The last 10 months I’ve been suffering of sciatica with pain radiating all the way down to my calf. I’ve lost ca 10kg (22lbs) since then, every pound being muscles =(
The first two months where unbearable, even though I tried taking walks and activate myself (I even repainted a whole cottage) the pain forced me to bed most of the day.
This was/is the second time I’ve got full blown sciatica.
The first time was 4 years ago, and al though the pain lasted a while that time, I could feel the improvement as soon as I performed some exercises my physiotherapist recommended. And I was able to start Martial Arts (BJJ & MMA) and return to my normal gym routine after 8months. I thought I was cured for ever and did not even think about proper ergonomics while siting, or removing dangerous exercises from my program (like good mornings).
Sure I could feel some dull pain in the back and buttocks some times, but it did not concern me so much.
When I got my second full blown sciatica period (the current one) I actually felt the dull pain in the back, prior to the actual acute phase.
I did not care about this dull pain and went to play soccer, and that made it a wrap, the second sciatica period of my life was a fact.
A MRI 3 weeks after the soccer game showed a disc hernia at the height of the lateral recess at L4-L5 with risk of affecting the L5-nerve root.
Both L4-L5 & L5-S1 where degenerative and dehydrated.
I’ve read tons of books about the subject and this brings me to the actual question, should I undergo surgery or not?
The pain is down to 3-4 on a 10pointed scale when I take NSAIDs, and it goes up to 5-7 when I’m without medication (I’m constantly trying to see if I can manage without NSAIDs since I hate being dependent of them). I know that most often people can get well without a operation, but I’m starting to suspect that I’m not one of them.
I’m getting frustrated of not being able to train Martial Arts, and not being able to move without worrying about pain.
What more should I try before throwing in the towel and let the butcher try his magic fingers on me.
*I’m training my core muscles with plank, side-plank etc.
*I keep away from squats, DLs, Good mornings, etc.
*I take daily power walks
*I avoid flexion of the lumbar spine (Stuart McGill)
*I hardly ever sit, and if I do I sit on my pilates ball
*I do different nerve flossing techniques daily
*I just stopped doing McKenzie pushups, I’ve done them from day 1, and they don’t seem to help
*I just started with foam rolling my back and hip muscles (actually it’s a steel bar and not a foam roller.
*I stretch my piriformis, quads and psoas major, hamstrings and adductors daily
any other advices?
I read a old thread where somebody gave the advice to sprint since it activates the core muscles in a good way, I’ll actually go out and do that right now before the meds start to subside.
I appreciate the help, thanks in advance.