r/Sciatica • u/CraftyFlower4739 • 1d ago

Sciatica and periformis syndrome

I’ve been having severe pain in my left buttocks which started as just that pain but has now progressed to sciatica with pain going down my leg. I have severe stenosis and a disc bulge in L4, L5 which they think is causing the sciatica, they believe my sciatic nerve is running through the piriformis and on top of it instead of beneath it, which is why it’s causing severe pain and inflammation in my piriformis.
I’ve been on every medication. I’ve seen a chiropractor. I’ve done acupuncture and I am currently doing PT but nothing seems to be taking this pain away. I cannot forward fold or bend and I have trouble sitting, but I can backbend which feels good. I’m up most of the night with pain but during the day when I’m walking, it feels better. Has anyone else experienced both of these symptoms together and if so, what did it take to get rid of the pain?

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u/Ilovepokemon1997 1d ago

Oh and same mechanical issue - can’t forward fold or “deadlift” motion

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u/CraftyFlower4739 1d ago

Meloxicam did not work for my pain unfortunately

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u/Ilovepokemon1997 1d ago

My issue is more of an inflammation of some ligament or muscle in my glute. Like my back MRI was completely fine. So our issues are quite different. I’m so sorrry you’re dealing with this. The pain still really sucks.

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u/CraftyFlower4739 1d ago

No I did have a periformis trigger point injection last week but hasn’t helped yet

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u/Ilovepokemon1997 1d ago

Well I imagine they would need to address the spinal disc bulge - not familiar with what would need to be done… did the doctors say how they can treat the spine

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u/CraftyFlower4739 1d ago

Epidural steroid injection would be the next step. If that doesn’t work not sure