[25F] Experiencing numbness in feet and bilateral hip/thigh pain

Patient Description

A 25-year-old female reports experiencing numbness in her feet, described as a tingling sensation and sometimes a loss of feeling, which occurs after sitting for a while. This symptom has been present for a few months. Additionally, she is experiencing bilateral pain on the sides of her hips and thighs, as well as pain in her buttocks. The pain in the thighs is described as a tightness, is tender to the touch, and has been persistent for approximately 8 months. The pain is rated as a 7 out of 10 in severity and is exacerbated by lying on her sides, running, and sitting for extended periods. Finding a comfortable position seems to alleviate the pain. There is no reported radiating pain from the lower back into the thighs, no recent injuries, and no changes in walking or balance. The patient also denies any weakness in the legs or loss of control over bowel or bladder, as well as any sudden, severe pain in the lower back or legs.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are a few possibilities:

  • Sciatica: This is a condition characterized by pain that radiates along the path of the sciatic nerve, which branches from your lower back through your hips and buttocks and down each leg. The pain can vary widely, from a mild ache to a sharp, burning sensation or excruciating discomfort. Numbness, tingling, and muscle weakness in the affected leg can also occur.

    • Treatment typically includes physical therapy and pain relief medications. In severe cases, surgery may be necessary.
  • Peripheral Neuropathy: This results from damage to your peripheral nerves, which often causes weakness, numbness, and pain, usually in your hands and feet. It can also affect other areas of your body.

    • Treatment involves managing the symptoms and preventing further nerve damage. Pain relief medications, topical treatments, and certain therapies may be recommended.
  • Lumbar Radiculopathy: This condition occurs when a nerve root in the lower spine is compressed, causing pain and numbness to radiate into the buttocks and legs.

    • Treatment options include physical therapy, medications to relieve pain and inflammation, and in some cases, surgery.

What you can do

  1. Try over-the-counter pain relievers. Nonprescription medications may help relieve your pain.
  2. Use cold packs. Initially, you might get relief from a cold pack placed on the painful area for up to 20 minutes several times a day.
  3. Alternate with hot packs. After two to three days, apply heat to the areas that hurt.
  4. Stretch your lower back and legs daily.
  5. Maintain good posture to reduce pressure on your spine and the corresponding nerves.
  6. Avoid prolonged sitting or standing.

What you should look out for

Please seek immediate medical attention if:

  • Your pain is severe or sudden.
  • You have difficulty controlling your bowels or bladder.
  • You have a severe loss of sensation in your legs.
  • You experience unexplained weight loss.

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examinations, treatment, testing, and care recommendations.

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11 mo ago

People Also Ask


What could be causing numbness and tingling in my feet after sitting for a while?

Numbness and tingling in the feet after sitting could be due to nerve compression or irritation, such as from sciatica or peripheral neuropathy. It's important to consult a healthcare provider for a proper diagnosis.


How can I manage bilateral hip and thigh pain that worsens with certain activities?

Managing bilateral hip and thigh pain can involve using over-the-counter pain relievers, applying cold and hot packs, stretching, and maintaining good posture. Avoiding prolonged sitting or standing can also help alleviate symptoms.


What are the differences between sciatica, peripheral neuropathy, and lumbar radiculopathy?

Sciatica involves pain along the sciatic nerve, often with numbness and tingling. Peripheral neuropathy is nerve damage causing weakness and pain, usually in extremities. Lumbar radiculopathy is nerve root compression in the spine, causing pain and numbness in the buttocks and legs.


When should I seek immediate medical attention for my symptoms?

Seek immediate medical attention if you experience severe or sudden pain, difficulty controlling bowels or bladder, severe loss of sensation in your legs, or unexplained weight loss.


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