title: Wallet Neuritis - An Example of Peripheral Sensitization.
abstract: BACKGROUND
  Wallet neuritis is an example of extra-spinal tunnel neuropathy concerning sciatic nerve. Its clinical appearance often gets confused with sciatica of lumbar spine origin. Wallet- induced chronic sciatic nerve constriction produces gluteal and ipsilateral lower extremity pain, tingling, and burning sensation. 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.
  
  
  METHODS
  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. 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 improved discontinuing such stuff with. Alongside radical wallectomy, piriformis stretching exercise on the affected side had also been recommended and found worthy in terms of pain relief.
  
  
  CONCLUSIONS
  long-standing use of rear pocket wallet may compress and sensitize ipsilateral sciatic nerve, generating features resembling lumbago sciatica; thereby, remains a source of patients' misery and diagnostic illusion for pain physicians as well.
authors.affiliation: Physical Medicine and Rheumatology, Brahmanbaria Medical College, Brahmanbaria, Bangladesh.
authors.forename: Md Abu Bakar
authors.initials: MAB
authors.lastname: Siddiq
authors.affiliation: Department of Biochemistry and Biotechnology, University of Science and Technology, Chittagong, Bangladesh.
authors.forename: Israt
authors.initials: I
authors.lastname: Jahan
authors.affiliation: Department of Neurology, Chittagong Medical College, Chittagong, Bangladesh.
authors.forename: Sam
authors.initials: S
authors.lastname: Masihuzzaman
mesh_terms: D000328:Adult; D000700:Analgesics / Q000627:therapeutic use; D002081:Buttocks / Q000294:innervation*; D006801:Humans; D035002:Lower Extremity / Q000294:innervation*; D008297:Male; D008875:Middle Aged; D009460:Neurologic Examination; D009784:Occupational Diseases / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy; D009790:Occupations; D010147:Pain Measurement; D026741:Physical Therapy Modalities; D055958:Piriformis Muscle Syndrome / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy; D012307:Risk Factors; D012585:Sciatica / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy; D000077708:Sitting Position; D016896:Treatment Outcome
chemical_list: D000700:Analgesics
keywords: Wallet neuritis; long-standing; lower extremity pain; occupation; peripheral sensitization; repetitive compression.