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Doctor insights on: Sitz Bones Pain

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L5-S1 microdiscectomy Fri for left leg sciatic pain. Calf/foot pain relief w/some thigh/behind knee pain. Pain less AM but sharp pain down left leg into foot w/pain level of 9.5 & hurts sitting/lying.

L5-S1 microdiscectomy Fri for left leg sciatic pain. Calf/foot pain relief w/some thigh/behind knee pain. Pain less AM but sharp pain down left leg into foot w/pain level of 9.5 & hurts sitting/lying.

Microdiskectomy: Give it some time; sometimes simply moving the roots around can upset the lumbar plexus and give you intermittent (even quite severe) pain, although it resolves within a week or two. Getting to the disk requires mobilization of the roots and inflammatory changes from that- or the disk herniation- itself can give this pain. As long as bowel and bladder OK, hopefully this will resolve also. Best! ...Read more

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Bone (Definition)

Bone is a living growing tissue made mostly of collagen (protein that provides soft framework) & the mineral calcium phosphate that adds strength & hardens the framework. Two types of bone are found in the body; cortical (dense compact outer layer) & trabecular (makes up inner layer, ...Read more


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Facet joint pain or si joint pain? Pain is located in lower left, 2 inches from spine (l5-s1 area). No reffered pain. 2 somewhat positive facet blocks

Can Be both: However if the facet block gave you 70-100% pain relief, then more likely to be your fact joint. If less than 50% relief, then consider the SI joint as a definite source of your pain. Also if not ruled out already, I often find things like spinal stenosis or herniated discs also have this same pattern of pain. ...Read more

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Left hip/lower back pain weeks no better take anti-inflam muscle relaxer. ER doc treated for sciatica hip area Inflam pain unbearable loss appetite ?

Left hip/lower back pain weeks no better take anti-inflam  muscle relaxer. ER doc treated for sciatica hip area
Inflam pain unbearable loss appetite ?

See a specialist: There are many causes of hip/low back pain. Most of these causes are related to the muscles, joints, ligaments, and bones in the back. Other causes could stem from problems with kidney, bladder, or reproductive organs. Further work up is required. Ask to see a spine specialist. ...Read more

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Rectal pain and pain relief question. Are acetominophen suppositories for treating anus or rectal pain?

Rectal pain and pain relief question.  Are acetominophen suppositories for treating anus or rectal pain?

Not necessarily: Acetomenophen, whether taken orally or per recum, is absorbed into the bloodstream and circulates to its site of action. There is no advantage to take the drug rectally if you have rectal pain because the drug does not produce its effects at the sie of administration. ...Read more

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Would sacral iliac and ala injections cure coccyx pain?

Would sacral iliac and ala injections cure coccyx pain?

Depends: Sacro-iliac injections would only be expected to cure symptoms coming from that specific joint. It would be fairly uncommon for sacro-iliac problems to cause pain in the tailbone (coccyx). There is a condition known as Coccydynia. In that case the coccyx is tender and patients have pain sitting down. A steroid injection in the coccyx is the main injection we try for that. ...Read more

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What's the optimal non-narcotic or narcotic pain relief for chronic hip and leg pain?

What's the optimal non-narcotic or narcotic pain relief for chronic hip and leg pain?

Pain killers: The best pain killer for the hip and leg pain is the one that relieves your pain. It can be over the counter medication like Ibuprofen or tylenol, (acetaminophen) or prescription medication like nsaids, muscle relaxants, narcotics ... ...Read more

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Lower back pain for about 4 months along with frequent urge to urinate. MRI found min. Protruding disc L5S1. No nerve compression. Only pain sitting.

Lower back pain for about 4 months along with frequent urge to urinate. MRI found min. Protruding disc L5S1. No nerve compression. Only pain sitting.

Possibly discogenic.: Sorry you are suffering from this...Your symptoms sound as if they may be from your disc protrusion at L5-S1. There are other possibilities. If your pain does not get better, if you develop shooting pain and numbness, weakness, or if you have bowel or bladder difficulty then you need a surgical evaluation, otherwise your primary care provider can help the back pain to improve +/- physical therapy. ...Read more

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Hip pain radiating into groin left hip he of osteoarthritis knees and back. How to relieve pain ? Allergic to ibuprofen

Hip pain radiating into groin left hip he of osteoarthritis knees and back. How to relieve pain ? Allergic to ibuprofen

See ortho: In the meanwhile, tell me what kind of reaction you had to ibuprofen so that I can give you other option in relieving your pain. Most people can tolerate Celebrex (celecoxib) with a history of NSAID reactions but it is likely to be more expensive. ...Read more

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Throbbing pain in testicles and sciatic pain. No meds, exercises or stretching help?

Sciatica and testicl: It is very unusual to have sciatica with associated testicular pain. Although it is not prudent to postulate two different causative factors, this must be considered. You should get in for an. Evaluation soon. ...Read more

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What causes pelvic, rectal, coccyx area pain that radiates to right leg? Its relentless pain, often prevents sleep. The pain worse when bladder full

What causes pelvic, rectal, coccyx area pain that radiates to right leg? Its relentless pain, often prevents sleep. The pain worse when bladder full

Nerve compression: Compression of a nerve in the lower spine can do it. On rare occasions compression of the cauda equina below the spinal column can cause pelvic pain and incontinence. A large pelvic cyst or mass can also cause similar symptoms. An evaluation by your physician is important and you may need a scan of your lumbar spine and pelvis. ...Read more

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Sacrum stiff, pelvic/hip movement cause pain, esp morning n after inactivity. Muscles at hip spasm. No pain at groin. What can be the cause?

Hip pain and spasm: You list numerous issues involving your musculoskeletal system. You have morning stiffness which goes with arthritis. You have to be worked up by a good physician and maybe be seen by a gerontologist. ...Read more

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2 herniated discs, l4-s1, annular tears, osteoarthritis, leg pain& numbness, sharp shooting pain down leg into foot. Questions for back surgeon?

2 herniated discs, l4-s1, annular tears, osteoarthritis, leg pain& numbness, sharp shooting pain down leg into foot. Questions for back surgeon?

Answer: If the pain, weakness and or numbness cannot be controlled with pain medication, stretching exercises, and other nonoperative management, i recommend you see a spine specialist for further recommendations. Severe pain, bowel/bladder incontinence, sudden change in sensation/motor function may require emergent evaluation. ...Read more

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Severe pain in shin bone worse when shins get cold. Morphine gives 70% pain relief. ?

What illness underly: What underlying disease do you have that requires morphine to treat? Bone pain could be metastatic cancer pain. Talk to the doctor who prescribes your morphine. ...Read more

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Ft dr said L leg/ft pain is dorsal nerve. nerve root sleeve cyst s1 or 2. Gabapentin no help. also severe rectal pain when asleep and pelvic pain.

Leg/foot pain: If the meds are helping and you're having a hard time sleeping at night, you might consider talking to your PCP about referring you to a neurosurgeon for evaluation. ...Read more

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Can sciatica or pinched nerve cause burning pain in the popliteal area and pain down calf? X-ray normal, ultrasound knee-groin for DVT normal

Can sciatica or pinched nerve cause burning pain in the popliteal area and pain down calf? X-ray normal, ultrasound knee-groin for DVT normal

Yes, but: sciatica can have various symptoms. Local tenderness is not one of them squeez your calf. if it's tender stay on the path of considering a blood clot or at least phlebitis. If it's not tender than sciatica is a good consideration ...Read more

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