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Doctor insights on: Internal Hemorrhoidal Sciatica

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How do I tell if the pain coming from my butt is sciatica or an internal thrombosed (blood clot) hemorrhoid?

How do I tell if the pain coming from my butt is sciatica or an internal thrombosed (blood clot) hemorrhoid?

If Rectal pain: Then hemorrhoids likely. If in buttock area then likely spine related, only way to know about spine issues is get lumbar spine MRI. ...Read more

Dr. Qamar Khan
1,075 Doctors shared insights

Sciatica (Definition)

A condition that results in pain, weakness, numbness, or tingling in the leg. It results from injury to or pressure on the sciatic nerve, which starts in the lower spine and runs down the ...Read more


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How can you tell if sciatica is getting worse I am in pain my hip bothers me right leg weaker inner thigh numb and thigh numb?

How can you tell if sciatica is getting worse I am in pain my hip bothers me right leg weaker inner thigh numb and thigh numb?

Sciatica: Sometimes it is difficult to determine if the pain is coming from the lumbar spine, sacroiliac joint, or the hip. An MRI of the lumbar spine, pelvis, and hips and an examination by a spine or hip specialist will tell you where the pain originates. Anti-inflammatory medications, muscle relaxers, neuropathic pain medicine, and physical therapy can help to eliminate the pain ...Read more

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Getting a burning sensation that turns into numbness! Starts in groin area and moves to inner thigh always on right side. Is this sciatica?

Getting a burning sensation that turns into numbness! Starts in groin area and moves to inner thigh always on right side. Is this sciatica?

Not exactly: Classically siatica goes from buttocks to leg down the back this may be nerve compression but a different nerve root from your description sounds like L3 or L4 or other peripheral nerves femoral obturator, siatica feels like this but in different part of leg classically ...Read more

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Hamstring, lower back, inner thigh pain, & and pain right above foot. Compartment Syndrome or Sciatica issue?

Hamstring, lower back, inner thigh pain, & and pain right above foot. Compartment Syndrome or Sciatica issue?

Comprehensiveness: Employing a multi-modal approach, most fellowship trained pain specialists offer the most effective management of painful conditions. To accurately diagnose and treat patients, we will utilize imaging studies, electro-diagnostic evaluations, history ; physical examinations, targeted physical therapy, appropriate and responsible medication management and cutting-edge interventional procedures. ...Read more

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Dull ache in leg. Moves around sometimes in buttocks, back of thigh, inner thigh. Sometimes hurts when walking. Sound like sciatica? Pulled muscle?

Dull ache in leg. Moves around sometimes in buttocks, back of thigh, inner thigh. Sometimes hurts when walking. Sound like sciatica? Pulled muscle?

Could be either: Depends on time frame and other issues but it could be either one. Consider physical therapy, etc. If it does not improve in 6 weeks then its time to see someone. ...Read more

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I have random tingling inner thighs, sides of knees and calves with Increased low back pain. I have severe degenerative disc disease S1-L5; related?

I have random tingling inner thighs, sides of knees and calves with Increased low back pain. I have severe degenerative disc disease S1-L5; related?

Maybe the calf pain: Medial thigh pain is a higher dermatome, usually L3 or L4 nerve roots. Buttock, posterior-lateral thigh, posterior calves however are consistent with S1, sometimes L5 radiculopathy (tingling, burning, aching, pulling). You probably need more of a work up, PT for core stabilization, stretching, nerve slides and piriformis stretching, maybe an epidural, MRI if not done yet. ...Read more

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Hip pain from injury that won't go away after 5 weeks. Now causing low back pain, inner thigh pain by groin, and buttocks pain. What can I do?

Hip pain from injury that won't go away after 5 weeks. Now causing low back pain, inner thigh pain by groin, and buttocks pain. What can I do?

Sacroiliac ligament: Sounds like you are having referred pain from sacroiliac (SI) dysfunction. Would be good to be evaluated for this by your family doctor. Best treatment is a small injection of anesthesia and steroid into the specific area of the SI ligament. Depending on injury, could also be a hop labral tear that can give same symptoms. You need to be evaluated in person. ...Read more

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Low back pain. Also inner thigh pain. 8 days late on my cycle?

