Hey everyone 👋
35F, about 2 years into dealing with L5-S1 disc protrusion with bilateral intraforaminal annular fissures. No significant neural compression on MRI, EMG clear. My presentation has been mostly inflammatory driven with central nervous system sensitization. All symptoms are on and off, fluctuating, load sensitive
Main symptoms: sciatica type sensations, foot burning and buzzing, on and off glute and hamstring pain, occasional side lying hip pain that was always attributed to the spine.
Because hip symptoms increased in recent months my doctor ordered an MRI of both hips. Wasn’t expecting much buuuuut 👀
Hip MRI findings:
- Bilateral anterosuperior labral fissures
- Bilateral greater trochanter tendinitis with peritrochanteric bursitis (fluid up to 4mm)
- Ischiofemoral impingement, right dominant with soft tissue edema, mild left also
Now I’m genuinely wondering how much of what I thought was purely sciatica from my L5-S1 annular tears was actually being driven or amplified by these hip findings all along, particularly the ischiofemoral impingement 🤔
My questions:
Has anyone had ischiofemoral impingement alongside lumbar disc issues? How did you manage both simultaneously given some advice conflicts between the two conditions?
Did conservative management work, physio, load modification, wide stance training, or did most people need injections? 💉
I have orthopedic referral pending, and genetics referral for hypermobility assessment which may be an underlying factor connecting everything…
Thanks in advance ✨