Wallet sciatica

Wallet Sciatica, also known as fat wallet syndrome or piriformis syndrome, is a condition characterized by pain in the buttock and sciatic nerve irritation. This condition is often caused by sitting on a bulky wallet in the back pocket of one's pants, which can compress the sciatic nerve and lead to discomfort or pain. Wallet sciatica is considered a type of entrapment neuropathy, where a nerve is compressed or pinched, leading to symptoms such as pain, tingling, or numbness along the nerve's path.

Causes

The primary cause of wallet sciatica is prolonged sitting with a thick wallet in the back pocket, which exerts pressure on the piriformis muscle, sciatic nerve, or both. This pressure can cause inflammation or irritation of the sciatic nerve. Other contributing factors may include poor posture, being overweight, and leading a sedentary lifestyle.

Symptoms

Symptoms of wallet sciatica may include:

• Pain in the buttock or lower back
• Tingling or numbness in the buttocks, leg, or foot
• Difficulty sitting or standing for long periods
• Increased pain after sitting for long periods

Diagnosis

Diagnosis of wallet sciatica typically involves a physical examination and a review of the patient's medical history. Healthcare providers may also perform tests to rule out other causes of sciatic nerve pain, such as a herniated disc or spinal stenosis.

Treatment

Treatment for wallet sciatica focuses on relieving pressure on the sciatic nerve. Recommendations may include:

• Removing the wallet from the back pocket while sitting
• Using a front pocket for carrying a wallet
• Sitting on more cushioned surfaces
• Physical therapy exercises to strengthen the muscles around the sciatic nerve
• Pain relief medications, if necessary

Prevention

Preventing wallet sciatica involves taking steps to avoid putting pressure on the sciatic nerve. This can include carrying a thinner wallet, using a money clip or a front pocket wallet, and being mindful of posture while sitting.

See Also

• Sciatica
• Piriformis Syndrome
• Entrapment Neuropathy

‎