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Sahuarita, AZ
A 45-year-old female asked:

Mri shows 1.5 inch lipoma deep in left gulteal muscle - could this be causing pain in gluteal muscle and siatica pain in same leg?

3 doctor answers9 doctors weighed in
Dr. Thomas Dowling
Orthopedic Spine Surgery 40 years experience
It may if it is : Causing pressure on a soft tissue structure including the sciatic nerve depending on its size and location.
Dr. Carl Spivak
Orthopedic Spine Surgery 28 years experience
Unlikely: Usually these lipomas do not compress the sciatic nerve, but you would need a doctor to carefully review MRI to rule out sciatic nerve compression.
Dr. Qamar Khan
Pain Management 17 years experience
Yes or Piriformis: The sciatic nerve runs underneath the piriformis muscle and typically does not irritate the nerve. However if the muscle is irritated or the nerve runs through the belly of the muscle (5-10% of people) it can press on the sciatic nerve and cause the sciatica type pain in the buttock region but also radiate into the leg as well. Typically stretching and nsaids are mainstay for treatment.

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Last updated Jul 14, 2018

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