Patient's question:
Doctor, I've had pain in my right buttock for 4 months. It hurts when I jump or hiccup, and it also hurts when I lie flat with my right leg internally rotated. I have a dull ache when I walk. I often sit holding a child and frequently breastfeed on the right side. My CT shows weakness in the left posterior aspect of the L4-5 vertebrae. Does weakness in the left posterior aspect cause pain in the right buttock? The X-ray shows right sacroiliac osteitis. Today, I noticed muscle atrophy in my right buttock. Could you help me determine whether the pain is related to the lower back, sacroiliac osteitis, or piriformis syndrome?Doctor's answer:
In this case, it is still necessary to consider whether the symptoms in the buttock are caused by a herniated disc compressing the sciatic nerve, leading to reflexive reactions. Nerve pain can not only cause discomfort but also result in muscle atrophy. This situation also has a certain relationship with childbirth. It is recommended to pay attention to maintaining good posture habits during daily life. You can often perform the "Flying Swallow" exercise or frequently hang from a pull-up bar to achieve a pulling effect. For severe cases, it may be necessary to consider undergoing minimally invasive surgery.