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Pain along the sciatic nerve caused by torn muscle?

Hello,

I have a pain which has been going on for 2 years now. It hurts in the left buttocks, like a pinch or burning sensation and irradiate the back of my leg down to the toes (along the sciatic nerve). The pain has been on and off along those 2 years. I used to do a lot of sports (karate, wight lifting) and stretching and it's probably the cause of this (stretching too hard maybe). Sometimes it seems like it's gone, but it comes back right away if  I stretch too hard. Some positions are very bad like if I stand, spread my legs and lean forward(towards the floor). Also, lying on my bed gives me a constant pressure in the buttocks and down to the toe. It's really annoying to sleep, I have to take painkillers when it's too strong. Another position that hurts is when I sit with my legs crossed. It pressures the left buttocks and ultimately brings back the pain that will start to irradiate down my leg (the sciatic nerve).
I dont know what to do. I have seen an osteopath but he assumed I had a sciatica and gave me stretches to heal one. It made the problem WORSE and made the pain come back. I had to lay on my back and bring up my knee in front of me and to the side. I stopped doing it and did not see him again...
They are a few stretches that ease the pain, like standing while keeping my legs straight and tight together and leaning forward (down to the ground). Doing this is really helpful.  
So basically, I have pain in my buttocks that can go down to my sciatic nerve if irritated but I doubt it's a sciatica. Can this be a torn muscle ? or else ?  what can I do please? it's been so long now!
Thanks a lot!
Best Answer
Avatar universal
In the US, the treating physician for sciatica is an Orthopedic Surgeon or a Neurosurgeon.  Not because surgery is always the best treatment, but because they are trained in the diagnosis of lower back problems.

Good luck!  Also, try the lower back board on medhelp!
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7721494 tn?1431627964
An S1 bulge putting pressure on the root nerve can cause sciatica.

However, there's another condition called piriformis syndrome that can mimic the pain of sciatica by placing pressure on a nerve complex deeper in the body.

This condition can often be treated with specific exercise that stretches the muscles in the groin.

Search for piriformis syndrome treatment to get some idea of the exercises, however, a visit to a competent physical therapist may greatly assist your treatment.

Helpful - 0
1 Comments
I've had this pain as well, IDK if it's my spinal disc or something else, I have had an injury while I was in the service, I think it was caused by too much running, it was in the back of my knee, I went to get checked with the medic, but he basically told me to suck it up and gave me ibuprofen pills, didn't exray or anything, now I feel like it's back after three years of leaving, I apply pressure on the back of my knee and the pain goes away from my lower back, but I feel my lower leg get numb, I'm going to get checked here soon, I looked online everywhere, but nowhere does it say that it's caused by a tear in the back of my knee so I was wondering if anyone knows if it's possible I tore my sciatica in the back of my knee and is causing lower back pain?
Avatar universal
Hi Jeffy,

I just want to know if you have found a cure for your sciatica. I have the same exact problems that you describe for about 6 months now and it has not gone away. I have seen so many doctors and therapists but to no avail. My left buttock hurts whenever I stretch it and I am very confused as to why that is. I went for xray and MRI - doctors says I am fine accept for a small disc bulge on my S1. Hope to hear for your reply. Please help I have exhausted all sorts of therapy from rolfing to chiropractors, acupuncture, yoga and sports massages.

Please help,

Amran Ismail
***@****
Helpful - 0
Avatar universal
Hello,

I got an MRI and Xrays. It seems my hips are not straight and I have a very very small Hernia in L5-S1.
The doctor does not know if it's linked but we tried something.
Since my hips are not straight, it's probably because I have a leg a little shorter than the other one, so I'm leaning on a side. The doctor added a heel in my choose to make it equal.
So far, I dont have the pain all down the leg etc... It does not hurt when I lay on a bed anymore (or rarely).
But I still have the pain when I sit straight on a chair. I have a pain in the butt :(
I hope it will go away.
I dont stretch much. I dont these one http://www.youtube.com/watch?v=r7U1nRpxZuM&feature=player_embedded#!
But only the first few ones with rotations. The other ones hurt me.
The pain in the butt is my main concern now :( Any ideas please?

