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Sciatica from minor trauma

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I tripped and and had slight fall end of July. My right side felt tight and had massage next day. Therapist told me trap muscle, neck and back like cement. Also had sciatica in left cheek and lower leg. Had additional forceful massage following day. Since that time neck still sore and have burning constant pain in right breast and nipple. Went to ob/gyn for breast exam showed nothing. Had mammo and ultrasound and nothing showed on mammo but 2 spots legions hypoechoic I think name showed on right side at 12 adn 1 o'clock (6.5 mm and 1.1 cm)Due to have radiology consult next week. Also since massages rib cage sore but no visible bruising. Have implants and right breast had to be redone 3 times. Can these spots be scar tissue? Is pain related to breast problem? Does menstral cycle cause more pain (had period 8/2 and 8/26) sister had mastectomy 2 years ago. I had thryoid cancer full removal June 2005 clean bill of health in that area. Please provide any information you can. Thanks

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replied September 1st, 2009
Back Pain Answer A7181

Given the symptoms you reported (fell, felt tight, had massage the next day, sciatica in left cheek and lower leg), it seems possible that you might have experienced sciatica due to minor trauma. It is likely that the trauma did not harm bones or ligaments.

Muscles might have been affected and when constricted they might have put pressure on the sciatic nerve, which caused the pain along the nerve. The pain might be relieved with physical therapy done by a specialist in physical therapy whom you are advised to visit.

The true nature of the 2 hypoechogenic spots on the mammography cannot be determined without an additional examination. They might be cysts filled with liquid. The scar tissue cannot be ruled out either, although it usually causes shade when seen on a mammography and is hyperechogenic when detected with an ultrasound.

You might want to visit a specialist in radiology or oncology to consult about the true nature of the two lesions.

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