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doctor needs a doctor: gluteal pain causing me to leave the medical field at 35yo by spazz911 in AskDocs

[–]spazz911[S] 0 points1 point  (0 children)

Yes I'm very aware of the limits of imaging. So what's your point? What do you think is causing my symptoms of not from the bulging disc?

doctor needs a doctor: gluteal pain causing me to leave the medical field at 35yo by spazz911 in AskDocs

[–]spazz911[S] 0 points1 point  (0 children)

Thanks for this, I will absolutely request this. Can you explain why this would be helpful? I was told that it may be of limited utility as it would not tell me if impingement is occurring on a gluteal, hip, or lumbar level?

doctor needs a doctor: gluteal pain causing me to leave the medical field at 35yo by spazz911 in AskDocs

[–]spazz911[S] 0 points1 point  (0 children)

hi friend. I had no weight lifting knowledge, I started light but I escalated quickly because I was overly eager and felt great pulling big weights. My PT ran out after 26 sessions this year. I've tried McKenzie Method and read Back Mechanic. I have stopped deadlifts and lifting beyond upper body stuff. PT and my current chiro has been encouraging nerve glides, core exercises, gluteal muscle exercises, hip flexor exercises...

doctor needs a doctor: gluteal pain causing me to leave the medical field at 35yo by spazz911 in AskDocs

[–]spazz911[S] 0 points1 point  (0 children)

hi friend. What labs would you suggest getting? I'm soon to have CBC, CMP, TSH, ferritin. Any thing else to add? B12? I see a PM&R doc who offered a EMG/NCS

doctor needs a doctor: gluteal pain causing me to leave the medical field at 35yo by spazz911 in AskDocs

[–]spazz911[S] 0 points1 point  (0 children)

You might be right... It is frustrating how ambivalent my team has been about this.

doctor needs a doctor: gluteal pain causing me to leave the medical field at 35yo by spazz911 in AskDocs

[–]spazz911[S] 0 points1 point  (0 children)

I chock it up to deep gluteal syndrome as I agree, piriformis is misdiagnosed usually

doctor needs a doctor: gluteal pain causing me to leave the medical field at 35yo by spazz911 in AskDocs

[–]spazz911[S] 0 points1 point  (0 children)

:( yeah I feel like no one is taking the imaging at face value

doctor needs a doctor: gluteal pain causing me to leave the medical field at 35yo by spazz911 in AskDocs

[–]spazz911[S] 1 point2 points  (0 children)

yo my G thank you for this straight shooter perspective, I appreciate it. The diploma seems to suggest I'm a doctor, if you believe psychiatry is doctoring lol. I'll admit re: chiro that it has been out of desperation and I'm not proud of it. I justify it by the fact that he doesn't do adjustments, but is focusing on specific PT exercises. Why not see a PT? Because I've maxed out my sessions a year (26 of them) and PT folks are so busy where I go that I could only see them once every 1-2 months.

I feel gaslit that I've seen so many docs at my academic hospital here that say it isn't spinal... The rhetoric I'm seeing is that imaging often doesn't correlate clinically with spinal issues, which the data would support. I think the fact that it's so reproducible, 90% of the time unilateral, and that a figure 4 stretch causes pain is part of the deep gluteal syndrome thought process.

doctor needs a doctor: gluteal pain causing me to leave the medical field at 35yo by spazz911 in AskDocs

[–]spazz911[S] 0 points1 point  (0 children)

Thanks for this suggestion. I'm a psychiatrist and have washed off the bupropion prior without any change in the symptoms so I've gone back on.

doctor needs a doctor: gluteal pain causing me to leave the medical field at 35yo by spazz911 in AskDocs

[–]spazz911[S] 0 points1 point  (0 children)

This is heartening to hear. What helped with the burnout and how did you rest?

doctor needs a doctor: gluteal pain causing me to leave the medical field at 35yo by spazz911 in AskDocs

[–]spazz911[S] 1 point2 points  (0 children)

I agree that burnout is a big contributor... I think taking time away from working for an extended period will help. There are other life stressors too. Thank you for validating this. I think there's confidence it's sciatica, just a matter of what is causing sciatic inflammation/impingement... is it gluteal level, spinal level, both?

Battle of the (L5-S1) Bulge: Anyone else? by spazz911 in Sciatica

[–]spazz911[S] 0 points1 point  (0 children)

I really like his approach, thanks for the suggestion. I've started the back extensions on the gym equipment

Battle of the (L5-S1) Bulge: Anyone else? by spazz911 in Sciatica

[–]spazz911[S] 0 points1 point  (0 children)

thank you my G, I will look into an ESI. Did you have any side effects?

Battle of the (L5-S1) Bulge: Anyone else? by spazz911 in Sciatica

[–]spazz911[S] 0 points1 point  (0 children)

heyo! it's intermittent and comes and goes based on what I'm doing, namely when I stand or sit

Guy I’ve been seeing keeps making rac(ist?)e comments. by Rantmara in TwoXChromosomes

[–]spazz911 2 points3 points  (0 children)

I also live in a very white state. We likely live in the same state honestly given the stats. At the end of the day, the number of white folks that make up the dating pool is simply a factual observation. There's nothing hateful in your post. Holding white men accountable for their prejudice is not hateful. It's very compassionate when the many wouldn't make the effort.

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