Hello everyone. I'm a new member and am looking for any advice I can get. What has led me up to asking here is my right leg pain. About a year ago I started having pain in my right buttock towards the top of it. I went and saw my doctors PA and she diagnosed it as SI joint pain after making me stand, pushing on it, moving my leg around, and me describing the pain. She started me on an anti-inflammatory and oral steroids. Back then the pain was just annoying, but with the medications in a week I was pain free. About two months later it started hurting again so she put me on the same medications and again it cleared up right away.
Then February of this year I was unloading some glass soda case bottles from a truck up onto this platform then lifting them to carry inside. That night my leg and buttock started again worse than before. This pain starts at the top of my right buttock and travels down to my ankle on bad days. The best way to describe it is it feels like someone takes a knife that they've heated up, stabs it into my buttock, then slices down the back of my thigh and calf and ends either at my ankle or my foot. When the pain is really bad I have trouble getting my leg to do what I want it to (like lifting my foot off the gas when I'm driving). I went and saw my doctor two days after lifting the boxes. He did the pushing on it, moving it around, checked my reflexes (which are poor in my right leg compared to my left), and having me describe the pain. The pain was so bad I was in tears by the time he stopped moving my leg around and pushing around my SI joint. He decided it was my SI joint and said I needed an injection into it. My doctor doesn't believe in using guidance with the injection he just pushes until the spot I say hurts the most and injects it there. I've ended up having three shots into my SI joint, but haven't really noticed any improvement. For three months I got around on crutches because putting any weight on my leg made the pain worse. My leg finally started to feel a little better (enough to put weight on it) back in August. Walking long distances, standing for long periods, sitting in the same position, bending, lifting, and stairs all made it flare up so I tried to avoid things that made it worse. When the pain was bad I still had trouble controlling it so I didn't drive for fear of causing an accident.
About a month ago the pain started to get really really bad again. I went in for another SI injection, but didn't get any relief. My pain is the same down my buttock to my foot, but is becoming more intense. Even riding in a car when it's bumpy is excruciating. Now just moving the wrong way about brings me to my knees. The sad thing is the pain is that bad with 3 loratabs, 2 muscle relaxers, and two naproxen a day in my system. Last week my doctor decided that it would be a good idea to have an MRI of my lumbar spine done. I was really hoping that it would show what was causing all of this pain because I want my life back. I'd been let go from my job because of being on crutches so I had to pay for the MRI out of my own pocket without insurance (just told that to show how much I really want to find out what's causing the pain and how to fix it). So I had the open MRI done with no contrast last week. They had me laying on my back with my feet elevated about four inches up with a pillow under them. Laying in that position was hard because it was making the pain worse. However, today I got the MRI results and they didn't find anything wrong.
I'm sorry that this is so long, but I wanted to explain the pain, the findings, my medications, the MRI, and the shots. I'm kind of at a loss on where to go from here. I've only been seeing my general family doctor about this and not a specialist. My question is is should I go to a specialist? If so what kind of specialist might be able to help me? Or do I need a chiropractor? Since the MRI came back as my lumbar spine being fine what does that mean? Does it mean for sure that there's no nerve problems? Are there other tests that might be able to show what's causing this? Could they have missed something on the MRI? I have a copy of the MRI and watched videos on how to read them, but they are so complicated that I couldn't tell if it looked normal or not normal.
If anyone would be kind enough to answer my questions and give advice I would be so unbelievably grateful. I just want to figure out what is going on so that I can take steps to fix it. I want my normal life back. I feel like I should be to young, I'm 36, to be dealing with this. The thoughts even crossed my mind that I'd look good with a peg leg and that they should just cut this leg off if it might stop it from hurting. Thank you to everyone who has taken the time to read this and for any advice.