Why I have constant buttock and legs cramps?

Question

Hello doctor,

I have had permanent cramps and constant aches in both buttocks. I have pain down the back of the legs in the calf and when I walk it feels like it is about to cramp and I get pain in front of the thigh. I have a constant aching feeling. When I press my skin on both thighs it feels sore. I had it for over two months. I have pain on both sides of my thighs and legs regardless of if I am sitting or resting. I got admitted to the hospital for two weeks and they did an MRI scan on my spine and found nothing. They did a lumbar puncture and found nothing. They also did a nerve examination and nothing was found. I am currently on Gabapentin, Codeine, and Paracetamol.

Answer 1

Hi,

Welcome to icliniq.com.

It looks like a nerve compression to me. If all investigations are normal, it does not mean it cannot be nerve compression. It could be meralgia paresthesia or neuralgia. I would recommend you take Vitamin B12 shots. Also, discuss with your doctor to prescribe you a combination of Pregabalin along with Nortriptyline at night. This may take a few weeks to months to recover.

I hope this helps.

Thank you.

Answer 2

Hi,

Welcome back to icliniq.com.

The medicines I have mentioned can be safely used at your age. Injection shots would be more useful than oral vitamin B12. Acupuncture you can give a try, it may help you. You can try acupuncture and all as a side treatment and not as the first line of treatment.

Have you got your thyroid profile, Vitamin B12, and Vitamin D levels?

Answer 3

Hi,

Welcome back to icliniq.com.

Based on available reports (attachment removed to protect patient identity) and your symptoms, it simply looks neuralgia to me. Somehow, I am highly convinced that you would get relief with Pregabalin and Nortriptyline. In case you have taken it and no relief we would talk about further options.

I hope this helps.