[52F] With chronic burning pain in left buttocks and hip

What might be happening

Based on the information you provided, here are some possible explanations for your symptoms:

• Sciatica: This condition occurs when the sciatic nerve, which runs from your lower back through your hips and buttocks and down each leg, is compressed or irritated. Symptoms often include burning pain, weakness, and difficulty standing or walking. Given your history of herniated discs and spinal stenosis, sciatica is a likely cause.

  • Treatment: Treatment options may include physical therapy, medications for pain and inflammation, and in some cases, surgical intervention.

• Lumbar Disc Herniation: Given your history of herniated discs at L4, L5, and S1, it's possible that one of these discs is pressing on a nerve, causing the burning pain and weakness in your leg.

  • Treatment: Conservative treatments include physical therapy, anti-inflammatory medications, and possibly epidural steroid injections. Surgery may be considered if conservative treatments are ineffective.

• Spinal Stenosis: This condition involves the narrowing of the spaces within your spine, which can put pressure on the nerves that travel through the spine. Your history of spinal stenosis could explain the burning pain and difficulty standing or walking.

  • Treatment: Treatment options may include physical therapy, medications, and possibly surgery to relieve the pressure on the nerves.

• Fibromyalgia: This condition is characterized by widespread musculoskeletal pain, fatigue, and tenderness in localized areas. While fibromyalgia could contribute to your symptoms, it is less likely to be the primary cause given the specific nature of your pain.

  • Treatment: Treatment typically involves medications, exercise, stress management, and other therapies to manage symptoms.

What you can do

1. Consult a Healthcare Provider: Given the severity and duration of your symptoms, it is important to consult a healthcare provider for a thorough evaluation and appropriate treatment plan.
2. Physical Therapy: Engaging in physical therapy can help strengthen the muscles around your spine and improve your posture, which may alleviate some of your symptoms.
3. Pain Management: Over-the-counter pain relievers such as ibuprofen or acetaminophen may help manage your pain. However, consult your healthcare provider before starting any new medication.
4. Lifestyle Modifications: Avoid activities that exacerbate your pain, such as heavy lifting or prolonged standing. Consider using supportive devices like a cane or walker if needed.
5. Stay Active: Gentle exercises, such as walking or swimming, can help maintain mobility and reduce pain.

What you should look out for

Seek immediate medical attention if you experience any of the following:

• Loss of Bowel or Bladder Control: This could indicate a serious condition called cauda equina syndrome, which requires urgent medical attention.
• Severe, Sudden Onset of Pain: If your pain becomes suddenly severe or unbearable, seek medical help immediately.
• Numbness or Weakness: If you experience significant numbness or weakness in your legs, it could indicate nerve damage that requires prompt evaluation.

Remember, while this information can help you understand potential causes and treatments, it is not a substitute for professional medical advice. Please consult a healthcare provider for a formal diagnosis and personalized treatment plan.