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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain In The Hip And Tailbone?

Hey I ve been having some serious pain on my right side it seems that it s coming from the side of my hip bone on my tailbone I have sometimes excruciating pain in the middle of my right buttocks that goes down my side the side of my thigh my knee on down who kept my legs my ankle and to my big toe it s numb I went to the doctor and got some meds for and some steroids for the inflammation and some pain pills that work for about a week and I had to go back and I m taking those pain pills and I feel fairly well however at times the nerve started to jump in my butt and it sends shockwaves down my leg feeling numb from my toes to my hip I guess
Fri, 8 Mar 2019
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Physical Therapist or Physiotherapist 's  Response
Hi,

It looks like from history that this pain is related to lumbar spine inter vertebral disc disease. If there is changes in the lumbar spine normal curvature and also the changes in the position of the intervertebral disc at different levels the different symptoms are produced like - pain, tingling, numbness, etc.

Pain can be radiating in nature like starting from the lower back towards the hip, thigh, leg and foot. It can be unilateral as well as bilateral depending upon the nerve root entrapment in the lumbar spine region due to disc degeneration or disc prolapse or herniation.

Taking up an MRI will be guided as painkillers and steroids or any anti inflammatory drug is for symptomatic relief. Due to the nerve root entrapment there is weakness in the paraspinal muscles, muscles of the back and the lower limbs. Having an MRI can help understand the probable nerve root compression.

Based on the clinical examination and assessment of the muscles there will be a need to under go a physiotherapist guided expert exercises for long term avoiding of the pain and other symptoms. In my clinical practice of over 12 years, most cases which provide symptoms like you are treated with physiotherapy post clinical examination.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Jay Indravadan Patel,
Physical Therapist or Physiotherapist
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What Causes Pain In The Hip And Tailbone?

Hi, It looks like from history that this pain is related to lumbar spine inter vertebral disc disease. If there is changes in the lumbar spine normal curvature and also the changes in the position of the intervertebral disc at different levels the different symptoms are produced like - pain, tingling, numbness, etc. Pain can be radiating in nature like starting from the lower back towards the hip, thigh, leg and foot. It can be unilateral as well as bilateral depending upon the nerve root entrapment in the lumbar spine region due to disc degeneration or disc prolapse or herniation. Taking up an MRI will be guided as painkillers and steroids or any anti inflammatory drug is for symptomatic relief. Due to the nerve root entrapment there is weakness in the paraspinal muscles, muscles of the back and the lower limbs. Having an MRI can help understand the probable nerve root compression. Based on the clinical examination and assessment of the muscles there will be a need to under go a physiotherapist guided expert exercises for long term avoiding of the pain and other symptoms. In my clinical practice of over 12 years, most cases which provide symptoms like you are treated with physiotherapy post clinical examination. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist