Hi everyone! I've been suffering from worsening sciatica over the past 6 months. I have had three MRI's done and ALL of them have come back normal. My first one was a lumbar MRI to see if there was any disc herniation, and it came back fine with the exception of one vertebra having a 1mm herniation (without nerve involvement). The second MRI was to look for piriformis abnormalities, and also came back normal. The third was an arthrogram of my hip (ouch), and looked fine. My pain has just gotten worse and worse and I can't believe that nothing shows up on an MRI! I recently started physical therapy with a new PT (my last PT was laughable), and after a lot of poking around and assessing, he really feels that the sciatica is stemming from my back (around L5 area) and not my piriformis as some previously have thought. But is that possible if a lumbar MRI shows nothing??? Also, as a side note, though I love this new PT, after two sessions with him my pain and sciatica symptoms are significantly worse. I'm thinking that maybe it's normal because I went from not working out at all in fear of the pain to suddenly doing back/hip/glute exercises at somewhat high reps. Hoping as I build up some strength the sciatica symptoms will lessen, but it literally kept me awake last night!
1 1/2 years chronic pain in butt, hip, and sometimes low back. 7 steroid injections (piriformis, s1, si joint, hip joint). Hip labral repair arthroscopic surgery 12/2015. Sciatic neurolysis 12/2015.