Low back pain. Also inner thigh pain. 8 days late on my cycle?

Get a pregnancy test: I think that by asking this question you already know that you could be at risk of pregnancy and you should therefore get a pregnancy test and see what's going on. If the pregnancy test does not provide guidance, then see a doctor. Do not take any ibuprofen for pain in case you are pregnant. ...Read more

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Help me I have sciatica?

Help me I have sciatica?

Spine Pain Options: This chronic pain in the distribution as you suggested is the result of an irritated nerve or facet joints or other injury typically in the lumbar spine (low back) which are caused by herniated disks, spinal stenosis or degenerative disc disease, etc requiring further evaluation by a spine specialist and may be candidate for facet injections/radiofrequency ablation and epidural steroid injection. ...Read more

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What should I do for sciatica?

What should I do for sciatica?

Pinched Nerve: Sounds like you have a pinched nerve in your back. I would suggest seeing a pain/spine specialist to evaluate you further to evaluate what level and what can be done to treat you. There are interventional treatments besides medications and surgeries that might reduce or eliminate the pain altogether. ...Read more

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What should I do about sciatica?

What should I do about sciatica?

Sciatica treatment: True sciatica is leg pain that shoots from back, down the leg past the knee. This mimics the path of the sciatic nerve, thus it's name. It may be associated with numbness, burning pain, or weakness in the leg. Treatment involves nsaids, tylenol, (acetaminophen) rest, mckenzie pt with a doc's rx, and steroid injections (nerve root or epidural). Failing that, microdiskectomy if disk herniation confirmed. ...Read more

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How can I natuurally cure sciatica?

How can I natuurally cure sciatica?

Exercise: Most sciatica pain is self-limiting but can be improved with stretching and strengthening exercises that focus on your low back and core. ...Read more

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I have sciatica for about 5 months.?

I have sciatica for about 5 months.?

See Pain Specialist: Pain in the distribution as you suggested describes the pattern of the nerve that travels in the leg called the sciatic nerve. The sciatic nerve is not the cause of the pain source, it is the result of an irritated nerve typically in the lumbar spine (low back) which are caused by herniated disks, spinal stenosis or degenerative disc disease requiring further evaluation by a spine specialist. ...Read more

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Can I do kaleisthenics with sciatica?

Generally yes: Calisthenics are not likely to damage a pinched nerve root, and they may help. They may aggravate the pain as well, though. This is unlikely to be damaging, but will be uncomfortable, and you should stop if this occurs. The best option is to talk to your doctor and your physical therapist about the exercises you plan to do and whether they might help or make the pain worse. ...Read more

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I have sciatica--what can I do for it?

I have sciatica--what can I do for it?

Sciatica: Meds, exercise, physical therapy including mckenzie centralization techniques, traction, inversion table. Many things are used. ...Read more

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How fast can I make my sciatica go away?

How fast can I make my sciatica go away?

Usually it resolves: Most sciatica can resolve on its own. Exercise, even back extension exercise can help a lot of people. Resting in the 90-90 position - lying supine with the hips and knee each bent at 90 degreees can help relieve symproms. There can be serious involvement that requires more evaluation, and diagnostic testing. It needs evaluation if it persists, especially involving bowel and bladder use. ...Read more

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How do I lose baby weight with sciatica?

How do I lose baby weight with sciatica?

Pool Therapy: Can help unload the spine and allow you to burn some calories. Try that first. If not helping consider seeing a pain specialist to address the pain first and then get back to the exercise afterwards. ...Read more

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How do I lose 20lbs when I have sciatica?

How do I lose 20lbs when I have sciatica?

Viscious Cycle: You need to treat the pain to feel better so you can exercise. There can be several reasons for "sciatica" or pain down the leg. Lumbar disc inflammation with or without nerve impingment, facet joint irritation, sacroiliac joint irritation, piriformis syndrome. A thorough physical exam and diagnostic studies will help determine what will be best to get you feeling better based on your diagnosis. ...Read more

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I think I have sciatica, what do I do now?

I think I have sciatica, what do I do now?

