@heisenberg34
Hi, there.

I understand the mystery and puzzle you are trying to solve and that doctors aren’t always helpful getting to root cause of all symptoms.

I finally went to a hip/knee specialist above and beyond my spine specialist because Inhad pain/weakness and numbness in my hips/buttocks/legs and feet in addition to low back pain. I wanted to get to the source and see if something was wrong with my hip joint. They sent me for MRI after the X-ray showed my hip joint space was okay to see what soft tissue damage may be there to determine the right treatment. The full hip MRI showed I had bilateral gluteal tendiopathy and bilateral hamstring partial tears! That explained additional pain beyond my lumbar spine!

I am not sure how I got these tears in tendons/muscles but suspect my myelopathy and spinal cord/nerve root injury and weakness/numbness caused me to hurt my hips/buttocks/legs because I could not fully co trip my movements.

Once diagnosed, they said I can get injections for pain, physical therapy for strengthening surrounding muscles to help with healing . Surgery wasn’t recommended to repair the tears but some may have surgery recommended. I do remember back in 2019 I had a CT scan and it showed my right tendon that connected my leg to pelvis bone (ischial tuberosity) was inflamed but nothing was ever said about it. At the time, I had literally a “pain in my butt” where I felt I was sitting on a rock. Now I feel that way in both buttocks.

From what you say, I think you tore your hamstring muscles when you fell and may have also torn tendons in your gluteal muscles (minimus, medius and/or Maximus). Have you gotten a MRI of your hips that would show injury to your soft tissues and/or joints?