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Suggest Treatment For Back Pain Along With Burning Sensation Around The Hips

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Posted on Mon, 2 Mar 2015
Question: i have pain in my back around my hip like a burning sensation and down my leg like sciatica but i also have pain in my inner thigh like a snapping sensation
doctor
Answered by Dr. Shoaib Khan (1 hour later)
Brief Answer:
?? Meralgia paresthetica; but requires diagnosis and treatment

Detailed Answer:
Hello ma'am and welcome.

Thank you for writing to us.

I have gone through your query with diligence and would like you to know that I am here to help. The first thing that is quite clear is that you are experiencing some nerve damage, compression from swelling or surrounding structures, trauma, etc. But based on the location and burning sensation, I too have ruled out sciatica and am suspecting a condition called meralgia parenthetic.

Diagnosing this condition includes a physical examination, abdominal and pelvic ultrasound to check on any possible compression caused from surrounding structures, x-ray of the hip and thigh region, and possibly even a CT scan of the region. Once the diagnosis is confirmed treatment options include:

+Getting rid of the source (i.e. compression, trauma, etc.)
+Loose clothing
+Weight loss
+Steroid injections to the region that helps reduce inflammation
+In severe cases surgery may be required

I hope you find my response helpful and informative. Please feel free to write back to me for any further clarifications, I would be more than happy to help you.

Best wishes.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shoaib Khan (15 minutes later)
thank you, i have never heard of meralgia parenthetic before can you tell me what it is ? and what causes it?
doctor
Answered by Dr. Shoaib Khan (21 minutes later)
Brief Answer:
Of course ma'am.

Detailed Answer:
Hi ma'am.

I only suspect meralgia paresthetica, but it is the closest diagnosis to your current presentation. It is condition characterised by tingling, numbness and/or burning pain around your hip to thigh region. It occurs due to compression to the nerve that supplies these regions. The compression can come from:

+Injury to the region that has caused swelling
+Bone spurs that can compress the nerve
+Obesity that can cause the fat tissue to compress the nerve
+Scar tissue from some injury
+Pregnancy
+Wearing tight clothes, corsets, etc.
+Previous surgery

As mentioned ma'am, this is my current suspicion and is closest to your provided description. I would still choose to rule out sciatica, but sciatica has a slightly different presentation with constant (though mild) pain around the lower back, through the back side of the thigh till the back side of the knee. So it would be wise to rule out both conditions (i.e. sciatica and meralgia paresthetica)

I hope I have explained things in a manner best understood by you ma'am. Please feel free to write back to me for any further assistance, I am always here to help.

Best wishes.
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. Shoaib Khan

General & Family Physician

Practicing since :2009

Answered : 9409 Questions

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Suggest Treatment For Back Pain Along With Burning Sensation Around The Hips

Brief Answer: ?? Meralgia paresthetica; but requires diagnosis and treatment Detailed Answer: Hello ma'am and welcome. Thank you for writing to us. I have gone through your query with diligence and would like you to know that I am here to help. The first thing that is quite clear is that you are experiencing some nerve damage, compression from swelling or surrounding structures, trauma, etc. But based on the location and burning sensation, I too have ruled out sciatica and am suspecting a condition called meralgia parenthetic. Diagnosing this condition includes a physical examination, abdominal and pelvic ultrasound to check on any possible compression caused from surrounding structures, x-ray of the hip and thigh region, and possibly even a CT scan of the region. Once the diagnosis is confirmed treatment options include: +Getting rid of the source (i.e. compression, trauma, etc.) +Loose clothing +Weight loss +Steroid injections to the region that helps reduce inflammation +In severe cases surgery may be required I hope you find my response helpful and informative. Please feel free to write back to me for any further clarifications, I would be more than happy to help you. Best wishes.