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re: OT Doctors: Lower back/buttock pain, Cluneal nerve pain/swelling.

Posted on 4/19/17 at 12:16 pm to
Posted by Centinel
Idaho
Member since Sep 2016
43333 posts
Posted on 4/19/17 at 12:16 pm to
Posted by Golfer
Member since Nov 2005
75052 posts
Posted on 4/19/17 at 12:17 pm to
quote:

Besides, I like to do a little research before I go running off to the doctor.



Just go see a PT.
Posted by MaleB
NC
Member since Jul 2016
248 posts
Posted on 4/19/17 at 12:19 pm to
What you need is rest. Change your profile from "experienced bottom" to "gentle loving top"
Posted by bhtigerfan
Baton Rouge
Member since Sep 2008
29435 posts
Posted on 4/19/17 at 12:21 pm to
quote:

Not to be a smart arse but my Irish grandfather preached this cure all the time. For everything. Take a bottle of Jamiesions, get some on two fingers, rub it on the sore spot, and drink the rest. Guaranteed, he said, that you will not only not feel your back, you won't care bout it either.



Posted by bhtigerfan
Baton Rouge
Member since Sep 2008
29435 posts
Posted on 4/19/17 at 12:24 pm to
quote:

Most physicians will recommend that you DO NOT give a sore lower back bed rest.
No shite? And that's exactly what most people do because of the pain.

Sometimes laying flat on your back is the only relief you can get.

Thanks.
Posted by mikrit54
Robeline
Member since Oct 2013
8664 posts
Posted on 4/19/17 at 12:27 pm to
Google and message board for unknown pain.
Posted by Eli Goldfinger
Member since Sep 2016
32785 posts
Posted on 4/19/17 at 12:31 pm to
quote:

No shite? And that's exactly what most people do because of the pain.


I know, but you need to keep the muscles as loose as possible.

Tight muscles rub on nerves and against each other and this creates more pain.

An overwhelming majority of lower back pain is caused by tight hamstrings and/or hip flexors.
Posted by bhtigerfan
Baton Rouge
Member since Sep 2008
29435 posts
Posted on 4/19/17 at 12:36 pm to
quote:

Also...beware of chiropractors. Not saying they don't have their place, but this certainly shouldn't be your first stop with lower back pain.
Yeah, I hear ya, but they can be helpful.

I strained a muscle in my lower back (right side) lifting some heavy stuff at my house months ago. The next morning I could barely get out of bed. The pain was actually coming from my spine on the right side, so I went to a chiropractor that morning.

I told him what I did the previous day and where it hurt, radiating from my spine on my lower right side. He examined my lower back and said my muscle on my lower right side had a knot.

When I asked him why my spine was hurting and not my muscle, he explained that the muscle tightness on my right side was actually pulling on my spine and irritating the nerves on my spine. Makes perfect sense.

He massaged the knot out of the muscle, then cracked my lower back and the pain instantly was gone. Then all I had to deal with was soreness in the muscle.
Posted by DownTheBayouBengal
Terrebonne Parish
Member since Apr 2013
173 posts
Posted on 4/19/17 at 12:39 pm to
Sounds like a "back mouse" or episacroiliac lipoma. Extrusion of subfascial fat through small tear of thoracodorsal fascia.

See PCP. Get this palpable mass injected. If relief, that is diagnostic of this condition. If severe enough, can be surgically removed if it remains painful.
Posted by LSU Patrick
Member since Jan 2009
73483 posts
Posted on 4/19/17 at 12:40 pm to
Does the pain stay localized, or does it radiate down the back of your leg?
Posted by birdieman
New Orleans
Member since Dec 2012
1647 posts
Posted on 4/19/17 at 12:44 pm to
Happens to me a few times a year. Piriformis stretches plus an anti inflammatory should help fairly quickly. Lots of heating pad helps me too.
Posted by bhtigerfan
Baton Rouge
Member since Sep 2008
29435 posts
Posted on 4/19/17 at 12:51 pm to
quote:

Sounds like a "back mouse" or episacroiliac lipoma. Extrusion of subfascial fat through small tear of thoracodorsal fascia. 
Hmmm.
quote:

Trigger points present themselves as taut bands muscle while back mice are felt as masses or nodules.
Not sure if I can describe the knot as either. It's definitely not a nodule.
This post was edited on 4/19/17 at 12:56 pm
Posted by bhtigerfan
Baton Rouge
Member since Sep 2008
29435 posts
Posted on 4/19/17 at 12:53 pm to
quote:

Does the pain stay localized, or does it radiate down the back of your leg?
Localized.

Lower left back and left buttock. Swelling/knot is just below the belt line.
Posted by CelticDog
Member since Apr 2015
42867 posts
Posted on 4/19/17 at 12:54 pm to
what settings do you use for your TENS unit?

Posted by jeff5891
Member since Aug 2011
15761 posts
Posted on 4/19/17 at 12:54 pm to
quote:

thought it was a muscle strain until a little while ago


You would have been better off going then. Just to get steroids or a relaxer.

If you strain your neck or back, go to the doctor. No matter what.
Posted by bhtigerfan
Baton Rouge
Member since Sep 2008
29435 posts
Posted on 4/19/17 at 12:55 pm to
quote:

Happens to me a few times a year. Piriformis stretches plus an anti inflammatory should help fairly quickly. Lots of heating pad helps me too.
Do you get swelling/knot in one spot below the belt line?

I've got ice on it now. Might try heat later.
Posted by bhtigerfan
Baton Rouge
Member since Sep 2008
29435 posts
Posted on 4/19/17 at 12:57 pm to
quote:

what settings do you use for your TENS unit? 

I bump it up until it stings, then back it down one or two clicks. Usually end up around 4-5.

Too strong?
This post was edited on 4/19/17 at 12:58 pm
Posted by roguetiger15
Member since Jan 2013
16154 posts
Posted on 4/19/17 at 1:01 pm to
I'm going get MRI Friday. Been battling pain in my right arse that shoots down my leg. My left thumb is now numb. Something has to be pinching my sciatic nerve. Just hope it's not a disc issue.
Posted by Volt
Ascension Island, S Atlantic Ocean
Member since Nov 2009
2960 posts
Posted on 4/19/17 at 1:34 pm to
Sounds like it could be a trigger point. I not only have these in my lower back, but I've palpates them in many patients.

I give trigger point injections with a homeopathic anti-inflammatory and lidocaine (numbing agent). This can give amazing results.
Posted by LSU Patrick
Member since Jan 2009
73483 posts
Posted on 4/19/17 at 2:00 pm to
quote:

Happens to me a few times a year. Piriformis stretches plus an anti inflammatory should help fairly quickly. Lots of heating pad helps me too.


I have Piriformis Syndrome too. As a distance runner, it's something I will always deal with. Stretching and strengthening exercises help a lot. I don't think it is the culprit in this guy's case, because he isn't experiencing any sciatica.
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