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27 months
9/26 8:53:35

Question
I'm a 42 year old male subject, two years ago i was doing some extreme stretching twisting my body left to right while lying down with the help from my wife. the chiropractor that i was seeing at the time told me this would be good for my sciatic nerve for which he was treating me at the time. after two weeks of this extreme stretching i soon became very sore on my right oblique area,after seeing a doctor, who ordered a spinal mri as well as an abdominal mri, after test results md sent me too see neurologist. Test results concluded internal external oblique and quadratus lumborum strains with nerve entrapment. after months of physical therapy, cold laser treatments and ultrasound, the condition of my symptoms have not changed much, i can with stand walking sitting short spells, and lifting no more than 20 pounds, my current condition after 27 months two or three days of moderate walking driving and then four to five days of rebuilding the tolerance of just being able stand or walk without a great deal of pain. thinking of purchasing a cold laser, as that is the only relief of treatments that produced results. I have not been able to returned to the work force in over two years. my quality of life has dictated to me that a need for answers of why this injury will not heal is top priority. after extensive research, i believe that because of re=injury that has occurred numerous times in the course of these last two years i have built up large amounts of scar tissue between my ligaments which is causing a great deal of nerve pain when the muscle gets inflamed from small amounts of activity. any insights of what to try or where to go for treatment would greatly be appreciated.
thanks
Aaron Chase.. Oregon

Answer
Aaron,

First of all, "extreme stretching", especially into rotation or trunk flexion, is a really bad idea if you have sciatica.  The current strategies include directional end-range joint loading if your sciatica is disc related.  If it's about nerve adhesion, then manual release work is likely a good bet.   If you developed a strain internal to the bulk of muscles, that is a problem.   If the MRI did not show a nerve compressed by a disc or bone spur, all the better.   I would suggest seeking a DC in your area that is skilled in Active myofascial release methods as well a Gaston Technique.    I know there's this Doc that comes with good references: Phillip W. Snell, D.C., in Portland.  Also there's Ted Forcum, DC in Tigard, and J. Michael Burke, DC, DABCO, at Western States Chiropractic College.  
You may be able to release the fascia with the above methods.  Do that first before buying a laser.  

'Hope this helps.

Dr. G

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