Any sciatic pain doc recommendations (for my son)?

My son (he'll be 22 this month) has been having a rough time with sciatic pain. He's been seeing our chiro and the PT there for awhile, but it's really not seeming to help. They are looking to line up an MRI as a next step, but I think it's time to pursue some other options. He's pretty miserable.

Anyone here have a spine/ortho doc recommendation based on personal experience or family member who had sciatic pain and found relief? We're in Highlands Ranch, so ideally someplace not on the other end of town--but at this point I'm just looking for options to help the kid out and will consider anything. I'm also going to look into what our insurance has on their site, but figured was worth a shot to ask here.

Thanks in advance for any input!

Vail and Assoc...specifically Dr Stanley...they are off of Lincoln just east of I-25

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Originally Posted by 20X11

Vail and Assoc...specifically Dr Stanley...they are off of Lincoln just east of I-25

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Thank you! Will check it out.

https://www.centura.org/provider-sea...s_landing_page

He doesn't keep his wallet in his back pocket and sit in a chair all day, does he?

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Originally Posted by battlemidget

He doesn't keep his wallet in his back pocket and sit in a chair all day, does he?

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Nope . . . no back pocket wallet and he actually spends a lot of time on his feet at work.

I went through back issues and was lucky enough to achieve maintenance with a chiro and some PT. From that experience I dispose of regularly worn footgear after a year.

Does he weight lift? I have had pain there due to ?hip walking ?. Basically I would lock my right leg and lift it with the left to walk. Old knee injury without PT.
I did a huge weight lifting run a few years ago and got past the novice phase. Once everything got stronger I was able to force the lazy muscles to work. Still not perfect. But you need to get the form right or else something else will go.

There is a wired stretch that helps too. Basically put the faulty legs heel on the ground. With your back stiff try to lean forward. You won?t get far but it puts pressure directly on there.

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Originally Posted by Erni

Does he weight lift? I have had pain there due to ?hip walking ?. Basically I would lock my right leg and lift it with the left to walk. Old knee injury without PT.
I did a huge weight lifting run a few years ago and got past the novice phase. Once everything got stronger I was able to force the lazy muscles to work. Still not perfect. But you need to get the form right or else something else will go.

There is a wired stretch that helps too. Basically put the faulty legs heel on the ground. With your back stiff try to lean forward. You won?t get far but it puts pressure directly on there.

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He's not a big exerciser . . . which probably doesn't help. He's been given some stretches to do and they do them at PT, but he says they aren't really helping. Been trying to search around for other stretches that might give some incremental improvement. He's also icing, taking Advil, etc. Chiro and PT also told him to get new shoes, so he did replace all his shoes. So far, no joy.

They've done x-rays and nothing stood out. I really think the MRI is needed to see if there is some soft tissue issue, disc issue, bone spur, etc. At least rule them in or out. Not sure why it's taking so long for that--I have really good insurance and have gotten same-day MRIs before. Planning on talking to the chiro who is a good friend about it to see what the story is.

There are a couple natural hot springs to soak and swim in. These have helped me with back pain and the water has minerals that is considered therapeutic.


https://www.dakotahotsprings.com/

https://www.desertreefhotspring.com/

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Originally Posted by Ramsker

He's not a big exerciser . . . which probably doesn't help. He's been given some stretches to do and they do them at PT, but he says they aren't really helping. Been trying to search around for other stretches that might give some incremental improvement. He's also icing, taking Advil, etc. Chiro and PT also told him to get new shoes, so he did replace all his shoes. So far, no joy.

They've done x-rays and nothing stood out. I really think the MRI is needed to see if there is some soft tissue issue, disc issue, bone spur, etc. At least rule them in or out. Not sure why it's taking so long for that--I have really good insurance and have gotten same-day MRIs before. Planning on talking to the chiro who is a good friend about it to see what the story is.