Good luck !!
Helpful - 0
172023 tn?1334672284
Stretches may not be the answer.  If you've been doing them for 2 years. I'd say its time to try something new.
Helpful - 0
Avatar universal
ok thx you very much all
I'll try an orthopedist.
I'm scared to end up like this guy
http://www.nocturnalsciatica.com/#stretch
15 years with the same pain and he saw many many different specialist.
Some stretches that he shows are actually good.
Thanks again
Helpful - 0
172023 tn?1334672284
Pain such as you describe, going on for 2 years, needs investigation.  
Family doctor is a start...orthopod or neuro specialist would  also be helpful.  You will possibly need an mri to determine what is causing the symptoms you describe.  Regular xrays do not show disc issues or nerve impingment.

Helpful - 0
Avatar universal
hi perch101

I'm from France but yes I do have a GP. But I dont trust them. Because I saw 2 of them who thought about a Sciatica and the results were bad. Only a sports doctor was able to somehow tell me what NOT to do :) Same for the ostheopath.
I wish I could go see a specialist at the hospital directly. I dunno what kind of specialist could take care of my problem.
I'll try to talk to my familly doctor again and tell him more about my problem.
Thx a lot!
Helpful - 0
Avatar universal
I would go to your GP. (Do you call it that in the US? Or is it called a primary care doctor?) - because they will refer you to the appropriate person. Do you have one? Like, a family doctor you go to if you get the flu or an ear infection or whatever?
I was doing alot of running last year in bad runners and got a really sharp persistant pain in my right shin - could not walk properly I was hobbling around.
I went to my GP. She gave me a referral to have a scan with imaging (where they inject you with dye then scan the affected area) at the local hospital.
Those results went to my GP who diagnosed a shin splint with small stress fracture on the shin bone, which she then treated.
So if you do the same as I did - go and see a GP - I'm sure they'll send you for an appropriate scan/test. Then you'll know what you're dealing with and the GP can refer you to a whichever doctor/specialist is appropriate - or they may be able to treat you themselves.
Because at the end of the day people can give you suggestions on what it could be over the net - but definetely not a diagnosis.
Good luck and post back what happens!
Helpful - 0
Avatar universal
Hello!!
Thx for both answer!

Perch101 what kind of doctors should I see ? I dont even know ?

Singingloonie I know it seems like a sciatica but I dont have traditional symptoms of a sciatica.
FOr exemple when I walk I am perfectly fine, I can run without problems. Moving is totally fine with me. People with siatica can barely walk. Also, the pain is not excruciating and it has never been (althought it can be painfull enough to prevent me from sleeping).
Only stretching my left side by pulling too much on the muscles/ leg can cause a worsening o the symptoms. Traditional pain relivers stretch used to heal sciatica make my case worst.
That's why I opted for the torn muscle options.
I also read about piriformis syndrome but I dont know how different it is from a sciatica...
Thx to both of you!
Helpful - 0
1159912 tn?1280588805
My hunch is that it really is the sciatic nerve. Once nerves are chronically irritated, they can be a bear to settle down.

One of the causes of sciatica is a lower back problem. A chiropractor may be able to help if vertebral alignment is the cause. The ideal therapy is Bowen therapy. It's a type of soft tissue chiropractic and has a very high success rate for easing sciatic pain. Look at http://www.bowenwork.com/WebsiteProj/Pages/About/Welcome.aspx to find  a practitioner in your area.

Be well!
Helpful - 0
Avatar universal
Hi jeffy. Due to the legnth of time this has caused you trouble - it does sound possible you have done some structual damage to the muscle or nerve.
Any pain that has persisted for 2 years really needs to be investigated to see if a cause can be determined - I know you saw the osteopath but it dosen't seem like he did much to find the cause of your pain.
I think you need to find a doctor who is willing to order scans (ultrasound/CT or whatever they think is appropriate) to give you answers, so you can at least find out whats going on, and then be treated appropriately.
Good luck!
Helpful - 0
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