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Sciatica pain flared up again
This year in January i took my physiotherapy for sciatic pain. I was doing better but this week on Wednesday night while I was sleeping it started with pain in my buttock and now today is friday night I have severe pain in my hip and I am not able to walk properly. But this time pain is mostly restricted to hip, it rarely travel downs to leg. What should I do because i was taking every measure and was exercising regularly. I don't know what and why my pain flared up again.
Answers (20)
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Please find what you had added to your routine that day or any change of activity you had taken off over that day, so the relapse of pain can be treated before your primary cause.
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Hi .sometimes full rehabilitation and different exercise approach you need .
We at The Public wellness,Bopal . ahmedabad.
provide excellent cure in orthopedic cases .
Next Steps
do vitamin b12 and vitamin D3 report .
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you are taking action .but you have to take physiotherapy 30 to 60 days depends on muscle weakness. and we can provide online session as well once your pain get reduce .
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exercising regularly, especially if there is an underlying movement or muscle imbalance. Since the pain is now severe and affecting your walking, don’t push through the exercises for now.
Next Steps
With a proper assessment, we can identify what triggered the flare-up and modify your treatment accordingly. Targeted physiotherapy along with a personalised home program can usually help settle the pain and restore movement over a few sessions, depending on the cause.
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Check for pyriformis muscle and and si joint with hip mobility
Work on that
With strengthening of hip with guided target based muscle , a
Next Steps
Consult expert physiotherapist who will asess your condition first each movement and muscle
Health Tips
Avoid sitting long , train glute
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Hey there!
Sciatic pain can be due to various causes. We female have a broader pelvic which can also contribute to it. As I am a women’s health physio feel free to connect with me. I will do the assessment , accordingly I will guide you few things.
Your physio
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As you say that your pain restricted to hip so firstly you have to check tightness of piriformis muscle some time due to piriformis muscle tightness pain aggravate in hip, because piriformis tightnessis one of the sign of sciatica, as you say it rarely travel leg then notice which movement is responsible for pain traveling to leg according to that you can consult your physiotherapist.
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you should consult your physio or consult online.
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Hi, this pain will come n go randomly, need to do slow progression with exercises based treatment but only under physio supervision.
Regards
Dr.Ritika Gupta PT- Gold Medalist
Ex. Indian Hockey team physio
Ex. Vinesh Phogat Physio
Centre of Movement Medicine
Delhi / Gurugram
Next Steps
Don’t Stop doing doing exercise
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Since you previously had sciatica, one possibility is a recurrence of lumbar disc/nerve irritation. However, because your current pain is mainly around the buttock and hip and only rarely travels down the leg, it is important not to assume that it is definitely sciaticaâhip or sacroiliac joint problems can sometimes produce similar symptoms.
A flare-up can occur even when you have been exercising regularly. Sometimes there is no single obvious trigger, and the important thing is to assess how your symptoms respond to movement.
For now, avoid pushing through exercises that significantly increase your pain. If your symptoms reduce or centralize with lumbar extension movements, an extension-biased approach may be helpful. Gentle nerve mobility exercises may also be considered if there are signs of neural involvement, but these should not aggravate or increase the leg pain.
Since you are currently having severe pain and difficulty walking, I would recommend a proper assessment before continuing or progressing exercises. You can consult a qualified physiotherapist or spine/MSK specialist in person. If convenient, you are also welcome to consult me online, and I can assess your symptoms, movement pattern, and guide you regarding the appropriate exercises.
Seek urgent medical attention if you develop progressive leg weakness, numbness around the groin/saddle area, or any bladder or bowel changes.
Next Steps
consult physio or consult with me by online
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A flare up can occur even with regular exercise and does not necessarily mean that you have injured yourself again. Since your pain is severe and affecting your walking, an assessment would be advisable.
Next Steps
Consult a physiotherapist for an assessment to identify the source of the flare-up and modify your exercises accordingly.
