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Dr. Andrew Rynne

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Exp 50 years

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Hello I ve had this uncomfortable feeling around the right

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Dr. Praveen Tayal

Orthopaedic Surgeon

Practicing since :1994

Answered : 11496 Questions

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Posted on Tue, 1 Jan 2019 in Back Pain
Question: Hello

I've had this uncomfortable feeling around the right side of my inner thigh, perineum and butt cheek. I'll try to describe my problem as good as possible.

I sit a lot during the day, I've done that for many years and it's not been like this before. Lately 2-3 weeks I get super irritated and sore from sitting even just for 30 minutes after a good nights sleep and it continues all day and gets worse if I remain sitting.

I'm struggling to find the exact place it originates from since there is no redness, or any hints when I look around the area for a clue. It feels mainly at skin level but my skins looks normal and other times it's more of a feeling like my butt cheek is getting pressed so that nerves or/and blood flows is being pressed. When feeling the area I feel slightly sore just on the inside of the right butt cheek bone, but the pain when sitting feel like it occupies a bigger area than just around the bone.

I feel also slightly pain when standing or walking in the same area. It makes it very hard for me to do my job and to sit and relax in my free time. I hope you can help me maybe try figuring out what is going on and if possible what I can do about it.
doctor
Answered by Dr. Praveen Tayal 1 hour later
Brief Answer:
Due to nerve compression.

Detailed Answer:

Hello,
Thanks for posting your query.
You are having a disc prolapse with stenosis of the foramina from which nerves come out causing the nerve compression.
The following measures will help with the pain
• Lie on a hard bed.
• Anti -inflammatory drugs like Tablet Motrin 1 tablet as and when required ( dont repeat a dose before 6 hours) with food.
• Avoid forward bending.
• Correct your posture while sitting
• Avoid prolonged sitting
• Avoid strenuous activity & lifting heavy weights.
• Apply diclofenac gel on the affected area. Warm compresses will also help
The treatment is done according to the severity of symptoms. Medicines are the first line treatment along with physiotherapy. If the patient responds well with medicines then physiotherapy helps in preventing further progression of the problem. Surgery is kept as a last resort to improve the quality of life of the patient.
The main treatment of such problem is bed rest along with pain killers and muscle relaxants. Muscle relaxants can help with your symptoms if used in appropriate dosage in combination with a potent analgesic. You can get these prescribed from her orthopedician.
Local analgesic gels and hot fomentation may provide a short term relief. You can use analgesic gels like Volini gel. Exercise is not advisable in the times of acute pain.
Using an LS contour belt of appropriate size might be helpful in providing support to back muscles.
Physiotherapy also plays a major role in treating such conditions. Epidural steroid injections have been used if oral pain killers are not very effective and surgical treatment is not considered. Discuss with your orthopedician and an appropriate treatment can be planned depending on the response to medical drugs.

I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal
Wishing you good health.
Regards.
Dr. Praveen Tayal.


Above answer was peer-reviewed by : Dr. Kampana
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Follow up: Dr. Praveen Tayal 57 minutes later
Thank you for the thorough response doctor.

I wouldn't be able to tell if it's a herniated disc or not, but I do have issues with both my posture and pain in the upper and lower back. I try to correct my posture problems but it is very hard and usually causes me lots of pain and that makes it hard to keep it up.

I feel my hip is slightly misaligned and when visiting a PT he mentioned that my hip moves wrong when I try lift my leg up I sway in the hip area or something like that.

It may not be related, but could what you describe cause issues with the GI systems and cause constipation/diarrhea or similar IBS symptoms?

How do I get through a day of work without making my problems worse? I work in office and have to sit at a computer all day, I can stand up, but I get tired fast in my body from standing still.

Can Ibuprofen be used or do I need to get something prescribed from my doctor?

Regarding sleeping, I have a semi soft bed and I prefer to sleep on my stomach, I don't think this is good either, but it's happening automatically during the night and it's the best way for me to relax.
doctor
Answered by Dr. Praveen Tayal 5 hours later
Brief Answer:
MRI scan can help in diagnosis.

Detailed Answer:
Hello.
Thanks for writing again.
The exact problem can be detected after an MRI scan of the lower back. This is not related to GI disturbance or IBS. You need to correct your posture while sitting and take frequent stretch breaks. Regular physiotherapy, muscle relaxants and methylcobalamin supplements will help.
Ibuprofen can help for mild symptoms. You need to sleep straight on your back if possible.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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The User accepted the expert's answer

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