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Old 06-15-2024, 08:21 AM
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Originally Posted by Sandy and Ed View Post
I have an MRI diagnosed/confirmed impingement on the sciatic nerve at the L4/5 level. I am not a doctor so I just listen to what I am told. Surgery was recommended. Scheduled but my Medicare Advantage would not approve. Wanted me to do Physical Therapy first!! Huh??? Are they nuts, I thought. Ok. Went to PT. Therapist diagnosed Periformis syndrome. Deep massage on my butt cheek located the muscle and was able to relax its hold on my sciatic nerve. Maybe in this case the denial was warranted?? Again I’m no doctor just a cynical patient. You ask a plumber to check your plumbing ….what are the chances he’ll find something wrong?
Unless there is neurologic impairment or severe interference with ADLs, a trial of PT is almost always warranted.