Health Tips
Avoid pushing through severe pain or continuing exercises that aggravate your symptoms. Stay gently active within your comfort level and avoid prolonged sitting or bed rest. Change your sitting position regularly (in every 30-40 min.)and use proper back support while sitting. If pain becomes progressively worse or you develop numbness/weakness or bladder/bowel changes, seek medical evaluation promptly.
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Hi,Come for physical assessment with the Experts Sports therapist and get your solution Asap at NV THE SPORTS PHYSIO CLINIC GK2
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⚠️ Disclaimer
This advice is based on the information provided and is for educational purposes only. It does not replace a physical examination or medical diagnosis.
Ugh, setbacks are the absolute worst, especially when you've been doing everything right!
Next Steps
Press pause on current exercises: If it hurts to walk, don't try to push through it. Give that hip some breathing room for a day or two.
Health Tips
Mind your sleeping position: Try sleeping on your pain-free side with a supportive pillow tucked right between your knees to keep your pelvis neutral.
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Sciatica is not just the pain to treat, it's a symptom that your disc in lower back has affected. If you have shared the x-ray or MRI of the LS spine
So that proper root cause of the pain can be assessed to suggest proper treatment.
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Your symptoms may be due to a flare-up of sciatic nerve irritation, but severe pain mainly around the hip or buttock may also arise from the hip joint, sacroiliac joint, or surrounding muscles. Regular exercise reduces risk but cannot always prevent flare-ups, and the cause cannot be confirmed without examination.
Next Steps
Since the pain is severe and affecting your walking, temporarily stop exercises that increase the symptoms and arrange an in-person assessment with a physiotherapist or orthopaedic doctor. Continue only gentle, comfortable movements and short walks as tolerated; avoid complete bed rest.
Health Tips
Avoid heavy lifting, prolonged sitting, forceful stretching, and self-manipulation. Seek urgent medical care if you develop worsening leg weakness, numbness around the groin, loss of bladder or bowel control, fever, or pain following a fall.
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Dr. Neelam Ashish Rathi (PT)
Physiotherapist
10 yrs exp
Yavatmal
Your symptoms may be due to your working posture, and it may have any other cause.
Next Steps
Just don't push too much. Don't lift heavy weight, try to maintain comfortable position.
Health Tips
Consult a physiotherapist as soon as possible.
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Dr. Krupa Nidhi (PT)
Physiotherapist
1 yrs exp
Bangalore
You cannot distinguish with only symptoms alone a proper examination of lumbar spine ,hip and gait examination has to be done for now avoid doing the exercises we might not know which exercise is aggravating your pain
Next Steps
Donât immobilise yourself completely do gentle hip movements donât force walking through serve pain consult a physio nearby or u can consult with me online
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Dr. Kajol Ayalani (PT)
Physiotherapist
1 yrs exp
Jamnagar
Might be your piriformis muscle got tight so do adequate stretching of this muscle then prone lying for 10 mins and i would suggest bhijangasan back extension exercise for it
Next Steps
It may be due to hip or back pathology so do stretching exercise and back extension exercise
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Dr. Neetu Rathi (PT)
Physiotherapist
17 yrs exp
Gurgaon
Greetings from Rid of Pain Physiotherapy
Consult the manual therapist
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Dr. Avijit Das (PT)
Sports and Musculoskeletal Physiotherapist
4 yrs exp
Kolkata
Hi please take an online consultation for best diagnosis and treatment
Next Steps
Stop doing all your exercise.
Health Tips
To take care of your posture and follow the correct exercise program under supervision of qualified experience physio doctor.
Vitamin and minerals and drinking water
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Dr. Shefali Gandotra (PT)
Physiotherapist
20 yrs exp
Jammu
Check your posture .
Next Steps
Connect online
Health Tips
Change of posture every few minutes. Do not stay in same posture for more than 30 min
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Dr. Afsa Rafiq (PT)
Physiotherapist
5 yrs exp
Srinagar
Consult online for better treatment and diagnosis
Health Tips
Avoid heavy lifting
Avoid prolong Foward bending
Maintain posture
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.