Right buttock and thigh pain with your occupation (prolonged bike riding + heavy lifting) strongly points to sciatica (lumbar radiculopathy from L4-L5/L5-S1 disc) or piriformis syndrome — both caused by nerve compression. Despite 2 months of medication, if there's no improvement, an MRI of the lumbar spine is the essential next step to identify if there's a disc herniation or nerve compression that needs targeted treatment. The current medicines (pregabalin, muscle relaxant, steroid) are appropriate but won't resolve a structural disc problem. Also, physiotherapy must be specific for sciatica/piriformis — general exercises can actually worsen a disc prolapse if done incorrectly. Your occupation is a significant aggravating factor — prolonged bike posture compresses the sacral nerve roots and the piriformis muscle.

Your symptoms are suggestive of lumbar radiculopathy (sciatica) or piriformis syndrome, especially since the pain starts in the buttock and radiates to the thigh. Your occupation, which involves prolonged bike riding and frequent heavy lifting, can aggravate these conditions. Since you have already taken medications and performed exercises for 2 months without improvement, further evaluation is necessary rather than continuing the same treatment.

Can u please get xray - pelvis with both hips and r hip joint lateral view? And how long wer u on deflocort?

Get personalised consultation done

Get X-ray done and get personal consult for better assessment

Get xray of lumbar spine

appears to be sciatica

Dont do exercise during pain. Need to add anti inflammatory medication also. If symptoms persist get xray of back done. May need mri later if no relief