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What is causing my thigh pain?

AnonymousUserAAnonymousUser Posts: 49,321
Hello. I have some sciatica, which I'm guessing is caused by some piriforitis but will be going to the doctor soon about that. But sciatica runs down the back of the leg and into the foot and I'm also having razorburn-like pain from the inside of the top of both thighs down to the top of both knees. Any ideas as to whether or not this could also be caused by piriforitis or maybe something else? I'm also going to a doctor to help determine whether or not the pudendal nerve is involved. This is a nerve not too many people are familiar with however, if anyone out there can give any insights into what may be causing this pain please let me know. Thank you very much.


  • hi! there are some good medications now in use for sciatica. =D> perhaps they will be of some benefit to you. talk to your doctor when you visit with him.. :-C good luck! :D Jenny :)
  • Hiya Welcome to Spine Health >:D< The burn pain is nerve pain. The siatic pain sounds like a trapped nerve, you need to see an orhopedic surgeon ASAP, and have an MRI to determine exactly what is going on.I do hope this helps you. I have only adviced you based on my own personal experience. Have a wonder around the site its full of fun, friends and information.

    Angie x :H
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  • The first thing most doctors will assume is that the sciatic pain is originating from a compressed nerve in the lumbar spine...perhaps from a herniated disc, spinal stenosis or spondylolisthesis.

    The nerves are all rather close together as they pass through the sciatic notch...including the pudendal nerve, the femoral nerve and the collection of nerves that become the sciatic nerve. The piriformis muscle usually runs over the top of these nerves, and any kind of tightness, swelling or spasm in this muscle can also cause symptoms that feel similar to sciatica.

    How does your pain level when sitting compare to when you are standing, walking or lying down?
  • It hurts more when I'm sitting down, especially right on the area where my butt/back of thighs meet the seat and on the sits bone (if I spelled that correctly). Standing up is better but I can still feel the tingling/razor burn-type feeling almost all the time. I find it's more comfortable to lie on my side with a pillow between my legs or on my stomach, which I know isn't the best for you. If I sleep on my back then it irritates the area and to be honest I'm afraid if I sleep on my back the nerve will get even more blocked or pinched, etc.

    My doctor wants me to have the CT guided injection to determine whether or not I have pudendal neuralgia but I'm not sold on that option yet. Do you have an opinion on that? Thanks so much for your help, I really appreciate it!
  • Oh, also when I'm walking I can do it for a little while but then it starts tingling or pinching a little. And forget walking briskly or doing any other kind of exercise. In fact I think all of this started because of exercise. I was an advid exerciser, doing tough aerobics including pliometrics. Although I have had lower back problems for about 9 years but I think that was because of the epidural I had when I had my son. I never had back problems prior to that. Can the back problems be related somehow? I had x-rays and and MRI done on my lumbar spine and both of those came back normal. Thanks again.
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  • Thank you for the welcome and the advice. However, I have had x-rays and an MRI done on my lumbar spine and both came back normal with no problems. So now I don't know what to do. The pain went away for a while, so I started exercising again and then it came right back. It's frustrating but tolerable at this point. And the pain level fluctuates. One day is great the next I'm either wanting to do very little sitting or stay in bed. I'm just not sure what the next step should be?
  • What medications are they? I'm on 300 mg of Lyrica right now.
  • Who is treating you at the moment (what type of specialist?) Have you had a spinal specialist read your imaging tests?

    Most often, sciatic pain will subside when you lean forward or sit or lie down. The piriformis usually hurts more when sitting. And pudendal nerve pain usually hurts most when sitting, but can also hurt when lying down, standing and/or walking.

    I'm afraid I can't provide any information on the pudendal nerve blcok, but I suppose it isn't any worse than the various ones that go into the spine.

    I sent you a PM with a couple links to some information that I found helpful, just in case you haven't already seen it!
  • My pain is very similar to missmissy. Does anyone know the outcome of her tests? Did they ever figure out the problem?

    My pain is worst when sitting. Back of thighs feel like they are burning. Deep pain where legs attach, at the ischial tuberosity. MRI shows nothing.
    Have tried many treatments: Dry Needling for trigger points, Graston, A.R.T., physical therapy, cortisone into ischial tuberosity, nerve block of posterior cuteanous nerve, epidural at L5 in back. Nothing helps.
  • cedr1ckccedr1ck Posts: 1
    edited 08/18/2015 - 12:37 PM
    hi missmissy, any update on your condition? i have had mri and xrays that came up with nothing until a pain specialist told me the reason it came up with nothing is because i have myofacsial pain syndrome. mps. i have tried every thing except lyrica. how did it work for you? any solutions so far? they can operate on me if they cant find the problem, its frustrating my life for the past 3years. symptoms with the burning gets worse when i sit for long or any chair with a cushion.. i stand 90% of the time now., it gets worse when i'm stressed or angry because the muscles tightens up in my back causing the burning pain. someone help please.

    this is a very old thread, none of the above posters have been on the site for 2 years or more

    please click on link for helpful information
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    liz -spine-health moderator
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