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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Severe Pain In Buttox Extending Down The Leg. In Bed Since One Week With No Relief. Right Medication?

Hi my name is Aidan,i have severe pain in my buttox and down my leg ,I am told I have siciatica. but I do not have any pain in my back well very little,I can't walk very far ,I have to lie down and get into a certin position to relive pain.in bed one week now and not getting any better.Am using all the right medication, what can I do next
posted on Sun, 27 Oct 2013
Twitter Mon, 28 Oct 2013 Answered on
Twitter Tue, 29 Oct 2013 Last reviewed on
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Orthopaedic Surgeon, Joint Replacement,  's  Response
Hi, thanks for writing to HCM.

Your symptoms are typically suggestive of Lumbar disc disease with radiculopathy. There may or may not be back pain in case of disc disease.

The conservative management of Lumbar disc disease is as follows -

- Maintain optimum body weight,if you are obese
- Avoid lifting heavy weights as it imparts more strain on your back
- Avoid excessive forward bending activities as it will worsen the disc protrusion. if you want to bend forwards, do it with your hips and knees flexed.
- Use a lumbosacral back support to stabilize your spinal muscles
- Intermittent pelvic traction might be helpful to cause a regression of the protruded disc
- Physiotherapy is needed to strengthen your back muscles. Physiotherapy has to be done only after the acute pain has subsided.
- Use analgesics like advil or aleve and muscle relaxants as needed. Vitamin B12 supplements & Pregabalin may be helpful.

If your fail to improve with the above measures, an Epidural steroid injection may provide good symptom relief for a few months.

If all these measures fail to provide you relief, then surgical decompression may be an option.

Hope this information is helpful. Good day
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Severe Pain In Buttox Extending Down The Leg. In Bed Since One Week With No Relief. Right Medication?

Hi, thanks for writing to HCM. Your symptoms are typically suggestive of Lumbar disc disease with radiculopathy. There may or may not be back pain in case of disc disease. The conservative management of Lumbar disc disease is as follows - - Maintain optimum body weight,if you are obese - Avoid lifting heavy weights as it imparts more strain on your back - Avoid excessive forward bending activities as it will worsen the disc protrusion. if you want to bend forwards, do it with your hips and knees flexed. - Use a lumbosacral back support to stabilize your spinal muscles - Intermittent pelvic traction might be helpful to cause a regression of the protruded disc - Physiotherapy is needed to strengthen your back muscles. Physiotherapy has to be done only after the acute pain has subsided. - Use analgesics like advil or aleve and muscle relaxants as needed. Vitamin B12 supplements & Pregabalin may be helpful. If your fail to improve with the above measures, an Epidural steroid injection may provide good symptom relief for a few months. If all these measures fail to provide you relief, then surgical decompression may be an option. Hope this information is helpful. Good day