Sciatica or not?

Posted by thracian @thracian, Apr 4, 2023

Three weeks ago, I did some high-intensity circuit training and got muscle spasm in the right-side glute muscle (probably gluteus medium). That night I had significant pain in the front right hip that prevented me from sleeping. The next I went to see a doctor, got X-ray, and a sciatica diagnosis. Then I started limping and I couldn’t walk on the heel of the right foot (a lighter version of foot drop). I went to see a physical therapist and after evaluation, I was told I don’t have sciatica but a pinched/irritated nerve between L4-L5 doesn’t send signals to some muscles, such as gluteus medium and tibialis, resulting in muscle weakness. I was told it would take 4-6 months to recover. The interesting fact is that besides the pain the first night, I haven’t had any pain since.

Then I did MRI of the spine and the orthopedic doctor questioned that the issues are coming from the spine. He qualified the symptoms as “confusing”. He gave me some piriformis muscle stretches and suggested I do an epidural spine injection to see it will evaluate the symptoms. He also suggested I see a neurologist and if I’m cleared, do an MRI hip scan.

I do see signs of progress and walking is now easier. But if this is not coming from the spine, what other condition can produce these symptoms?

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@bannisterkl

Yes, they did two MRI's. They did sacrum, coccyx and hip as well as lower back.
I had to insist. The Doc was sure it was my lumbar stenosis. He was wrong!

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Hi, bannisterkl. I realize I'm reaching out regarding an old post, but am wondering how severe your lumbar stenosis was that your doc thought all your pain was from that condition. I have severe lumbar stenosis but am convinced that there's something else going on in the glutes, possibly tendinitis such as you had. I've so far had an MRI of spine and pelvis; how did you know to insist on sacrum and coccyx, and what kind of doctor ordered those scans? Any advice would be appreciated.

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