Safety Moment Why you should never put your wallet in your back pocket Description Fat wallet on back pocket usually have a susceptibility to damage main nerves which runs in lower back part leading to extreme pain. This phenomenon is usually addressed as fat wallet syndrome or wallet neuropathy. It is a neuromuscular condition which involves both sciatic nerve and piriformis muscle. The clinical presentation of this syndrome is Pain upon sitting, standing, or lying for prolonged durations, numbness in foot, and difficulty in walking. A back-pocket wallet can trigger piriformis syndrome, also known as “fat wallet syndrome” or “wallet sciatica.” “If you’re sitting on a wallet, you’re sitting unevenly and it compresses one side of your back,” An obese wallet can cause pain in two ways. It can compress the piriformis muscle – a muscle deep in the buttock, which functions to externally rotate your hip when walking. That in turn can irritate the sciatic nerve. Its branches travel either above, below, or right through the piriformis (varying for each person) from the lower back through the hips and buttocks and down each leg. Insights and learning • Remove loose change, old receipts, unwanted cards, and other bits and pieces. • Use digital wallets on your cell phone to keep your driving license, Aadhar card, RC card & insurance copies. • Ideally, use thin wallets on your front pockets and not the back ones. • While driving or sitting, try to remove the wallet from your pockets. • Exercise regularly. References Fat Wallet Sciatica Exercise 1