<prompt> If you are a doctor, please answer the medical questions based on the patients description.I just went in to the ER a couple of days ago because I lifted a potted plant and injured my back. I was diagnosed with Sciatica Neuralgia, Right. The pain is intense, but is better if I lay down. This morning I woke up and the numbness in my right buttocks, front right leg and front genital area was intensified and felt like someone was pouring acid on themdefinite intense burning. It is more severe depending on what position I am in. I have read online about Cauda Equina syndrome and it has slightly concerned me just because of the burning and numbness in my genital region specifically - although I understand that it is quite rare. I have been able to urinate, but have not had a bowel movement since Monday. Would you advise going in to see about this again or do these symptoms sound fairly par for the course for this kind of diagnosis. Sincerely, Heather  <response>: Hi, Welcome to Chat Doctor .com I am Chat Doctor. I have readied your question with care and understand your concerns. Let me try to help you. Question : What causes numbness in buttocks when suffering from sciatica neuralgia? Answer : It means that there is still compression on your nerves. You have to consult your Neurosurgeon again and undergo evaluation. We have to decide whether surgical decompression is needed Hope you found the answer helpful. If you need any clarification have doubts have additional questions have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. Best Wishes for Speedy Recovery Let me know if I can assist you further. Take care. 