[60M] Experiencing severe buttock and calf pain with urinary difficulties

Question

I have severe deep right buttock paint That's unbearable absolutely unbearable and now it's traveling down to the side of my right leg on my calf next to it. And also I'm having a hard time peeing sometimes and sometimes my testicles from deep inside. It's getting old and I'm worried

Patient Description

A 60-year-old male reports severe, sharp pain in the right buttock extending to the calf, worsening over the past year, and now more frequent and intense. The pain occasionally becomes unbearable, especially when standing still. Additionally, he experiences throbbing in the testicles and difficulty urinating, describing it as a sensation of blockage, which has been occurring intermittently for about 10 months. The patient also notes numbness in the lower foot and toes on the left side when lying down. His medical history includes arthritis and eczema, and he is currently taking Atorvastatin, a multivitamin, milk thistle, fish oil, and folic acid. No recent injuries are reported, but he had a significant car accident three years ago.

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Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions could be causing 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, becomes irritated. This can cause severe pain in the buttock and calf, as well as numbness and tingling in the foot. The pain can be sharp and can be worse when standing or sitting for long periods.

    • Treatment typically involves physical therapy to improve posture and strengthen muscles that support the back. Pain relievers and anti-inflammatory medications can also be used to manage symptoms.
  • Prostatitis: This is an inflammation or infection of the prostate gland that can cause pain or discomfort in the groin area, difficulty urinating, and changes in urine color. Given your age and the fact that your father had prostate problems, this could be a possibility.

    • Treatment typically involves antibiotics if the cause is bacterial. Other treatments can include alpha blockers to help with urination, anti-inflammatory agents, and other pain management strategies.
  • Peripheral Neuropathy: This condition results from damage to the peripheral nerves and can cause numbness and tingling in the feet or hands. It can be caused by a variety of factors, including certain medications, vitamin deficiencies, and conditions like diabetes.

    • Treatment involves managing the underlying cause, if known, and can include medications to manage symptoms, physical therapy, and in some cases, surgery.

What you can do

  1. For your pain, over-the-counter pain relievers may provide temporary relief. However, it's important not to rely on these for long-term use without consulting a doctor.
  2. Try to avoid activities that worsen your pain, and take regular breaks if you need to stand or sit for long periods.
  3. Stay hydrated and maintain a balanced diet. This can help with your urinary symptoms and overall health.
  4. Regular exercise can help strengthen your back and improve symptoms of sciatica and peripheral neuropathy. However, it's important to consult a healthcare professional before starting a new exercise regimen.

What you should look out for

Please seek immediate medical attention if you experience:

  • Sudden, severe pain in your lower back or leg, with numbness or muscle weakness in your leg
  • Pain following a violent injury, such as a road accident
  • Trouble controlling your bowels or bladder
  • Unexplained weight loss accompanied by back pain

Remember, while I strive to provide accurate information, I'm not a doctor. It's important to consult with a healthcare professional who can evaluate your symptoms and medical history to provide a formal diagnosis and appropriate treatment options.

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8 mo ago

People Also Ask


What are the common symptoms of sciatica and how is it treated?

Common symptoms of sciatica include sharp pain in the lower back, buttock, and down the leg, as well as numbness or tingling in the foot. Treatment often involves physical therapy, pain relievers, and anti-inflammatory medications.


How can prostatitis affect urination and what are the treatment options?

Prostatitis can cause pain or discomfort in the groin area, difficulty urinating, and changes in urine color. Treatment may include antibiotics for bacterial infections, alpha blockers to ease urination, and anti-inflammatory medications.


What causes peripheral neuropathy and how can it be managed?

Peripheral neuropathy is caused by damage to the peripheral nerves and can result from factors like diabetes, vitamin deficiencies, or certain medications. Management includes addressing the underlying cause, medications for symptom relief, and physical therapy.


What lifestyle changes can help alleviate symptoms of sciatica and peripheral neuropathy?

Lifestyle changes such as regular exercise, maintaining a balanced diet, staying hydrated, and avoiding activities that worsen pain can help alleviate symptoms of sciatica and peripheral neuropathy. Consulting a healthcare professional before starting new exercise routines is recommended.


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2 Comments


Billy#3955

8 mo ago

I think the most likely explanation involves 2 things:

  1. The severe pain in your butt travelling down your leg sounds like irritation or compression of the sciatic nerve. Depending on what the exact cause is, you may benefit from epidural corticosteroids or surgery to loosen up the site of nerve compression
  2. Your inability to pee is likely related to enlargement of the prostate. It's very common for older men to have something called benign prostate hyperplasia (BPH) and there are very standard medications like tamsulosin that your doctor can prescribe to treat this. However, the pain in your testicles is not typically a symptom of BPH so I'd encourage you to get checked out in person
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Anonymous#23658

8 mo ago

One year ago, I was in the same situation (30 M), and I would argue, perhaps, worse. it sounds like you have sciatica pain and for me it is persistent, intense, and relentless. It’s more of an emotional and mental vampire that completely drains me. It’s impossible to get comfortable. I stopped doing things that aggravated the pain, and slowly but surely, I started getting better. The key to dealing with this ordeal is understanding its phases. You need to find a resting position that minimizes the pain. Walking was the most beneficial exercise for my sciatica. Additionally, consider the McGill Big 3 exercises, but be cautious and avoid doing them while experiencing extreme pain. You seem to have a good mindset—keep it up. As for me, after one year, I am completely pain-free and I play soccer/Padel almost daily without any pain whatsoever. Also I am sorry but in the acute phase you can never find a position where it’s pain-free. That is kinda impossible, however, try to understand that this will not last and to be patient. Life will not be this miserable forever. I used to believe that I’ll never be pain free, but here we are.

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