Weeks to Months: Generally most people can get relief from sciatic pain doing the conservative care within 3-6 weeks. If it persists after that, it can take up to 6 months to heal by itself. You may still be a candidate for epidural steroid injections that may help relieve the pain while your body heals itself. ...Read more

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What do I do about severe sciatica - please help!?

What do I do about severe sciatica - please help!?

Stretching: Many times acute sciatic pain will resolves after stretching the area abit. The muscles will loosen up and help resolve pain. If not, then consider further imaging studies to see which exact nerve in your spine is getting pinched for further treatment options. ...Read more

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How can I lose baby weight if I have with sciatica?

How can I lose baby weight if I have with sciatica?

Swim/diet/treatment: For most people swimming doesn't worsen sciatic pain. Weightbearing exercise usually worsens the pain but swimming is non-weightbearing. You may find that certain swim strokes may aggravate it. If so, try a different one.
A healthy diet is also a big part of weight loss.
Also important to seek treatment for sciatica so you can do other forms of exercise. There are specialists that can help. ...Read more

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What stretches can I do to stretch out my sciatica?

What stretches can I do to stretch out my sciatica?

Core Exercises: Typically core strengthening exercises are the best to help relieve pressure and forces in the spine. I would try and google some or look them up on youtube to see descriptions. If you can do them yourself, wonderful otherwise ask your doctor to get a referral to a good physical therapist for further assistance. ...Read more

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What exercises can I do to mitigate the pain of sciatica?

What exercises can I do to mitigate the pain of sciatica?

Pain specialist 1st: Each person needs to be evaluated on an individual basis. There can be several reasons for "sciatica" or pain down the leg. Lumbar disc inflammation with or without nerve impingment, facet joint irritation, sacroiliac joint irritation, piriformis syndrome. A thorough physical exam and diagnostic studies will help determine what exercise will be best depending on your diagnosis. ...Read more

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What to do if I think I have sciatica, what are the symptoms?

What to do if I think I have sciatica, what are the symptoms?

Symptoms of sciatica: "sciatica" is pain, numbness, and/or weakness in the distribution of the sciatic nerve. It's almost never caused by irritation of the sciatic nerve, but rather by irritation of the lumbar nerves from the spine that make up the sciatic nerve, ie. L5 or s1. The path of symptoms is from the buttock down the back and side of the leg, ending in the foot. ...Read more

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My wife thinks I should see someone for my sciatica. Should i?

My wife thinks I should see someone for my sciatica. Should i?

Possibly: If the reason for sciatica is unknown, if the symptoms are changing, if there is weakness or numbness, or if the sciatica interferes with your activities or is otherwise having an adverse effect on your quality of life, I would say yes. If reason known and harmless, symptoms are stable and not bothering you, and you don't want to seek help, then I would say no. Others may have different opinions. ...Read more

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I have sciatica! Please tell me the best way to manage this pain?

I have sciatica! Please tell me the best way to manage this pain?

Stretching: Many times acute sciatic pain will resolves after stretching the area abit. The muscles will loosen up and help resolve pain. If not, then consider further imaging studies to see which exact nerve in your spine is getting pinched for further treatment options. ...Read more

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Which stretches can I do to stretch out my sciatica nerve in the morning?

Which stretches can I do to stretch out my sciatica nerve in the morning?

Core Exercises: Typically core strengthening exercises are the best to help relieve pressure and forces in the spine. I would try and google some or look them up on youtube to see descriptions. If you can do them yourself, wonderful otherwise ask your doctor to get a referral to a good physical therapist for further assistance. ...Read more

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What can I do for my sciatica? Can it be fix or what can I do for the pain

Depends: I'd recomend being evaluated as there are numerous treatments that are available for radicular and sciatic type nerve pain including nsaids, oral steroids, injections, pt, surgical decompression and all of there usefulness depends on your particular situation. ...Read more

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What kind of stretches can I do to stretch out my sciatica nerve in the morning?

What kind of stretches can I do to stretch out my sciatica nerve in the morning?

Get correct DX: You should see your pcp to establish the cause of your problem. Until then try dry/wet heat to the lower back, mackenzie exercises, and nsaids such as aleve, advil or tylenol (acetaminophen). ...Read more