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These symptoms include tenderness, tingling and numbness initiating in low back and buttock area and then radiating down to the thigh and to the leg. [72] A precise test for piriformis syndrome has not yet been developed and thus hard to diagnose this pain. [73] The pain is often initiated by sitting and walking for a longer period. [74]
Pressure ulcers can trigger other ailments, cause considerable suffering, and can be expensive to treat. Some complications include autonomic dysreflexia, bladder distension, bone infection, pyarthrosis, sepsis, amyloidosis, anemia, urethral fistula, gangrene and very rarely malignant transformation (Marjolin's ulcer – secondary carcinomas in chronic wounds).
Patients also frequently report persistent or intermittent pain or dysthesias in posterior hip, buttocks, or thigh. [4] Unlike discogenic sciatica (caused by the spine), patients with deep gluteal syndrome report exacerbation of symptoms with pressure in the buttocks, such as tenderness or pain on deep palpation, or pain on prolonged sitting.
Merkel nerve endings have a widely distributed in glabrous and hairy skin, in hair follicles, and in oral and anal mucosa. [citation needed]Meckel nerve endings are most numerous beneath the ridges of the fingertips which make up fingerprints, and less so in the palms and forearm.
The muscle is supplied by the inferior gluteal nerve which arises from the dorsal branches of the ventral rami of the fifth (L5), the first and second sacral nerves. [2]The lumbosacral trunk, which is made up of L5 and a small branch of L4, effectively connects the lumbar and sacral plexuses. [3]
The incision is not stitched but will heal. Care needs to be taken in regard to bleeding from the wound and possible infection with fecal bacteria. If left alone it will usually heal within a few days or weeks. [6] The topical application of a cream containing a heparinoid is often advised to clear the clot. [7]
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The intergluteal cleft or just gluteal cleft, also known by a number of synonyms, including natal cleft and cluneal cleft, is the groove between the buttocks that runs from just below the sacrum to the perineum, [1] so named because it forms the visible border between the external rounded protrusions of the gluteus maximus muscles.
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