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I recently have experienced a mild warming sensation of the

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Posted on Mon, 11 Feb 2019
Question: I recently have experienced a mild warming sensation of the buttocks muscles. This warming only lasts for a second or two and comes and goes intermittently though out the day. No pain. No other symtoms.
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Answered by Dr. Michelle Gibson James (37 minutes later)
Brief Answer:
different possible causes

Detailed Answer:
HI, thanks for using healthcare magic

It is understandable to be concerned re any abnormal sensation that you are experiencing.

In many persons these type of sensations are temporary, they are usually related to the nerve supply to the area. The nerves are responsible for sensation.

Nerve supply from the buttocks comes from the lower back. If there are any issues in the lower back eg arthritis or along the path of the nerve then abnormal sensations or nerve related pain can occur. (neuralgia)

Abnormal function of the nerves is called neuropathy , causes include: (1) trauma eg arthritis or injury
(2)low vitamin b12 or folate
(3)diabetes
(4)liver or kidney disease
(5)side effect of medication
(6)thyroid disease
(7)autoimmune diseases such as RA or lupus
(8)neurological conditions such as MS, stroke
(9)abnormal vitamin b6 levels
(10)infections such as shingles

In some persons the exact cause is not known.

If you wish to find the exact cause, you would need to be assessed by your doctor. This would likely include examination and investigations such as imaging of the back (x ray or MRI) and blood tests

There are meds that help with neuropathy eg gabapentin, lyrica, tegretol, amitriptyline, cymbalta
These meds all of different uses, one of them is neuropathy.

If the sensation is not severe, persistent, interfering with daily activities or worsening then meds may not be needed.

I hope this helps, feel free to ask any other questions
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Michelle Gibson James (5 hours later)
Dr. XXXXXXX thank you for your quick response. I do believe it is a nerve issue. I think I may have determined the probable cause! Over the last couple months I have started using a stationary exercise bike 25-30 minutes a day, 4-5 days a week. The bike has a large flat heart shaped seat that is cushioned but not real soft, and the top edge has a seamed ridge. I now believe this seat is causing the sensations I have described. The symptoms I have experienced would align with when I started using the bike more times a week. I am going to change out the seat for a softer more ergonomically shaped one.
Thank You, XXXXXXX XXXXXXX
doctor
Answered by Dr. Michelle Gibson James (3 hours later)
Brief Answer:
great idea, that should help

Detailed Answer:
HI

Glad you can pinpoint a cause, that's great. The change in seat should help though it can take sometimes a little while for a response, may not be immediate

Wishing you all the best

If you need any further assistance, can let me know
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Michelle Gibson James (11 days later)
Dr. Gibson, I was satisfied with your answer and indicated so on a comments box on website. I agreed it was a nerve issue. I have recently been going to some yoga classes and the warm muscle flashes in the buttocks has stopped for now. I believe there must have been something in my back / hip areas a little out of position, placing pressure on a nerve generating the sensation.
thank you XXXXXXX XXXXXXX
doctor
Answered by Dr. Michelle Gibson James (4 hours later)
Brief Answer:
glad it is improving

Detailed Answer:
HI

I am so glad that the symptoms are improving and hope that they continue to do so.

As mentioned, trauma to the nerves by any changes in the surrounding bones, can affect their function and cause abnormal sensations.
If it worsens again, consider imaging to get an exact idea about what is going on
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Michelle Gibson James

General & Family Physician

Practicing since :2001

Answered : 16811 Questions

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I recently have experienced a mild warming sensation of the

Brief Answer: different possible causes Detailed Answer: HI, thanks for using healthcare magic It is understandable to be concerned re any abnormal sensation that you are experiencing. In many persons these type of sensations are temporary, they are usually related to the nerve supply to the area. The nerves are responsible for sensation. Nerve supply from the buttocks comes from the lower back. If there are any issues in the lower back eg arthritis or along the path of the nerve then abnormal sensations or nerve related pain can occur. (neuralgia) Abnormal function of the nerves is called neuropathy , causes include: (1) trauma eg arthritis or injury (2)low vitamin b12 or folate (3)diabetes (4)liver or kidney disease (5)side effect of medication (6)thyroid disease (7)autoimmune diseases such as RA or lupus (8)neurological conditions such as MS, stroke (9)abnormal vitamin b6 levels (10)infections such as shingles In some persons the exact cause is not known. If you wish to find the exact cause, you would need to be assessed by your doctor. This would likely include examination and investigations such as imaging of the back (x ray or MRI) and blood tests There are meds that help with neuropathy eg gabapentin, lyrica, tegretol, amitriptyline, cymbalta These meds all of different uses, one of them is neuropathy. If the sensation is not severe, persistent, interfering with daily activities or worsening then meds may not be needed. I hope this helps, feel free to ask any other questions