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Sciatic pain is back..

I’m 4 months post op of L4-5 microdiscectomy. Before surgery I was in constant pain and limping when walking. I woke up from surgery and I felt amazing because the pain was completely gone. I followed through with physical therapy for 4 weeks to build core strength and still no pain. I have been walking every morning and doing rehab exercises on my own since surgery. 2 weeks ago I came down with the flu and it’s the only time I didn’t do any exercises for 7 days. After I started feeling better I started my exercise routine again. 3 days ago I woke up with sciatic pain again! I have no back pain, but it feels like I have a muscle spasm on my nerve in my glute area. Has anyone has this problem with muscle spasms in this area so long after surgery? I would love to contact my neurosurgeon but he moved to a different city, which I didn’t find out he was doing until after my surgery. 



  • hmayet

    Welcome to Spine-Health

    I would not be too concerned just yet, give it another week or so and see how it goes, I still get bouts of sciatica from time to time and my last lumbar surgery was a little over 3 years ago, it usually last about a week before it clears up.

    Veritas-Health Moderator

  • I had muscle spasms in my thigh after surgery, and dull ache in my groin. PT sorted that out, along with dedication to my exercises. I feel 100% today, at 6 months, but I know a bout of sciatica would rock my mental state.

    Would you describe it as full-on sciatica (like the pre-surgery misery), or just a shadow of it?

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  • The pain in my lower leg is exactly like before surgery. Although, before surgery I had more of burning in my hip. Now it’s muscle spasms in my glute area. I broke down and went see my general practitioner before panicking and finding a new surgeon. He seems to think I possibly over worked the muscles and they are contracting on the sciatic nerve. He wants to give it a week of muscle relaxers and NSAIDs before doing more test. I can say it is SLOWLY getting better, but it still screams at me when I sit or lay a certain way.

  • Glad to hear that you are seeing improvement.

    Veritas-Health Moderator

  • Try stretching piriformis.

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