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What Could Be The Cause For Having Chronic Pain In The Perineum Area Which Radiates Down The Back Of Both Legs?

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Posted on Mon, 16 Sep 2013
Question: Hi, I am trying to find out why I have chronic pain in the perinium area which radiates down the back of both legs, thigh and calf, and to a lesser degree upward into the buttocks.
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Answered by Dr. K. Naga Ravi Prasad (1 hour later)
Brief Answer:
Could be due to irritation of Lumbar spinal nerves

Detailed Answer:
Hi, thanks for writing to XXXXXXX

Your symptoms of pain in the perineum radiating down into both legs could be possibly due to irritation or compression of Lumbar spinal nerves. The protruded intervertebral discs might be causing compression of the nerve roots.

This can be diagnosed by undergoing MRI scan of the Lumbosacral spine.

As you have also a past history of Lung cancer, it is also very essential to rule out any secondary deposits in the retroperitoneal region which could be involving the lumbar plexus resulting in the symptoms.

So, a detailed clinical examination and appropriate investigations are necessary to establish the diagnosis of your problem.

Hope I have justified your query. Happy to help for any clarification

Regards
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
Dr.
Dr. K. Naga Ravi Prasad

Orthopaedic Surgeon, Joint Replacement

Practicing since :1996

Answered : 2148 Questions

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What Could Be The Cause For Having Chronic Pain In The Perineum Area Which Radiates Down The Back Of Both Legs?

Brief Answer:
Could be due to irritation of Lumbar spinal nerves

Detailed Answer:
Hi, thanks for writing to XXXXXXX

Your symptoms of pain in the perineum radiating down into both legs could be possibly due to irritation or compression of Lumbar spinal nerves. The protruded intervertebral discs might be causing compression of the nerve roots.

This can be diagnosed by undergoing MRI scan of the Lumbosacral spine.

As you have also a past history of Lung cancer, it is also very essential to rule out any secondary deposits in the retroperitoneal region which could be involving the lumbar plexus resulting in the symptoms.

So, a detailed clinical examination and appropriate investigations are necessary to establish the diagnosis of your problem.

Hope I have justified your query. Happy to help for any clarification

Regards