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Arthritis  (Expert Forum)
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Strange Problem that doctors are unsure about
Answered by
Kevin Pho, MD - Internal Medicine
Kevin Pho, MD Boston - MA
This forum is for questions and support regarding arthritis issues such as: Arthritis, Autoimmune Disease, Bursitis, Fibromyalgia, Gout, Juvenile Rheumatoid Arthritis, Lupus, Myositis, Neuralgia, Osteoarthritis, Polymyalgia Rheumatica, Rheumatoid Arthritis, Sciatica, Tendinitis, Vasculitis.

Strange Problem that doctors are unsure about

by jamrop, Jun 25, 2006 12:00AM
Hey,



where do i start, its a bit long and complicated :)



Lets start from the beginning



I am 29 male



I first noticed that i had imflammation in my right buttock pain, no pain, just felt like i am sitting on a piece of fat.  I had no recall of any sport injury, i  play football and squash. When i did play squash , after the inflammation would heat up.  No pain tho.  I went to the doctor and he said i had injuryed my adductor muscle. He said to rest etc.



I few weeks later, i got pain when i sat down, not on my inflammated bit, but on my buttock itself.  I went back to the doctor, he said he would refer me to physio.  Through all this, the inflammation doesnt hurt. So i went to physio , only to be refered back to the doctor.  I have no pain when doing streches, standing up, being active.  The doctor sent me for blood test and xray on my pelvis, all was in the clear, so he refered me back to the physio. He gave me some excerise for the week, the next week i go back, he shows me a printed web site, saying about groin hernia,  he told me to do some streches to see if anything hurts, not a thing. So he sends me back to doctor, he dismisses hernia in groin, and says to get back on with my life.  I went to see another doctor to only being told that he had no clue what is wrong with me.



This has been going on for 2 months now :(



I went to see a chiropractor, and he said it could be a possibility that i one of my moles is pressing on a nerve on my back, but Doctor dismissed this as well



I have a lot of moles



My symtons



Pain when i sit on my right bottock, burning feeling on my right hamstringn (sometimes pain on left buttock, but not sure if that is cause i am leaning to that side)

Feel a pulling in my middle back

inflammation in my right buttock pian(no Pain)

Half down my hamstring , if i press in it hurts

Pulling in my right groin area (swollening i think)(no pain) (happens sometimes)

Feel a strain (sometimes) in my knee







And recently two points on my stomach muscles, if i press in it hurts



I can play any sport, with no pain, just after the inflammation on my buttock pian gets hot

by Kevin Pho, MD, Jun 26, 2006 12:00AM
Nerve compression can be possible.  This can be due to a herniated or bulging disk.  



I would consider imaging the spine - preferably with an MRI to comprehensively evaluate for a disk that may be causing nerve compression.



Electrodiagnostic studies, like an EMG, can also be considered to evaluate the nerves.



A referral to a neurologist or orthopedist can be considered if the symptoms continue.



Discussing these tests can be done with your personal physician.



Followup with your personal physician is essential.



This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.



Kevin, M.D.

kevinmd_
Member Comments

by expatient, Jul 06, 2006 12:00AM
See what symptoms SIJD can cause. Most likely you have it.

I had very similar symptoms as you have. I had SIJD.



Most doctors don't believe SIJD even exists, thats why they can't help. I saw over 20 doctors and few PTs during 15 painful years. No help from them at all. Then I found first doc who knew SIJD and how to correct it. No more pains...



Symptoms of pelvic misalignment (SIJD) include:

Bad Posture

Short leg

Uneven shoulders

Mild, moderate and severe lower back pain

Mild, moderate and severe upper back pain

Low back pain when sitting

Unconfortable to stand long times

Tingling or pain down one or both legs (sciatica)

Stiffness or pain in the neck

Painful knees, ankles, achilles

Tight hamstrings

Tight PSOASs

Tight piriformis

"Wear and tear" of the inter-vertebral discs

Herniated inter-vertebral discs

Persistent Headaches

Frozen Shoulder

"Pulled Back Muscles"

Lumbago

Piriformis Syndrome

Spinal Stenosis



by strugglinginnc, Oct 09, 2006 12:00AM
To: expatient
If you don't mind I would like to know who you doctor is and how I can contact him/her.  I have been dealing with severe low back pain for 3 yrs now and I am unable to anything without pain.  I have seen mutliple doctors as well and have been unable to get any answers or relief.  Pt and Chiropactors have not helped at all.



Thank you for posting -
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