Is hip complications possible cause????

I have severe pain in low back ,Sacroiliac Iliac joint,left buttock,left hip,pelvic bones,groin, Sciatic type pain all the way down side of left leg,ankles. I have had 4 spinal surgerys in this past yr, the the past 3 months been seein' a neurosurgeon & waiting 4 my Ins. to pay for the Myelogram I needed, both him & I were both pretty confident that I would need lumbar surgery again!But last week aqfter getting the scan done, he found that there was no new damage in my back-no reason to do surgery! He reffered me to the Orthopedic surgeron & gave me an order for hip x-rays,he stated that maybe it was something in my hips. I would really like to hear if U think my symptoms fit???? I cannot walk in the store, cannot stand fo0r more than 5 mins without over-bearing pain shooting completely down my left leg.. Thank U so very much 4 ur time,Hope 2 hear form U soon!!      Best Wishes,Brandy

[Michael L Gross, MD]

Groin and pelvic pain could be caused by an arthritic hip. However, another cause of sciatic irritation not related to the back is pyriformis syndrome.  The pyriformis is one of the small muscles in the gluteal region that attaches to the femur and rotates the hip.  The sciatic nerve nerve exits from the pelvis and travels over the pyriformis tendon as it starts its course down the leg. Tendonits or irritation of the pyriformis will often spread to the sciatic nerve and cause sciatica.
Finally, one more cause of shooting pain down the leg that is present after walking and relieved by rest, paricularly with legs up, is claudication,  a vascular problem.  In fact, the pain caused by spinal stenosis is called "pseudo-claudication".  Perhaps consultation with a vascular specialist is also warrented at this point.

[BrandyF]

Thank U so much 4 answering! Can U tell me what treatment options are for these problems,...I really need help!! I am goin' to see an orthopedic surgeon next week...Please write back!     Best Wishes,Brandy

[JUD2SKI]

Hello.......
    When I read about someone that may possibly involve some piriformis issues; I usually direct them to the best source in the country to provide information to you.  Dr. Aaron Filler @ Neurography Insitiute in California  or his Institute for Nerve Medicine at the same location.  This gentleman is by far the best resource for information and the best specialist in the country to address these issues with you.  And Dr. Filler has his MR-Neurography that is so specialized that it locates and defines issues that that conventional MR flat out MISSES !!    Something else you should be prepared for is that issues related to "piriformis syndrome" have rarely been taught in medical schools to orthopedists nor neurosurgeons until most recently;  and to find a specialist that even believe this situation exists may be a chore for you.  My advice, from an injured individual for the past 4 years with this as being the first in a line of Dx's for me; is to be persistent and to research all you can about Dr. Filler and his work and then search out the best specialist for yourself.  My journeys(sucessful) started with a most talented Osteopath with some Chiropractic background and the to the recommended Orthopedist........and now to Dr. Filler.
...Best of luck to you and let me know if I can be of further assistance...
                                                                             jud2ski

[TheMadMan]

A related discussion, Piriformis muscle question. was started.

[TheMadMan]

A related discussion, Piriformis issues... was started.

[TheMadMan]

A related discussion, pyriformis/piriformis was started.