I'm having a sciatica for more than a year
My story starts back in June 2012.
I was driving in the car (like 10mph), when I didn't notice that the car in front of me stopped (due to red flashlight), and my response was to hit the brake very fast and hard, which probably resulted in some sort of whiplash ("Luckly" I didn't hit the car).
Initial signs weren't so bad, or at least I thought so. Then, I gradually started to feel some deep pain in my right upper buttock and referred pain down the leg (numbness/weakness) all the way to the toes. The acute pain was mostly like very strong muscle pain in the upper buttock (about 3 moths), then when it subsided, I was only left with some sort of numbness/weakness that starts in the upper buttock and goes down the leg. It's more like a dull pain, but it's really annoying pain, and feels like it's limiting me. I found that when I run/ride the bicycle it gets worst, so I started to avoid these activities. Also found that putting a belt or very tight pants would make it worse.
Fast forward to now, it's already been almost a year and half, and I'm still having this pain. During this time, I had 3 MRIs (2 regular and 1 with contrast), all being negative no signs to disc problems or spinal stenosis. Also had 2 EMG tests and nerve conduction tests on my right buttock and leg, all negative, no signs to any nerve damage. Had 20 PT session no major improvement. 1 piriformis cortisone/steroid injection, no improvement whatsoever. Tried 1 chiropractor session, felt worse didn't continue. Had 1 deep tissue massage, also felt worst. Didn't try accupunture (I'm kinda skeptical about it). Tried some muscle relexants/Ibeprofen doesn't really take away the sensation. I started doing swimming, thought it was helping, but not eventually it was just a temp relief, and even sometimes it could make it worst too.
I was seen by many doctors, including neurologist, pain mangment, sports medicine (orthopedist), back/pain doc. Some of them suggested that it might be the SI Joint (SIJD) or the piriformis. So I had an injection to the pirofrmis it didn't help. Now my sports medicine doc suggests to try another injection (the first one was done by another doc). I asked him if we can have a botox injection (after reading some success stories here about the injection with botox) instead of the cortisone, since it wasn't really useful last time, and I don't want to spend more money on it ($250 co pay). the insurance company (aetna) refused claiming it's not medical nes and not proven or safe. The doc will try to have a peer to peer review to appeal, hopefully he will get the approval.
If not, then I'm thinking about asking for another cortisone shot to the piriformis and also maybe try cortisone shot to the si joint.
This pain really affects on my quality of life, and I feel like I made a small mistake, and now I'm paying for it for the rest of my life. I don't want to keep living like this with this Sciatica pain, I wish I could find a way to beat it, and I'm looking for other stories guides treatment methods it doesn't seem very bright, am I gonna be stuck with this pain forever?
Does anyone can identify with what I'm going through, and can suggest maybe ways how to deal with this pain, or how to proceed in my treatments? It just feels like a lost battle. I would be greatful for any piece of advise.
Thanks for reading and helping..