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Radiating pain in buttocks

Introduction
Cause
Examine
Diagnosis

Introduction

Introduction Dense arthritis is a non-specific inflammation characterized by osteosclerosis. It has a highly dense bone sclerosis, especially 2/3 below the humerus, but there is no change in the joint space. There is recurrent low back pain, which can sometimes radiate down to the sides of the hips and thighs. More than 90% of the disease is middle-aged women, which is more common in late pregnancy, especially after childbirth. It can also be seen after chronic infection of the urinary tract or female attachment, or other infections in the pelvis. In addition, trauma to the buttocks can also induce or cause radiation pain in the buttocks.

Cause

Cause

Causes of radiating pain in the buttocks:

More than 90% of the disease is middle-aged women, which is more common in late pregnancy, especially after childbirth. It can also be seen after chronic infection of the urinary tract or female attachment, or other infections in the pelvis. In addition, trauma to the buttocks can also induce or cause radiation pain in the buttocks.

Examine

an examination

Related inspection

Neurological examination of blood routine

Diagnostic examination of hip pain

1) It is good for women, 20 to 40 years old and middle-aged women are more common.

2) suffering from recurrent low back pain, sometimes radiating down to the buttocks and thighs on both sides, but not root pain, the symptoms can be aggravated when the lower back is active, some people think that this is a disease that can heal itself;

3) often have a history of recent childbirth;

4) Some patients are asymptomatic and only found during physical examination.

Physical examination

1) Ankle pain and tenderness;

2) The pelvic separation and extrusion test, the "4" test and the Gai test are all positive.

Diagnosis

Differential diagnosis

Differential diagnosis of radiative pain in the buttocks:

Buttocks Lightning Pain: Are you an office worker? Have you ever had a lightning pain in your hips? Suddenly you felt a sharp pain in one side of your hips, and even the legs and feet on the same side were numb, and then the pain slowly disappeared. Probably due to pain caused by sciatic nerve injury.

Sore on the buttocks: It is one of the common complaints in outpatient clinics. Because of the special location, there are many times when it is often confused with lower back pain and sciatica. In addition to the lesions of the joint itself, the pain in the buttocks should also exclude the lesions around the joints and the pain in the distant lesions.

Patellar fracture pain: After complaining of persistent pain in the humerus after trauma, it should be examined in detail. Clearly strip-shaped tenderness is mostly caused by fractures, and the fracture line can be judged along the direction of tenderness; conduction pain is lighter than lumbar fracture, especially in the standing position examination.

Sciatica: refers to sciatic neuropathy, a group of painful symptoms that occur along the sciatic nerve pathway, ie, the waist, hips, back of the thigh, posterior aspect of the lower leg, and lateral aspect of the foot. The sciatic nerve is the main nerve trunk that governs the lower extremities. Sciatica refers to pain in the sciatic nerve pathway and its distribution (hip, back of the thigh, posterior aspect of the calf, and lateral aspect of the foot).