Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

168 Doctors Online
Doctor Image
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

What causes severe pain in the buttocks that radiates to the legs?

Answered by
Dr. Michelle Gibson James

General & Family Physician

Practicing since :2001

Answered : 16096 Questions

Posted on Tue, 14 Mar 2017 in Bones, Muscles and Joints
Question: For the last several weeks, I have experienced pain in my left buttock which frequently radiates down the left leg. It is often accompanied by numbness and tingling. No known injury. Ibuprofen does help but does not abate the numbness or tingling. Worse after sitting for a long period of time i.e. reading.
Answered by Dr. Michelle Gibson James 42 minutes later
Brief Answer:
may be sciatica

Detailed Answer:
HI, thanks for using healthcare magic

This is likely sciatica which refers to symptoms and signs that are related to the pathway of the sciatic nerve, a major nerve to the buttocks and lower limbs

This nerve is formed from smaller nerves coming out from the spine.

Though there is no trauma, imaging would still be needed to make sure that the nerve is not compressed by the vertebra (bones in the back).
This can occur in the absence of trauma.

There are discs in between the bones, these discs can become 'dry' and this can reduce the space between the bones which would then affect the nerves.

IN some persons the discs may shift.

None of this is life threatening but can cause the above symptoms.

In some persons nerve related symptoms maybe due to other causes , some of these are :(1)diabetes
(2)thyroid disease
(3)low levels of vitamin b12 or folate
(4)abnormal vitamin b6 levels
(5)side effect of medication
(6)liver or kidney disease
(7)exposure to toxins

If the x rays or other imaging is normal then blood tests may be needed to check for the above.

There are medications that treat the nerve related symptoms such as amitriptyline, tegretol, lyrica, nortriptyline, gabapentin.
These medications are used for neuropathy- symptoms related to abnormal nerve function

I hope this helps, feel free to ask any other questions
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Follow up: Dr. Michelle Gibson James 36 minutes later
Will it "hurt" to continue core strengthening exercise? I experience no pain and the stretches seem to help. Could this be counterproductive?

Also, is there any chance this will abate on its own?
If so, is any therapy that will facilitate relief or healing?
Answered by Dr. Michelle Gibson James 6 hours later
Brief Answer:
would be best to hold off exercises for now

Detailed Answer:

Sorry about the late reply

It may abate on its own but it would be best to still see your doctor for an assessment including an x ray or some form of imaging.

Physiotherapy may help with healing.

In terms of the exercises, since it not clear if there are any issues with the vertebra and the associated nerves, it would be best to stop them at this point.
Any other exercises should be directed by your doctor or physiotherapist.

It is possible that the exercises would not do any damage, but it would be best to make sure

Please feel free to ask anything else
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

The User accepted the expert's answer

Share on
Question is related to
Drug/Medication ,  
Medical Topics ,  

Recent questions on  Ibuprofen

doctor1 MD

my so is of 9 years old. he is cmplaining a shooting pain in his right upper blood test report lymphocytes is 44%. after giving him compsition of paracetamol and ibuprofen pain is checked for maximum up to 4 to 5 hours. he is being given cephodoxime and benocide forte also

doctor1 MD

My son is 5 years old. He a very active child. For about 6 months now he has been have lower/mid back pain. It ranges from mild to very sever. We have tried ibuprofen and Tylenol for pain, sometimes it help sometimes it don t. The pain comes randomly throught the day and night no matter the activity or anything. And the last few days he has started to have involuntary body spams, and he is also sweating real bad before the spams happen. X-ray has been done of back with everything beeing clear. Kidney, bladder, urinary test are all clean. I am lost now.

doctor1 MD

My 10 year old son was taken to the ER this past Wednesday morning at about 2 AM because he was complaining about a headache the night before (tuesday evening). However, that Tuesday night I just figured that I would treat it like a normal headache, and didnt do much about it. Then at about 130AM he came into the room holding his head, screaming about his head being sore. when asked to give a number on a scale of 1-10, he said his pain was an 8. i immediately took him to the nearest ER to be seen. When his vitals were taken, they said his blood pressure was unusually high. I dont remember the exact numbers unfortunately. He was given a shot for the headache, and while at the ER he fell asleep and when he awoke he seemed to be all better, in fact, pretty much normal. Of course, since then we have been keeping a close eye one him. He was kept home from school that Wednesday and Thursday, and we tried to eat more healthy foods. On Thursday he was fine, he was active, happy, and asked if he could return to school. so, on Friday, which was yesterday, he went back to school as usual. It is now Saturday January 18, 2014 @ 218AM here in Honolulu, Hawaii. About an hour ago, around 1:00 am he woke/up/ and started crying telling me that his head hurt as he was holding his head. I asked him to rate his pain he said about 5-6. I gave him one 200mg Ibuprofen tablet and some water and massaged his temples as he lay in my lap. I talked to him just to kind of take his mind off of the pain. When i took his blood pressure with a wrist cuff that I have his BP was 150/100 something (i didnt think to write it down at that time, but I know it was somewhere around there). I was definitely alarmed!!!! Luckily, he fell asleep, and as he was sleeping I took his BP again. It read: 124/75 HR: 89. I GUESS MY QUESTION IS: WHAT SHOULD I DO, AND IS HE ALRIGHT HERE AT HOME SLEEPING? OR SHOULD I TAKE HIM TO THE ER? ........and WHAT IS YOUR DIAGNOSIS?

doctor1 MD

About 48 hours ago I did some very heavy, nearly impossible lifting, and I felt pain immediately in my knees. Now my right knee is swollen and bruises are popping out all around it. I am resting today with my leg elevated, ice on my knee, and I ve taken some ibuprofen. I ve rubbed ICY HOT on my knee and later some arnica. Am I doing enough or is this more serious than I realize?

doctor1 MD

I am 14 weeks pregnant with twins. For the past 3 days am having severe shooting pain in my arms and shoulders. It started with left hand now moved to right hand. Even my right knee, ankle and thighs have started to pain. I have applied pain...

doctor1 MD

I'm 27 year old female from past few days I have got joint pains . especially while climbing up and down the stairs along with the cracking sound. went to orthopedician they suggested couple of tests related to auto immune arthiritis, results are...

doctor1 MD

My left testicle has been giving me slight pain and discomfort for around a week now. Especially when I lay on my side to go to sleep, it floats substantially in front of my right testicle. When I m standing it is more elevated than my right, and...