As a bit of background I have had horrible time with Patella femoral pain (PFPS) over the past 5 months after being very active with skiing/weightlifting. This has included some neropathic pain at the kneecap (friction sensitivity, temperature dysfunction).
I have been doing Hip exercises and ITB stretches as prescribed by physio. 3 weeks ago I felt pain in my LEFT glute which I assumed was due to a strained TFL as a result of the stretches. This persisted for about a week and a bit and went away.
last week I felt the same thing happen in my RIGHT glute, this has progressed this week into slight pain down the side of the leg. overall the pain is very mild, just a slight burning sensation in the glute. What is a major worry for me is that my RIGHT foot has started to feel slightly numb (especially sitting) as well as occasionally the whole leg. I have not lost any sensation, it just feels "off".
The knee expert is slightly concerned that I may have some lumbar damage which has contributed to the neuropathic pain in the knee caps persisting and is recommended getting an MRI. I am seeing my GP on Friday.
I am feeling extremely low partly as a result of the long road of my knee issues.
So I was wondering if people could help me with a few points:
1. Most sources seem to be extremely positive about the prognosis of Siatica for most people (80-90% full recovery with a month or two). Obviously a forum for persistent spine problems is going to a bit biased towards chronic outcomes but how reassured can i be by this figure?
2. As to the cause of the sciatica, I am suspecting some sort of issue with piriformis as i have been trying to affect some sort of change in Hip mechanics for my knee any experiences? I am not sure if the bilateral presentation is important?
3. If i do decide to get an MRI can an expert tell the difference between an asymptomatic herniated disk and one that is pressing on a nerve?
Thanks for your help