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HomeAnswersRheumatologyback painI get constant pain in buttocks along with thigh pain. What should I do?

Why I have constant buttock and legs cramps?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Vinodhini J.

Published At March 13, 2020
Reviewed AtApril 25, 2024

Patient's Query

Hello doctor,

I have had permanent cramps and constant aches in both buttocks. I have pain down the back of the legs in the calf and when I walk it feels like it is about to cramp and I get pain in front of the thigh. I have a constant aching feeling. When I press my skin on both thighs it feels sore. I had it for over two months. I have pain on both sides of my thighs and legs regardless of if I am sitting or resting. I got admitted to the hospital for two weeks and they did an MRI scan on my spine and found nothing. They did a lumbar puncture and found nothing. They also did a nerve examination and nothing was found. I am currently on Gabapentin, Codeine, and Paracetamol.

Hi,

Welcome to icliniq.com.

It looks like a nerve compression to me. If all investigations are normal, it does not mean it cannot be nerve compression. It could be meralgia paresthesia or neuralgia. I would recommend you take Vitamin B12 shots. Also, discuss with your doctor to prescribe you a combination of Pregabalin along with Nortriptyline at night. This may take a few weeks to months to recover.

I hope this helps.

Thank you.

Patient's Query

Thank you doctor,

With those medications do you think it is appropriate for my age as I am only 26? With the shots, would it be an injection? Also, I forgot to mention that I was given Ciprofloxacin for a UTI early. Could this be a long term side effect as I have read up many things on it? Would you also recommend acupunture?

Hi,

Welcome back to icliniq.com.

The medicines I have mentioned can be safely used at your age. Injection shots would be more useful than oral vitamin B12. Acupuncture you can give a try, it may help you. You can try acupuncture and all as a side treatment and not as the first line of treatment.

Have you got your thyroid profile, Vitamin B12, and Vitamin D levels?

Patient's Query

Thank you doctor,

Please find my attached blood tests. I am not sure if this shows vitamin D, B12 or thyroid.

Hi,

Welcome back to icliniq.com.

Based on available reports (attachment removed to protect patient identity) and your symptoms, it simply looks neuralgia to me. Somehow, I am highly convinced that you would get relief with Pregabalin and Nortriptyline. In case you have taken it and no relief we would talk about further options.

I hope this helps.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Anshul Varshney
Dr. Anshul Varshney

Internal Medicine

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