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Back & Hip pain with sciatica
Hello, I am suffering from L5 S1 disc carnation since two years now which comes and goes with Physiotherapy treatment, and as I start going to gym, the pain comes back again.
Before two years, the pain was just in the back now I got the pain into my leg also .
I took a treatment from a physiotherapist in my town and subsided my back pain in 10 to 12 days, but my hip pain is not getting solved since a year.
Even the tingling sensation is being experienced into my front quad, which travels down through the side of my calves, and on the top of my feet .
My physiotherapist says it's all fine, and I can start with the gym, so I started with the gym and got my hip pain again .
The hip pain is on the left side of my body and the leg tingling sensation is also on the left side .
What could be the reason behind it? Please give a permanent solution to get strong.
Answers (18)
Your recurring pain + leg tingling means the nerve is still irritated, not fully resolved.
Physiotherapy works, but you need a long-term rehab plan, not just short symptom relief.
Full recovery is possible, but only if you:
Correct imbalances,
Build strong core + glutes first,
Return to gym training gradually with guided progression.
Next Steps
If you have: Progressive leg weakness Loss of bladder/bowel control Increasing numbness ð Thatâs urgent, requires spine specialist review.
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You have Sciatic Nerve Compression due to L4 L5 & L5 S1 Disc Bulge if you have done an MRI you can match with your reports.
It is not a game of 12 or 15 days to strengthen your back muscles you need to do regular back strengthening exercises for 2 to 3 months.
You can do it yourself or you can take help of a physiotherapist according to your condition, but the most important thing is time the early it gets better help you in future and delay can lead to surgery in some cases.
So just start your back exercise regularly and you will be perfectly fine in the given time.
Take Care.
Next Steps
Take Proper Rest and Good Sleep
Health Tips
Avoid Long Sitting and Long Driving for a Few Weeks.
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Since you mentioned you are having sciatica since 2 years determines it's a chronic condition now but there is no need to worry.
Sciatic pain might come and go of you don't take necessary steps...The best way to deal with any kind of low back pain is lower limb strengthening exercises and core strengthening and not what google shows you because every patient don't have similar symptoms and google shows you generalised exercises. Along with that posture correction techniques combined with those exercises.
Key point is consistency and patience. Low back pains are non reversible conditions and if you want to avoid surgery in long term exercise is the only key and it will take time to show results.
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Right now if you have severe pain please get a hot pack for pain relief and get physiotherapy treatment, I need a proper assessment for further treatment and no doubt that you can join gym again after treatment but you need to avoid certain exercise and need supportive gears while joining back
Next Steps
please connect for assessment and treatment
Health Tips
avoiding heavy weight lifting and use body weight for training in gym
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The recurrence of pain with gym activity could indicate that certain exercises are aggravating the condition
Next Steps
A permanent solution would depend on addressing the root cause, which might require a tailored approach by a physiotherapist.
Health Tips
Avoid Aggressive Movements: Limit activities like heavy lifting, twisting, or high-impact exercises that strain your lower back.
Gentle Stretching: Try light stretches for the hamstrings, piriformis, and lower back, but only if approved by your physiotherapist.
Core Strengthening: Once pain subsides, focus on gentle core exercises (e.g., pelvic tilts) to support your spine, under guidance.
Posture Awareness: Maintain good posture while sitting, standing, and sleeping (e.g., use a supportive chair or sleep with a pillow under your knees).
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Pain in the front of the hip worsened with SLR could be hip impingement... Leg tingling could be SIJ related or a mild nerve irritation. This needs to be sorted before you do anything like dead lifts.
Using a kettlebell with squats can maximise the effect of the core if you are able to do it.
Visiting a Sports or Manual physiotherapist maybe the best option
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If you have disc herniation, you should avoid weight lifting at home or gym.
You need comprehensive treatment not only physiotherapy.
Next Steps
consultant physical medicine and rehabilitation specialist
Health Tips
avoid weight lifting immediately
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Hi please take an online consultation for best diagnosis and treatment.
Next Steps
To maintain your regular posture.
Health Tips
Don't go to the gym now.
You need proper strengthening exercises and stretching exercises under supervision of qualified Physio.
Avoid faulty exercise.
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Sometimes physiotherapy can temporarily relieve symptoms, but if the bulging or herniated disc remains, the nerve stays irritated.
Returning to gym before full neural recovery risks further injury.
Certain movements and exercises can repeatedly aggravate the disc and nerve.
Hip pain could rarely be due to issues like piriformis syndrome (where the sciatic nerve is compressed by hip muscles), sacroiliac joint dysfunction, or even referred pain from the lumbar spine.
Next Steps
1. Get an updated MRI and consult a spine specialist for a precise diagnosis to determine the extent of disc herniation and nerve involvement. 2. Rule out other causes (piriformis syndrome, sacroiliac dysfunction, etc.). 3. Only resume physical training after medical clearance. 4. Focus on gentle core strengthening, nerve mobilization, and core stabilization (under supervision), low-impact activities: walking, swimming, stationary cycling.
Health Tips
Do NOT return to gym or strenuous exercise until a spine specialist reassesses you, ideally with updated MRI imaging.
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Kindly send me T2W saggital view and T2W axial view of images of MRI on my WhatsApp number - Gurukrupa Swasthya Polyclinic Surat
Next Steps
MRI LumboSacral Spine with PBH Screening
Health Tips
It seems to be Lumbar Radiculopathy or Avascular Necrosis of Hip joint
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