Question
Hi doctor

I have a dull feeling in my right buttock when sit in a chair. the symptoms include low back pain, burning, warm feeling(when i touch it its really warm), gluteal crease discomfort, the bone in my right butt near the thigh- im not sure if this is called ischium. upper posterior thigh discomfort, a mild weakness of the calf, a sharp pain and in the heel of my foot and sometimes it travels to the forefoot. when i walk my right foot is felt weak.

i went to a rehab doctor and examine me and ruled out radiculopathy/sciatica because of the test she used to me. i can move my thigh and do exercise and no pain. but when i sit my right buttocks, upper posterior thigh bother me. sometimes there is a burning feeling on my lower back to the both buttocks.

what is the best treatment/rehab you can advice.

Thank you for your time

Answer
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Dear Jason,

The symptoms you describe may be related to Ischial bursitis, but they might be radicular in origin, and many times the two entities are difficult to tell apart.
I would do a CT scan or an MRI, to make sure the pain is not the result of a herniated disc, especially since you mention that the pain radiates down your entire leg.

Sincerely,

Dr. Rahamimov