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Piriformis muscle/sciatic nerve pain

I’m a 37-year-old female, and I was recently diagnosed with a herniated disk and referred to a physical therapist.
My therapist feels that my sciatic nerve pain is a result of spasms in my piriformis muscle and started stretching me to relieve the pressure on my nerve. During my third session, he stretched me until I had tears in my eyes.
The therapist said that he has to stretch me until it hurts and then go a little farther.
I went home, only to notice my ankle swelling within an hour. Both my ankle and hip swelled, and I was lying on the floor in pain for the rest of the day.
I immediated began icing both my hip and ankle.
I called the therapist the next day, and he said that he probably overstretched me and that I should start feeling better in a few days. Four days later, I was still crawling on the floor, unable to put weight on one leg without the use of prescription painkillers.
I went back to my doctor, who said I have a slight ankle sprain.
The sprain is nothing compared to what I’m feeling near my tailbone.
I am only able to sit and stand when taking Anexia and Flexerol regularly.
This should heal in time, but is it common for this to happen after therapy?
I was almost back to normal activity when the therapy started. Now I feel like I’ve taken a huge step backward.
I also had no knee or hip pain prior to this therapy session. Once I’m healed, will moderate stretching at home be of any help to me, as I don’t feel that I will be brave enough to see a therapist for a long, long time?
Is this a normal setback for my type of problem? Thanks in advance for any information.

1 Comment found

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    No, it is not normal for this type of set back. I can’t stand therapists that say it really has to hurt for him to make any difference in your condition. I’ve had sciatic myself and I can tell you it doesn’t have to hurt. I ended up seeing a chiropractor/sports med doc who realigned everything and worked out my hip. He gave me exercises at home and told me if he was hurting me for me to let him know especially if it was bad. He said anything he did shouldn’t hurt me too much and if it did that was an indication to him that he needed to back off some. I think you should definitely let the PT know that he did you more damage than good and you are not happy with him. Perhaps a less aggressive PT would be better and would be able to help you. If you choose to seek a chiropractor make sure he is a well recommended one and not a quack. Many of them can harm you.

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