Shooting pain in buttocks with eventual pain in calf

by Paul L. Kush
(Houston, TX)

In the early morning when I rise, it is quite painful to stand up straight. The pain shoots into my hip/glute area on the left side and the inner calf primarily with minor similarities to the right glute and calf.

I have what seems to be a loss of strength for the moment I am in the position causing the pain. It feels good to sit down thank goodness. I have been doing stretches as recommended targeting the piriformis muscles on both sides. Also doing hamstring stretches etc.

I am doing research which leads me to believe it is possible I have a problem with in the L4 or L5 area. This was deduced as the L4 l5 both attach to the calf and the muscle that runs across the glute or sitting area.

I have also been doing some trigger point on my hips and
glute focusing on the Piriformis area.

Hello Paul,
What's need here in the first instance is a diagnosis. Is this nerve pain radiating from the lower back (and what level) to the buttock and leg, or is it something else.

If this is a sciatica, then hamstring stretches would almost certainly aggravate the problem, perhaps seriously if there's a disc injury.

You make no mention of back pain. True?

Start by doing a few things:

1. Bend in all direction, carefully remembering that it could worsen the problem, and see if any movements increase the back and leg pain.

2. Prick your legs with a pin and see if there is any difference right and left. Where?

3. Test the muscles in the leg and see which one is going weak. That will give you an idea of where it's coming from. Scroll down the Slipped disc symptoms page to the YouTube video for help.

4. Do this Slump test for sciatica test ... it won't help if it's the Femoral nerve, but more usually the sciatic. But the Femoral goes to the inner lower leg and anterior thigh.
Femoral nerve ...

I'm not sure your background, what tests you've had, and what treatment you've had, but it seems to me is necessary is a careful and thorough examination, and that you can't do.

Dr B

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Interesting challenges of the day

1. Mr S is a 76 year old man with neck pain of some 9 months duration. Luckily, most of the discomfort is upper cervical which is only rarely arthritic; his lower cervical spine is a degenerative mess that I've left alone. After seven treatments his pain and stiffness is 50 percent better, and he's happy in the circumstances. He can sleep through the night now and that makes a huge difference.

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Despite a hectic job, she wisely took my advice and stayed home for what I call exercising bed rest.

4. Mr S has had lower back, groin and back of thigh and calf pain for fourth months.

He has a pincer deformity in the hip causing the stabs in the groin, and a degenerative facet causing the sciatica. Both are responding well to chiropractic and he's well pleased; sixty five percent better after three treatments.

5. Mr T is a wise man; he's taken a warning TIA seriously and has lost 15 pounds, and has at least as much again to lose. A change to a low starch diet and half hour daily walk has made the difference; but the walking is making his foot and back miserable. The expensive orthotic is hopeless; luckily his hips and back are fine, but he needs a simple heel lift.

6. I too have had serious lower back issues, luckily fixed by my own chiropractor; so I too have to do my exercises, take care when lifting supers full of honey, gardening and using the chainsaw. Regaining the function of your spine is just as important as the pain.

7. My own granddaughter, only 7 is hypermobile giving her pelvic, knee and ankle issues. Xrays show a mildly dysplastic hip. Years ago we would have called it growing pains. She too regularly needs chiropractic care and luckily responds well. Increased range of motion is more difficult than too stiff in my opinion. Our care is for kids too.

8. This 65 year old lady is a serious gardener; every day she is bending, lifting and digging for 2 to 3 hours a day. It regularly catches her in the sacroiliac joint, so she has a treatment once a month that sorts it out. She does her lower back exercises faithfully.

9. This 88 year old lady is an inspiration; every day she is busy in the community. With a nasty scoliosis she manages very well with a chiropractic adjustment every six weeks and exercises faithfully done.  

10. Mr X is a 71 year old retired man who wants to continue with maintenance care every six to eight weeks; he had suffered from two years of lower back pain when he first came a year ago. He has no discomfort now after 8 chiropractic treatments, but is aware that danger lurks.

11. Mrs C has been having severe headaches, and taking a lot of analgesics. It's a non complicated upper cervical facet syndrome, and she's doing well.

12. Mr D is a 38 old year man with chronic shoulder pain after a rotator cuff tear playing cricket. It responded well to treatment, but he knows he must do his exercises every day; for two years he couldn't sleep on that shoulder.

13. Mr D, a 71 year old man, has a severe ache in the shoulder and midback since working above his head. Trapped nerve tests are negative but he has advanced degenerative joints of Luschka; after just two treatments he is 50 percent better. Can we reach 90?

And so the day goes; chiropractors shouldn't be treating the elderly most medical sites state but that's so much bunkum.

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