Tagged: entrapment neuropathy
markrParticipantOctober 10, 2017 at 3:15 amPost count: 5
Hello Dr. Corenman,
I have a tingling sensation in my lower buttocks, originally on the left side but I’m now experiencing it on my right side as well. The sensation is located more towards the inner lower are of my buttocks (if I was to point it out I would say that the ischial tuberosity would be the closest marker), if I apply pressure to that area I can excite the tingling sensation, applying pressure to any other points on my buttocks or lumbar spine do not elicit a response. I also have a tightness in the back inside (medial) of my knee which has been progressively improving over the months, so I am unsure if that’s related.
I’ve had an MRI on my lumbar spine which reported L2/3 degenerative changes with no nerve root impingement. Physical examinations reveal full range lower back, hip knee and ankle pain free with good muscle strength and control. I have no sharp pains or aches anywhere in my back or legs, it’s all concentrated in the buttock region.
I’ve been told that the level of disc degeneration present wouldn’t cause this issue, that that correct? If so what other issues could cause this tingling?
MmarkrParticipantOctober 10, 2017 at 4:37 amPost count: 5
Just to add, I am very active. I play soccer and golf. I’m a regular in the gym and would have done sprints regularly. I don’t feel any pain or increased sensation during activity, the only thing I can think of is an increased tightness in my left groin the day after sprints.
MDr. CorenmanModeratorOctober 10, 2017 at 10:02 amPost count: 5919
Your MRI report would not implicate a nerve compression causing this tingling. There are entrapment neuropathies (see https://neckandback.com/conditions/nerve-entrapment-compression/) that occur in the pelvis with small sensory nerves that can cause tingling without any real danger. Without significant pain or weakness, I would just stretch the area and not worry too much about these symptoms.
Dr. CorenmanPLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.If this forum has helped you, please let Dr. Corenman know!markrParticipantOctober 11, 2017 at 4:23 amPost count: 5
Thank you for your reply Dr. Corenman.
I have been stretching with no relief also forward bends seem to aggravate the symptoms. Are there any stretches in particular that you would recommend?
As this issue has been going on for the past 3 months with progression to the right buttocks in the past week I would like a definitive diagnosis to rule out other, possibly more worrying causes. What medical professional or scans would be correct to seek out this diagnosis?
MDr. CorenmanModeratorOctober 11, 2017 at 10:53 amPost count: 5919
I don’t have any particular stretches that can work this area for nerve entrapment. If these symptoms are impairing, you could consider a pelvic MRI but you might not see much as these small sensory nerves can be smaller that the resolution of the MRI machine. Possibly an injection can be helpful.
Dr. CorenmanPLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.If this forum has helped you, please let Dr. Corenman know!
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