I noticed my new orthopedic physician for the primary time as we speak (my earlier one had retired). I received stunning information: I’ve sciatica from my again (not the hip, corresponding to piriformis muscle). An mri of my again reveals bulging lumber disk and spinal stenosis, proper the place the sciatic nerve comes out on the left facet. The situation is reasonable so underneath regular circumstances the nerve isn’t compressed. However something the inflames the disk can compress the disk and trigger sciatica. This explains why I received my first signs of sciatica after exercising too strenuously a few month in the past. Then it calmed down after a few weeks, and I flared it up once more with extra train. It additionally explains why the PT workout routines I’ve been doing, that are each for the piriformis muscle and the SI joint, didn’t work in addition to they did up to now as a result of they aren’t instantly focusing on the lumbar backbone. For now he’s going to start out me on a course of prednisone, which he thinks will do the trick as a result of the sciatica has already calmed down lots. I’m allowed to train, together with driving my bike and PT workout routines, so long as there isn’t any signal of sciatica. I’ll begin to add extra depth and again off as wanted. I will even look into PT workout routines particularly for the lumbar space there’s a good reference right here). I’d prefer to construct up the muscle tissues on this space so it’s much less fragile sooner or later.