Sciatica After Spinal Fusion

I had a very successful L4-L5 fusion surgery in 2004 and only had one 6 month sciatica incident (because of lifting something heavy too quickly) that went away with time and PT. But otherwise, I had no back pain or leg pain and felt excellent.

I'm an extra-healthy 40 year old, who looks 28.  I run, bike, swim and hike.  Last year, I was incorrectly fitted for a bike with a wrong  measurements and I ended up overextending my body as well as rode on extremely bumpy terrain with a race bike.

I felt no pain until weeks later, when I felt the knifing all the way to the toe, feeling to the point I could not wear heals anymore.

A year and a half later, the pain has subsided maybe 60% but is still present. I have gone to PT, do regular running (warms up muscles and makes me feel better at the time), acupuncture (helps decrease pain), and am currently waiting to get a steroid shot.

My MRI report is comparable to before the accident and states that there are no significant interval changes and no definite disc herniation. Surgery level limits evaluation now via MRI. There is straightening of the normal lordotic curvature and correlate clinically for muscle spasm.

Please advise as to how I can heal completely?

It's been 1.5 years of this. I felt excellent post-surgery until this happened.

- Ko

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