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HomeAnswersNeurologynerve painPerineal numbness and chronic pain around the hips and legs. Why?

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

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

iCliniq medical review team

Published At May 28, 2023
Reviewed AtOctober 18, 2023

Patient's Query

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 milligrams and tablet Aleve 220 milligrams.

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.

Hello,

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.

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

Dr. Hardik Nareshbhai Rajyaguru
Dr. Hardik Nareshbhai Rajyaguru

Neurology

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