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What causes severe pain in lower back, upper buttocks and right leg?

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Posted on Thu, 19 May 2016
Question: I have severe pain in my lower back/upper buttocks and down my right leg. I can't walk or stand for more than a minute or so. The doctor said it's sciatica or a pinched nerve. I've been taking ibuprofen, naproxen and Tramadol. I've had this pain for over a week and it isn't improving. Do you agree with the diagnosis?
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Answered by Dr. Praveen Tayal (1 hour later)
Brief Answer:
Sciatica is likely.

Detailed Answer:
Hello,
Thanks for posting your query.
The pain in the lower back radiating to right leg can be due to sciatica. Other possibility can be a disc prolapse, ankylosing spondylosis or a muscle spasm.
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 ( do not repeat a dose before 6 hours) with food will help relieve the pain.
• 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.

Adequate rest and proper nutrition is equally important. Drink lots of fluids since dehydration affects the disc. Eat a diet rich in fresh fruits and green leafy vegetables, nuts, milk, eggs, pulses and cereals.Do brisk walking exercise for 40 minutes daily. Get 6-8 hours of refreshing sleep daily.
Do start with swimming. This will good for most back pains.
In case the pain persists then do consult an orthopedician for MRI scan and prescription muscle relaxants.
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.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Praveen Tayal

Orthopaedic Surgeon

Practicing since :1994

Answered : 12162 Questions

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What causes severe pain in lower back, upper buttocks and right leg?

Brief Answer: Sciatica is likely. Detailed Answer: Hello, Thanks for posting your query. The pain in the lower back radiating to right leg can be due to sciatica. Other possibility can be a disc prolapse, ankylosing spondylosis or a muscle spasm. 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 ( do not repeat a dose before 6 hours) with food will help relieve the pain. • 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. Adequate rest and proper nutrition is equally important. Drink lots of fluids since dehydration affects the disc. Eat a diet rich in fresh fruits and green leafy vegetables, nuts, milk, eggs, pulses and cereals.Do brisk walking exercise for 40 minutes daily. Get 6-8 hours of refreshing sleep daily. Do start with swimming. This will good for most back pains. In case the pain persists then do consult an orthopedician for MRI scan and prescription muscle relaxants. 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. Wishing you good health. Regards. Dr. Praveen Tayal. For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal