hospital because my white blood cell count was 16000 and my blood pressure was low. I know the sinus stuff came back also around this time. They gave me antibiotics and the wbc came back to normal. I am seeing a cardiologist and have had multiple chest x rays, ekgs and they just say its svt. I am awaiting the results of the echocardiogram that I had done. EVERY NIGHT I HAVE NIGHT SWEATS! When I blow my nose it has blood in it each time. I have little red dots on my body as well. It just feels like my body is breaking down. I just don't know what direction to go. I have had crp done and was negative, the ana done and it was negative, hepatitis panel and it was negative.
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Answered by Dr. Dr. Shruti Rijhwani (10 hours later)
Brief Answer: Follows. Detailed Answer: Dear Sir, Thank you for posting your query on HCM. Well looking into your problem I would like to tell you that it will be difficult to give you a diagnosis based on this history because moat of the tests are normal . But still we can discuss the possibilities . First I would suggest to get XXXXXXX levels done both C-ANCA and P - XXXXXXX to see for wegeners granulomatosis which forms major possibilty . Plus a CT scan of chest and sinuses is also requested for the same . The red spots that you are mentioning can be due to vasculitis . Considering the buttock pain and leg pain , HLA B27 is also recommended to see if there is any evidence of spondyloarthropathy plus for the leg pain. You can discuss these options with your rheumatologist . The heart issue may be unrelated to this. Take care. Dr. Shruti
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

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

Rheumatologist

Practicing since :2008

Answered : 2366 Questions

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What Causes Leg Pain And Pinching Sensation On Buttocks?

Brief Answer: Follows. Detailed Answer: Dear Sir, Thank you for posting your query on HCM. Well looking into your problem I would like to tell you that it will be difficult to give you a diagnosis based on this history because moat of the tests are normal . But still we can discuss the possibilities . First I would suggest to get XXXXXXX levels done both C-ANCA and P - XXXXXXX to see for wegeners granulomatosis which forms major possibilty . Plus a CT scan of chest and sinuses is also requested for the same . The red spots that you are mentioning can be due to vasculitis . Considering the buttock pain and leg pain , HLA B27 is also recommended to see if there is any evidence of spondyloarthropathy plus for the leg pain. You can discuss these options with your rheumatologist . The heart issue may be unrelated to this. Take care. Dr. Shruti