What should the proper treatment be??Leg pain that will not go away!!!!

[Serendippy]

My son,58,sitting too long in one place,on a hard seat,now has a numb leg,and PAINFUL-the pain never stops and it has been that way all thru a long 3 week hospital stay-and he has had every test,even the neurologist cannot do a thing,and now that he is home,physical therapists come,but do not do much.He can barely stand the pain.weeks previous to this,he had swollen feet,but that is gone.What next??????He has no edema,and is thin,and olny 98 lbs......Can walk,with walker.Never happened before...

[doctornee medical]

Hi
Welcome to the forum!
Since he has had all the tests MRI etc, sciatica would have been ruled out.
A wrong posture on a job that involves sitting for a long time too can precipitate this (this is what has precipitated the pain in your son’s case).
History of taking injections in the buttocks in the recent past should be looked into. A number of times old injection sites start troubling if undue pressure is put on them as in prolonged sitting.
Another possibility is ischiogluteal bursitis. This is inflammation of the bursa that lies between the ischial tuberosity and the tendon of hamstring muscle. The bursa may show inflammation without any cause or in association with hamstring tendinitis or inflammation of tendon of hamstring. The pain increases on stretching.
Myofascial pain or trigger points in the Gluteus medius muscle and Piriformis muscles can cause pain in the buttock area which may radiate to thighs. Stretching the muscle increases the pain.
Discuss these possibilities with your doctor (PCP) and get a referral for a sports clinic and consult a sports medicine specialist. It is difficult to comment beyond this without examining. A comprehensive investigation is required keeping all the points in mind. Treatment will follow correct diagnosis.
Hope this helps. Please let me know if there is any thing else and do keep me posted. Take care!