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Related Experiment Video

Updated: Mar 6, 2026

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Wallet Neuritis - An Example of Peripheral Sensitization.

Md Abu Bakar Siddiq1, Israt Jahan2, Sam Masihuzzaman3

  • 1Physical Medicine and Rheumatology, Brahmanbaria Medical College, Brahmanbaria, Bangladesh.

Current Rheumatology Reviews
|March 16, 2017
PubMed
Summary
This summary is machine-generated.

Wallet neuritis, or wallet sciatica, is caused by prolonged sitting on a wallet, compressing the sciatic nerve. This condition mimics lumbar sciatica but can be resolved by removing the wallet and performing piriformis stretches.

Keywords:
Wallet neuritislong-standinglower extremity painoccupationperipheral sensitizationrepetitive compression.

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Area of Science:

  • Neurology
  • Pain Medicine
  • Peripheral Nerve Disorders

Background:

  • Wallet neuritis is an extra-spinal nerve entrapment neuropathy affecting the sciatic nerve.
  • It is often misdiagnosed as sciatica originating from the lumbar spine.
  • The condition involves gluteal and lower extremity pain, tingling, and burning due to wallet-induced sciatic nerve constriction.

Observation:

  • This study presents three cases of wallet neuritis in a doctor, driver, and banker in Bangladesh.
  • All patients experienced increased gluteal pain radiating to the lower extremity when sitting on a wallet.
  • Symptoms improved upon wallet removal and were further managed with piriformis stretching exercises.

Findings:

  • Wallet neuritis demonstrates peripheral sensitization of the sciatic nerve.
  • Conservative management, including 'wallectomy' and piriformis stretching, effectively relieved pain.
  • The condition can be a source of diagnostic confusion for pain physicians.

Implications:

  • Prolonged use of rear-pocket wallets can compress and sensitize the sciatic nerve.
  • Wallet neuritis can present with symptoms similar to lumbago sciatica.
  • Awareness of wallet neuritis is crucial for accurate diagnosis and effective pain management.