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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain In Right Buttock And Hip?

I have pain in my right buttock/hip - usually ok during the day - but hurts when I lay it (after a few minutes) radiates down the outside of my thigh around my knee and then back to the outside of my lower leg toward front and into ankle. It will also hurt after a while if I lie on my left side.
Tue, 18 Mar 2014
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Orthopaedic Surgeon, Joint Replacement 's  Response
Hi, thanks for writing to HCM.

Your symptoms are most likely due to Lumbar disc disease wherein a protruding intervertebral disc might be pressing over the adjacent nerve root resulting in pain radiating down the leg.

An MRI scan of the lumbar spine is needed to establish the correct diagnosis.

The initial management of this condition is by the following measures -

- Take rest breaks throughout the day, but avoid sitting for long periods of time.
- Avoid lifting heavy weights as it imparts more strain on your back
- Change your daily activities so that you avoid movements that can cause further pain, especially bending forward and lifting as it will worsen the disc protrusion.
- Use a lumbosacral back support to stabilize your spinal muscles
- After the initial pain has subsided, remedial exercises to strengthen the spine are very important to restore normal spinal movements and muscle strength. The main aim of exercise is to encourage mobility, reduce muscle spasm, prevent further deterioration in the muscles and speed recovery.
- Use analgesics like advil or aleve and muscle relaxants to relieve pain and muscle spasm, as needed. Vitamin B12 supplements & Pregabalin may be helpful in controlling the neuropathic pain.

If your fail to improve with the above measures, an Epidural steroid injection may provide good symptom relief for a few months.

Hope this information is helpful. Good day
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What Causes Pain In Right Buttock And Hip?

Hi, thanks for writing to HCM. Your symptoms are most likely due to Lumbar disc disease wherein a protruding intervertebral disc might be pressing over the adjacent nerve root resulting in pain radiating down the leg. An MRI scan of the lumbar spine is needed to establish the correct diagnosis. The initial management of this condition is by the following measures - - Take rest breaks throughout the day, but avoid sitting for long periods of time. - Avoid lifting heavy weights as it imparts more strain on your back - Change your daily activities so that you avoid movements that can cause further pain, especially bending forward and lifting as it will worsen the disc protrusion. - Use a lumbosacral back support to stabilize your spinal muscles - After the initial pain has subsided, remedial exercises to strengthen the spine are very important to restore normal spinal movements and muscle strength. The main aim of exercise is to encourage mobility, reduce muscle spasm, prevent further deterioration in the muscles and speed recovery. - Use analgesics like advil or aleve and muscle relaxants to relieve pain and muscle spasm, as needed. Vitamin B12 supplements & Pregabalin may be helpful in controlling the neuropathic pain. If your fail to improve with the above measures, an Epidural steroid injection may provide good symptom relief for a few months. Hope this information is helpful. Good day