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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pain From Right Bum Cheek Down Leg. Is It Pinched Nerve Or Muscle ?

Hello,,, well i have a pain from my right bum cheek down my leg, for 2 months now it feels like a pinched nerve or a muscle. ,,and i cant sit or i ll feel pain, if i walk for 5 minutes my leg starts to feel like it will pull stiff anytime and the pain is really hectic! any advice that you can give me please! im a 21 year old male,
Sat, 7 Sep 2013
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Orthopaedic Surgeon, Joint Replacement 's  Response
Hi, thanks for writing to HCM.

All your symptoms in the description suggests Lumbar radiculopathy possibly due to a protruded intervertebral disc compressing the exiting nerve.

I suggest you to undergo MRI scan of Lumbosacral spine to exactly diagnose the condition.

The initial conservative line of management for the condition is as follows

* avoid lifting heavy weights as it imparts more strain on your back
* avoid forward bending activities as it will worsen the disc protrusion
* Use a lumbosacral back support to augment your spinal muscles
* Intermittent pelvic traction may help to cause a regression of disc
* Maintain optimum body weight,if you are obese
* Physiotherapy to strengthen your back muscles. Physiotherapy has to be done only after the acute pain has subsided.
* Judicious use of analgesics, muscle relaxants and neurotropic drugs like Pregabalin / Methyl cobalamine will alleviate the symptoms

If your symptoms are not resolving with the above measures, consult an orthopedic / spine surgeon for further management.

Hope this information is helpful. Good day
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Pain From Right Bum Cheek Down Leg. Is It Pinched Nerve Or Muscle ?

Hi, thanks for writing to HCM. All your symptoms in the description suggests Lumbar radiculopathy possibly due to a protruded intervertebral disc compressing the exiting nerve. I suggest you to undergo MRI scan of Lumbosacral spine to exactly diagnose the condition. The initial conservative line of management for the condition is as follows * avoid lifting heavy weights as it imparts more strain on your back * avoid forward bending activities as it will worsen the disc protrusion * Use a lumbosacral back support to augment your spinal muscles * Intermittent pelvic traction may help to cause a regression of disc * Maintain optimum body weight,if you are obese * Physiotherapy to strengthen your back muscles. Physiotherapy has to be done only after the acute pain has subsided. * Judicious use of analgesics, muscle relaxants and neurotropic drugs like Pregabalin / Methyl cobalamine will alleviate the symptoms If your symptoms are not resolving with the above measures, consult an orthopedic / spine surgeon for further management. Hope this information is helpful. Good day