Interesting topic and one that fascinates me!
“I’ve had a microdiscectomy of my L4-L5 and intensive physical therapy. I’ve had steroid injections in my lumbar; an SI Joint test; a Medial Nerve Branch Block and I’m still experiencing a fiery pain in the groin area, hips and buttocks with sciatic-like pain running down my leg to my knee. Thoughts?”
I would HIGHLY invite you to locate a C.H.E.K practitioner near your location who can help identify the etiology of your collateral pain. As this forum (at the moment) does not provide a structured setting for your particular situation, I will say that with the course of action you have already taken that most likely the direction of your herniation is causing collateral pain syndromes. L4/L5 have the most axial loading regardless of load (consider that your upper torso makes up 60% of your total body weight) so by not addressing the compression correctly, the posterior chain, deep longitudinal system, nerve endings and SI-joint complex are suffering from the sheering force of L4/L5.
Locate a C.H.E.K Practitioner Level 3/4 who work with patients VERY similar to your situation. Above all else, keep faith and hope that this is NOT THE END. This is what I share with you as a C.H.E.K Holistic Lifestyle Coach who HAS a posterior/lateral bulge in L5/S1, history of broken bones and torn muscles through competitive martial arts, a CURRENT power-lifting competitor and i’ve managed to find the tools to help me become a stronger version of yourself.
Keep growing stronger,