Possible causes of pain in the left buttock attached to the leg include herniated lumbar disc, lumbar spinal stenosis, pyriformis syndrome, and tumor in the right buttock. Treatment includes conservative treatment, surgery, chemotherapy, radiotherapy and so on.
1. Lumbar disc herniation: the treatment of lumbar disc herniation can be divided into conservative treatment and surgical treatment. The former is suitable for patients with initial onset, short duration of disease or less serious symptoms, including rest, wearing lumbar support, physical therapy, massage, acupuncture, oral non-steroidal anti-inflammatory drugs and so on. If the patient’s pain is obvious or serious neurological dysfunction has occurred, surgery should be considered.
2. Lumbar spinal stenosis: The treatment principle of lumbar spinal stenosis is similar to that of lumbar disc herniation, and patients with mild cases can try conservative treatment, with the same specific measures as lumbar disc herniation. Patients with ineffective conservative treatment and progressive aggravation of symptoms should consider surgery.
3. Piriformis syndrome: Piriformis syndrome can be treated conservatively at the initial stage, and the specific measures include physical therapy, acupuncture, massage, etc., and oral or local injection of some drugs, such as non-steroidal anti-inflammatory drug celecoxib, local anesthetic lidocaine, glucocorticosteroids, etc. The symptoms of conservative treatment are ineffective, and the pain is severe, so the patient should consider surgery. Conservative treatment of symptoms is ineffective, and those with severe pain can consider surgery to relieve sciatic nerve compression.
4. Buttock tumor: if buttock tumor is benign, surgical resection is usually enough; if it is malignant, wide resection of tumor should be carried out, and chemotherapy and radiotherapy should be given according to the condition after surgery to reduce the risk of recurrence.
It is recommended that patients should go to the hospital as soon as possible to get a clear diagnosis and targeted treatment after the left buttock with leg pain.