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Not into exercise, I get it. But sounds like that might be the cause of weak muscles leading to misaligned posture etc.
One thing for me was that lifting the way I was ?taught ? in school is ineffective and mostly leafy me sore. Good program really just leaves you tired and hungry with little lactic pain. Anyway if you can get him to lift. A good run at squats and deadlifts is like a back reset.

Unless this is a slipped disc or something. Then it?s hard to say what to do.

Chad Prusmack

https://spineclinic.com/chad-prusmack.php

Myself and a few others I know have used him with great success.

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Originally Posted by fairrpe86

Chad Prusmack

https://spineclinic.com/chad-prusmack.php

Myself and a few others I know have used him with great success.

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Thank you!

https://www.coloradospineinstitute.com/
Dr. Frey is damn good, there's others there. I'm with Kaiser insurance, so I use their docs now. Dr. Rubin w/Kaiser is also damn good.

But yeah, an MRI is probably needed, there's a lot of things that can happen. I'm going in Friday for a consult about a synovial cyst - who the hell ever heard of these?

Attachment 91163

Well, at least the MRI got approved/scheduled . . . albeit not for a couple weeks, for some reason. So we'll see what that comes back with and proceed from there.

MRI results back today . . . apparently a pretty rare thing for guys (much less guys his age). Ishiofemoral Impingement Syndrome. Sounds like there's an area where the sicatic nerve passes through that is much smaller on my son than most people. That's causing the problem. My chiro thinks there are some things that can be done to treat it now that it's actually been pinpointed. There are some more invasive things if all else fails, but at least we apparently know the actual cause and can pursue treatment.

We'll see how it goes and may end up following up with some of the recommendations here. Thanks to all for the feedback.

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Originally Posted by Ramsker

He's not a big exerciser . . . which probably doesn't help. He's been given some stretches to do and they do them at PT, but he says they aren't really helping. Been trying to search around for other stretches that might give some incremental improvement. He's also icing, taking Advil, etc. Chiro and PT also told him to get new shoes, so he did replace all his shoes. So far, no joy.

They've done x-rays and nothing stood out. I really think the MRI is needed to see if there is some soft tissue issue, disc issue, bone spur, etc. At least rule them in or out. Not sure why it's taking so long for that--I have really good insurance and have gotten same-day MRIs before. Planning on talking to the chiro who is a good friend about it to see what the story is.

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What a bummer. Mine started hurting around age 30 and I went in for an MRI. Doc gave me some options but strongly recommended dropping 10+ pounds and sticking with PT for a while before doing anything else. Losing my extra weight made a huge difference, and keeping on top of the PT stretches whenever it starts keeps it mostly at bay. I sit all day for my job and an Aeron chair to help force good posture seems to have made a noticeable difference as well. I hope he gets it resolved.

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Originally Posted by battlemidget

I went through back issues and was lucky enough to achieve maintenance with a chiro and some PT. From that experience I dispose of regularly worn footgear after a year.

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I haven't associated my shoes with my back issue, but I do replace them regularly to keep my junk knees from hurting. You've got me wondering if keeping up on my foot-wear is helping my back too now.

Shoes are a bit deal when dealing with back and hip wellness. I used to have serious back issues. Converse high tops are partially to blame. Thought they were super cool while wearing them and on my feet all day working in a warehouse. Yea, not so much. I have kept up with wearing good shoes since then and have kept the back issues away. And not keeping a wallet in my back pocket. I recently discovered the most comfortable sneakers I have ever worn. Believe it or not, they are Yeezy's. Yep, the Kanye West shoe. My son is a sneaker head and insisted I try a pair on as I am the one who has been paying for his fancy sneakers for a few years. Low and behold, I put a pair on while at a sneaker shop (and after having a few beers) and the damn things are amazing. The price was "acceptable" being that I had a few beers prior. Prob would have skipped if I had been 100% level headed LOL!. I may or may not look like Marvin the Martian while wearing them, but I don't care. They are cozy as hell and have great soles and foot support. All the young whipper snappers think I'm the cool dad now rocking the sweet sneaks.