On The Mend Again – BionicOldGuy

It’s been a little over a week since I posted about my encounter when I got overconfident and started exercising too much. This time I was more careful going back. I am now going back to where I was before the encounter. This time, I will be much more careful not to go out. I can sit for at least 30 minutes at a time without pain, which is pleasant and relaxing. I can get to some pretty nice scenery here in a 30 minute ride,

I am also able to do well with my physical therapy. I can not say that it is exactly without pain, but I learned the important concept of “centralization” in my reading about it: when you have sciatica, the pain originates somewhere and then refers to the leg. In my case, this central point of origin is the center of my hip, probably the piriformis muscle It’s okay if you feel pain in the central area while doing PT, but you should not make the reference in the worse leg, because it would mean that the sciatic nerve is compressed by the exercise. I have been doing well for the last week or so following this principle.

I had to get an MRI of my pelvis because I’m going to an orthopedic specialist in a week. This became painful. For some reason, it always hurts to lay on my back for a long time, even with a pillow under my knees. But the useful information from this is that the pain was clearly originating from my left It attaches. Until now I thought I only had piriformis syndrome (now also known as deep gluteal pain). If my SI joint is also inflamed, there are additional PT exercises I should be doing. So I added those that I hope will help. I also carefully began to add strengthening exercises, such as glute bridges and clamshells with bands, which is critical in the long run to strengthen the piriformis muscle and stabilize the SI joint.