I have severe weakness in butt and hips muscles with negative rheumatism. What is my problem?

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Since when are you having this problem? Any history of trauma, or lifting heavyweight? Any perianal senory loss or difficulty in holding urine? What symptoms do you have like difficulty in walking, climbing stairs, etc?

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Thanks for the detailed history. Getting up after sitting on the floor is indicative of proximal muscle weakness (quadriceps muscles of the front of thigh) and also it could be due to weak iliopsoas muscles. These are supplied by the femoral nerve and its neuropathy can cause this sort of weakness. I would advise you to get nerve conduction study (NCV) and EMG (electromyography) to rule out neuropathy and x-ray of b/l hip with pelvis. Is there wasting of the muscles of your thigh (is the bulk reduced )? Any other ailments like diabetes (which can cause neuropathy)? I cannot see any attachments of your reports. Not to scare you but it can be a lot of other things like degenerative disc disease, hip joint issues, iliopsoas, tendinitis, and it is a possibility that the cyst in your kidney could be irritating the psoas muscles.

Hello,

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I saw your reports (attachment removed to protect patient identity). They seem to be normal. Myositis is basically inflammation of the muscles secondary to something like infection (bacterial/virus), autoimmune, thyroid issues, etc. It is a very rare possibility because a specific group of muscles are involved and you do not have any history of infection or autoimmune disorders. Femoral nerve issue presents with weak hip flexors and weak knee extensors. As I mentioned earlier it could be psoas muscle irritation (that would be labeled as tendinitis or myositis depending upon the inflamed area whether muscle bulk or tendon region). If you do not want medical terminology or information I can be very general for the subsequent queries. In the meantime before getting tests done do the following gluteal muscle strengthening exercises, iliopsoas stretches, quadriceps muscle strengthening exercises, pyriformis stretches, and basic core exercises. Start from a very basic level. Do not overdo it. Ice packs after exercises. Take a high-protein diet and plenty of water to keep you hydrated. Follow up with the reports.