Differential Diagnosis for Pain from the Right Side of the Gluteus Radiating to Back and Down to the Thigh
- Single Most Likely Diagnosis
- Piriformis Syndrome: This condition is characterized by pain in the gluteal region that radiates down to the thigh due to compression of the sciatic nerve by the piriformis muscle. The symptoms match closely with the described pain pattern, making it a highly plausible diagnosis.
- Other Likely Diagnoses
- Sciatica: Sciatica involves pain that radiates along the path of the sciatic nerve, which runs from the lower back through the hips and down each leg. The pain can start in the gluteus and radiate down to the thigh, similar to the described symptoms.
- Lumbar Disc Herniation: A herniated disc in the lumbar spine can cause pain that radiates from the lower back down to the thigh, depending on the nerve root affected. This condition could explain the radiating pain pattern.
- Trochanteric Bursitis: Inflammation of the bursa over the greater trochanter of the femur can cause pain on the outer aspect of the hip and thigh, which might radiate down from the gluteal area.
- Do Not Miss Diagnoses
- Cauda Equina Syndrome: Although less common, this is a serious condition that occurs when the nerves in the spinal canal are compressed, leading to pain, numbness, and potentially severe neurological deficits. It requires immediate medical attention.
- Spinal Stenosis: Narrowing of the spinal canal can cause pain, weakness, or numbness in the legs, calves, or buttocks, which can be exacerbated by walking or standing. It's crucial to identify this condition to prevent further neurological deterioration.
- Rare Diagnoses
- Gluteal Compartment Syndrome: A rare condition involving increased pressure within the gluteal compartment, which can cause pain, swelling, and potentially severe complications if not addressed promptly.
- Neoplastic Processes: Tumors in the gluteal region or spine can cause radiating pain. Although rare, these conditions are critical to diagnose early for effective treatment.