I have had perineal numbness and sharp shooting pain in both my legs and hips for more than nine months. What could be the cause?

Q. What could cause perineal numbness and chronic pain around the hips and legs?

Answered by
Dr. Hardik Nareshbhai Rajyaguru
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on May 28, 2023

Hello doctor,

I have perineal numbness on one side of my groin area and sharp nerve-like pain which shoots down the back and sides of both legs when I stand for even a short period of time. Also I feel a sharp pain when moving in a certain way. The pain lessens when I sit. The acute pain started as a soreness in the left hip a year ago. The pain has increased since then and I have had numbness since the past nine months. Pain is now more prevalent in the right hip.

I have had five magnetic resonance imaging (MRI) scans in the last year including a brain, thoracic, and cervical spine, which do not indicate anything in my spine causing this. I had needling and physiotherapy (PT), but it further exacerbated the pain rather than relieving it.

I had some prescription anti-inflammatories in the past for the same complaint. Currently, I am on tablet Tylenol 500 milligramms and tablet Aleve 220 milligramms.

Can you please suggest where I should go next? I have been to an orthopedic surgeon, a neurosurgeon, and now a spine surgeon. They all keep sending me to the next doctor. I am not nuts and do not enjoy going to doctors. Please help me to find a solution.

Thank you.



Welcome to icliniq.com.

I understand your concern. Your symptoms are quite suggestive of nerve compression in the lumbar spine (lower back). Another very classic feature of your pain is a postural correlation. This pattern is seen when the bones of the lumbar spine are unstable.

I suggest you get a standing X-ray of the lumbar spine lateral view in flexion and extension. This simple investigation can demonstrate the movement of the bone of the lumbar spine with different postures.

Another way to locate where your nerves are compressed is the nerve conduction velocity (NCV) test of both lower limbs. I suggest you do both these tests and let me know the results or show them to your doctor.

Investigations to be done:

1. X- ray of the lumbar spine lateral view in flexion and extension.

2. Nerve conduction velocity (NCV) test.

Thank you.

Was this answer helpful?


Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Related Questions:
I am pregnant and I have nerve pain all over my face. What could it be?

It started with tingling lips and then nerve pain running all over my face, cheeks then under my eyes ... The last two weeks, the nerve pain has gradually increased from my eyes to my head, mainly at my trigeminal ganglion .   Read full

Why am I getting cracking sound in my joints?

 Do you have any tingling or numbness in legs ...  Tingling sensation has reduced, but is still existent sometimes mostly in the area where I feel sensation loss ... Also suffers from some sensation loss (not persistent) in left side of my upper left leg, pain in groin area (but not anymore), pain in lower back and upper back .   Read full

What is the best treatment option, apart from surgery or minimally invasive surgery, for sciatica?

, weakness of legs or numbness of legs or numbness or tingling in the perianal region and loss of bowel and bladder control) ...   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read

PCOS and Liver Problems
The hormonal imbalances in polycystic ovary syndrome could cause liver diseases. Read the article to know the relationship between these medical conditions.  Read more»
Inferior Alveolar Nerve Lateralization Technique
The inferior alveolar nerve lateralization technique is a surgical lateralization technique to reposition the nerve. Read the article to know more about this.  Read more»
COVID-19 and Ebola: Similarities and Differences
This article gives a comparison and broader overview of the outbreak of the two deadliest diseases that showed a greater incidence over the last two decades.  Read more»

Ask your health query to a doctor online?

Ask a Neurologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.