My PT has done Trigger Point Therapy for about 4 weeks now and I still don’t see much improvement in my sciatica. The same tenderness is in my glutes, and its stayed that way for a while. How else are you supposed to help pirifromis syndrome? And how effective is Trigger point supposed to be?
I took a recent MRI and I will get the results on Tuesday. We will see if the sciatica is still being caused by my L4-L5, L5-S1 discs. I was expected to be healed in about 6 weeks, and it still hasn’t completely. Even through 2 ESIs and 10 weeks of Spinal Decompression Therapy/Traction. I sure hope its Piriformis Syndrome!
Ask them the tough questions. They owe you, not the other way around. Therapists are far from God. If some treatment technique is going to work, I’d say you should notice some benefit (even if it’s minor) after 1 session.
L5-S1 - There is a small central and paracentral disk protrusion with mild effacement of the anterior thecal sac.
L4-5 - There is a moderate to prominent central and paracentral disk herniation with effacement of the anterior thecal sac and nerve root displacement and probably nerve root compression, especially in the posterior lateral region. There is mild ligamentum flavum hypertrophy. There is no frank spinal stenosis. There is mild bilateral neural foraminal narrowing. On the left side, there appears to be some compression of the nerve roots. There is some extention of the disk infreriorly from the disk level.
L3-4 - There is a diffuse disk dessication and disk space narrowing. There is a mild broad based disk protrusion with mild effacement of the anterior thecal sac. No significant neural foraminal is seen.
I know that most of yall are not doctors, but it looks as if my L4-5 is the only problem that is causing the nerve irritation down the leg. This MRI was better than the last one for sure. But I now know that I for surely do not have piriformis syndrome.
I honestly don’t really know how it got that way. I know for sure that I always used good form. I never knew this was possible for somebody my age to get a disc herniation this severe!