![]() ![]() However, the pain radiated down the right lower limb mostly over the postero-lateral aspect of thigh and antero-lateral aspect of leg with associated burning sensation as well. He repeatedly stressed that long-standing use of back pocket wallet might perpetuated his buttock pain. The study was performed in accordance with the Declaration of Helsinki.Ī 37-year-old specialist doctor reported with the complaint of right gluteal pain that was more with sitting longer than 30 minutes. So, we take the initiative of describing the clinical entity among different professionals with a view to make aware both patients and physicians and to avoid misunderstanding it with other clinical mimicries mostly of spine origin. The clinical entity has never been demonstrated in Bangladeshi community alike in many developed and developing countries as well. #FAQT WALLET SERIES#Published original contributions except a few case report/case series on wallet sciatica are scarce. In addition, sciatic nerve compression expressing Nav1.8 channels and c-fos gene had been reported to be associated with its sensitization in animal models, though yet to establish on human model trial. stated that wallet-induced repetitive compression of the underneath sciatic nerve might get responsible propagating wallet sciatica manifestations. īut, how rear pocket wallet perpetuates sciatic neuritis? In a review, Boyajian-O’Neill et al. As per Lutz, even ‘28 mm × 37 mm’ sized wallet was enough for generating wallet neuritis features. Later, Lutz first demonstrated two cases of credit-card-wallet sciatica that was published in Journal of American Medical Association (JAMA), 1978. In New England Journal of Medicine, 1966, through a letter to editor, Battle first coined the term “credit-carditis’ to describe wallet sciatica in a lawyer nevertheless the condition got popularized by Seinfeld (wallet) television series in the 1990's. Long-standing fatty wallet sitting exposes piriformis muscle and sciatic nerve vicinity under overwhelming stretch, generating ipsilateral low back acheĪnd radiating lower extremity pain of twinge character henceforth the condition sometimes termed as back pocket sciatica. In some publications including medical periodicals, fat wallet syndrome has been stated as an entity of piriformis syndrome (PS), though its existence also documented without PS features. We even do not know whether any relationship prevails between wallet texture and wallet neuritis clinical presentations. Its prevalence has not been estimated yet either in general population or in any particular ethnic group, occupation. Most importantly, the scenario is not that much scarce as we would reckon before. While using a thick wallet, posture of pelvis, dorso-lumbar spine gets compromised, mounting pressure on pelvic muscles, inter-vertebral discs, nerve roots, and nerves unevenly. Wallet neuritis or fat wallet syndrome, a compressive tunnel neuropathy, where ipsilateral sciatic nerve gets compressed from exogenous wallet beneath piriformis muscle, proliferating clinical features mimicking lumbago sciatica. Alongside radical wallectomy, piriformis stretching exercise on the affected side had also been recommended and found worthy in terms of pain relief. All the three patients’ demonstrated aggravated gluteal pain with radiation on the homo-lateral lower extremity while remained seated on heavy wallet for a while, fortunately im-proved discontinuing such stuff with. ![]() It was Lutz, first describing credit-card wallet sciatica in an Attorney, surfaced on Journal of American Medical Association (JAMA), 1978 however, the condition has not been well-studied in various other occupations.Ĭase Summary: In this write-up, we take the privilege of demonstrating wallet neuritis as an example of peripheral sensitization in three different professionals’ namely specialist doctor, driver, and banker first time in Bangladesh. Wallet-induced chronic sciatic nerve constriction produces gluteal and ipsilateral lower extremity pain, tin-gling, and burning sensation. Its clinical appearance often gets confused with sciatica of lumbar spine origin. Wallet neuritis is an example of extra-spinal tunnel neuropathy concerning sciatic nerve. ![]()
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