Have a problem and would like to ask for opinions. Sorry for the length of the post. Feel free to comment.
Had an accident back in 2008 (fall from height) which most probably caused the left paracentral 6mm disc herniation I have in L4L5. Since 2008 I had a lot of sciatic pain in the left leg, which slowly progressed from left buttock pain, to behind knee pain, to toe pain and tingling and numbness.
Did try various exercises and techniques with no result for almost a year and a half. I reached the point where I could walk with some pain, could not sit at all, was consuming mild pain killers which could cover the pain 100%. One physio insisted that my accident had nothing to do with it (but perhaps, contributing to it), that the real problem is postural, and the real reason I am in pain is that I have scoliosis and leg length inequality. Thus, I tried schroth exercises with him for approx 2 weeks (in order to "straighten" the spine and "decompress the disc hernia"), which resulted in an absolute disaster: my body responded with severe sciatic scoliosis that lasted for 3 months (!!): I could not walk at all, stand for more than 2-3 mins, i could hardly go to toilet... Something like this:
I was near a phychological deadend, almost ready to proceed to surgery (although I had no muscle problems or other neuro signs and many doctors told me I could delay it). However, I told myself I am going to try one last physio (great fame etc). He gave me some simple exercises to do every 2 hours, which i did and still do, and voila, suddenly I started improving. Everyday getting better and better, no pain meds at all, sleep with no pain at all, shower like a human being, pins needles burning gone completely, scoliosis improving day by day etc. However, I cannot sit at all, and my standing time increases but very slowly every 3-4 days.
My problem however is the following:
I had the following (even ***before*** the "scroth" .. botch but I believe not before the accident):
a) pelvis rotation
b) leg length inequality (left leg seems to be longer, i am almost sure i didn't have this before the accident)
Now, we have 3 scenarios:
a) Surgeons tell me to go for it, go for the surgery. It will take the pain away. I am considered to be young for microdiskectomy (30yrs old) and young people tend to heal better and faster. After the surgery, the body itself will find the proper healthy posture again as time goes by.
b) Half physios+chiropractors tell me that the leg inequality is the reason of the scoliosis which causes increased pressure on the L4L5 disc. The increased pressure on the disc caused the herniation, which eventually came in contact with the nerve which, as a last result, increased the rotation of the lower spine and the scoliosis because of the pain. So, the real goal would be to treat leq inequality and reduce the rotation of the lower spine and the pelvis with exercises. That would decompress the hernia and eventually the body will absorb it.
c) Other half tell me that the injury caused the disc herniation which came in contact with the sciatic nerve, which caused long term inflamation and pain, which caused the rotation of the lower spine as a reflex to that pain, which caused the pelvis rotation which, as a last result, caused the leg inequality. So, I should treat the disc herniation, either by removing it via surgery, or by trying mckenzie and such and hoping it will be absorbed. Herniation will either get worse or be completelly absorbed within 3-4 years.
So, how am i supposed to I know who of them are right ? :O Should I treat hernia or leg inequality?
Obviously i tried to "correct" the curve in my spine via schroth, but that was clearly a mistake (3 months not walking is a good sign those exercises were the wrong way to go). However, there are too many different exercises to try.
At the same time, I am afraid that surgery may not fix the pelvis position, if all PT failed to do anything before the surgery, how can I hope that they will succeed in it after the surgery? But, if pelvis does not find its proper position, reherniation or other spine problems in the future are almost certain since I know I do not move properly as I did before.
What would you think I should do? :O Do all of the above make sense?
(thanks to anyone reading all of this!)