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Buttock pain
Suffering from buttock pain specially right. And thighs as well.
Taking defcort 6mg
Pregaba nt
Myoril 8mg
Doing exercise as well but no improvement.
I am a delivery boy working in grocery delivery.
I drive a bike and lift heavy groceries.
Pain since 2months.
Answers (6)
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Right buttock and thigh pain with your occupation (prolonged bike riding + heavy lifting) strongly points to sciatica (lumbar radiculopathy from L4-L5/L5-S1 disc) or piriformis syndrome â both caused by nerve compression. Despite 2 months of medication, if there's no improvement, an MRI of the lumbar spine is the essential next step to identify if there's a disc herniation or nerve compression that needs targeted treatment. The current medicines (pregabalin, muscle relaxant, steroid) are appropriate but won't resolve a structural disc problem. Also, physiotherapy must be specific for sciatica/piriformis â general exercises can actually worsen a disc prolapse if done incorrectly. Your occupation is a significant aggravating factor â prolonged bike posture compresses the sacral nerve roots and the piriformis muscle.
Next Steps
Get an MRI lumbar spine urgently. Consult an orthopedic or spine specialist with the MRI report. Stop heavy lifting until diagnosis is confirmed. Adjust bike seat posture and take breaks every 30 min. Seek a physiotherapist experienced in sciatica for targeted exercises. Consult me on Practo for further guidance.
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Your symptoms are suggestive of lumbar radiculopathy (sciatica) or piriformis syndrome, especially since the pain starts in the buttock and radiates to the thigh. Your occupation, which involves prolonged bike riding and frequent heavy lifting, can aggravate these conditions. Since you have already taken medications and performed exercises for 2 months without improvement, further evaluation is necessary rather than continuing the same treatment.
Next Steps
Please consult an Orthopaedic surgeon or Spine specialist for a detailed examination. You may require an MRI of the lumbosacral spine to identify the exact cause of your symptoms. If you have any previous X-rays, MRI scans, or prescriptions, you can book an online consultation with me and share them for a detailed review and personalized treatment plan.
Health Tips
Avoid lifting heavy weights, prolonged bike riding, and sitting for long periods until the cause is identified. If you develop leg weakness, numbness around the groin, or difficulty controlling urine or stools, seek immediate medical attention.
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Can u please get xray - pelvis with both hips and r hip joint lateral view?
And how long wer u on deflocort?
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Dr. Ravikumar Chandulal Makadia
Orthopedic surgeon
7 yrs exp
Ahmedabad
Get xray of lumbar spine
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Dr. Pratik Kumar
Orthopedic surgeon
12 yrs exp
Gorakhpur
appears to be sciatica
Next Steps
mri isneeded
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Harshavardhan Chandane
Orthopedic Surgeon
21 yrs exp
Thane
Dont do exercise during pain. Need to add anti inflammatory medication also. If symptoms persist get xray of back done. May need mri later if no relief
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.