Hello, welcome to Justanswer, I will try to assist you with your medical question, and any medical information you seek
I'm sorry to hear about this severe pain
May I ask you what tests you have had?
Were the nerve conduction tests normal?
Have you seen an orthopedic surgeons?
Have you had any blood tests to determine if there is muscle damage?
When did you see the rheumatologist?
Ok, did he order blood tests?
What medication have you tried so far?
There are blood tests for arthritis
Have you ever tried neurontin or lyrica?
Okay, I recommend you have an orthopedic surgeon evaluate you, they may wanyt to see your MRI results if you have had an MRI of your pelvis, I would also recommend you try lyrica or neurontin, they usually work very well for this type of pain.
It usually provides pain relief especially when it is nerve related pain
It could be nerve related or it could be due to muscle damage
Are you there?
There are muscular conditions that cause muscular damage, they may be genetic or they may be acquired, you need a blood test measuring creatine kinase levels
An orthopedic surgeon will be able to determine if you have any problems that may benefit from surgery or other treatment, a physiatrist cannot provide the care an orthopedic surgeon can provide
The MRI you had may not have been the appropriate MRI, if they did only your spine, that is not enough
CK enzymes or creatine kinase
ESR, CRP may also help
creatinine is not the same as creatine kinase
creatinine determine your kidney function
CRP is c -reactive protein and ESR is erythrocyte sedimentation rate
They are markers of inflammation, and they, along with creatine kinase may be increased if there is inflammation and muscle damge
protein and total protein are completely different, those are just measures of your serum protein
sometimes an ESR is called sedimentation rate
ok, then you should request to have it done
No, that is more likely from a nerve problem
The muscle can create that feeling if there are spasms
I recommend you see an orthopedic surgeon, have an MRI of your pelvis and spine (or at least a CT scan), try neurontin or lyrica and have these blood tests- CRP, ESR and Creatine kinase
I am sorry you feel depressed
You're very welcome
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