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Dear Doctor, I have Butt and Leg Pain. Can you Help me?

Posted Jun 09 2009 12:09pm 1 Comment
The lower nerve roots form together to create the sciatic nerve which travels down near your sacrum (or tailbone region) and exits out the buttock on each side and sends nerve innervation to the legs
Pain starts in my left rear-end and travels down my leg. Sometimes I even get numbness. I don’t really have much back pain. Is it back-related?

Over and over we see patients with pain in the legs and buttocks or numbness and tingling in the legs, but no back pain. Most often the problem still comes from the lower back.

The reason is that nerves have specific referral patterns, measuring pressure on one part of the nerve may refer or send symptoms to another area.

In the low back the lower nerve roots form together to create your sciatic nerve which travels down near your sacrum (or tailbone region) and exits out the buttock on each side and sends nerve innervation to the legs.

Depending where the pressure is and how severe it is will determine your symptoms. The nerve roots that branch off the spinal cord are a bundle of nerves; depending which fibers in those nerve roots are irritated will determine where your symptoms may occur- leg pain, foot numbness, back pain, shooting pain down the leg starting at the base of your rear-end, muscle cramping in your calves. . .

Some symptoms are more common for certain conditions or a disc problem at a specific level often causes similar symptoms. This is specifically why we do specific exam tests or lab tests, or take pictures of the spine and/or discs.

So, to answer your question in the title- the answer is often: yes! However, our consultation and exam with you will give us a clear yes or no.

If you suffer with symptoms in your lower extremity such as leg pain and tingling/numbness in the legs, call our office for a free, no obligation consultation right away.
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For 2 years I have had progressive right piriformis pain, right posterolateral thigh pain, some calf pain, and this morning my right foot felt numb while walking my last mile (2 miles).  No shooting pain or tingling.  I have been to several doctors.  No one seems to know.  I bought a TENS unit.  I have tried everything.  Can you help me? 
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