Sciatic nerve impact / hydrodissection
Does anyone have symptoms that include sciatic nerve issues? That's the case for me. I've had ongoing "jolts" of pain that are so sudden and sharp that they are clearly nerve pain, and an ultrasound doc was able to see that my sciatic nerve is inflamed at the ischiofemoral space. I also have a partially torn semimembranosus tendon in the same area, but it's not clear how much if any pain this is responsible for.
A little over two weeks ago I got a sciatic nerve hydrodissection. It immediately made things worse (more jolts), however at this point things are at minimum back to the way they were before. The doc said it takes 2-3 weeks for effects to be felt, and gave me an example where it might get 40% better after the first one, and 90% better after the second hydrodissection. It's hard to say for sure, but at least in the last few days I _might_ be closing in on "40% better."
Anyone else have experience with hydrodissection? How did it work out?
Update: I had two hydrodissections, one month apart. About one month after the second hydrodissection the jolts really dissipated. Unfortunately I still have persistent pain that can get extremely bad at random times, so now I'm going back for hydrodissection #3. I had this pain to some extent prior to the other hydrodissections, so I'm not super optimistic about the third one, but we'll see.
I have reason to credit the first two hydrodissections with fixing the jolts... Before the first one I saw on ultrasound the nerve was a big blob (3x normal). After the first hydrodissection it was down to 2x normal and looked like a nerve with an enlarged area. At the followup after that it apparently went back to normal size.
Update #2: Well, the third hydrodissection did help a bit. It's been two weeks now since I had it. Prior to the hydrodissection I'd have pain at like a 5 or a 6 out of ten every few days, for hours at a time. Now the pain maxes out at a 4 or maaybe a 5. So some small but distinct improvement. I guess a hydrodissection #4 is somewhere in my near future.
Update #4: I did hydrodissection #4 but it doesn't seem to have provided much relief. As soon as I could get a sense that the pain was still there I finally decided to trial gabapentin. That seemed to provide significant (but insufficient) relief. The side effects have been intolerable though, I lost my ability to function mentally + fatigue. So now I'm tapering back off the gabapentin and will try nortriptyline. Separately from this I'm getting an MR neurogram done. I know at this point my issue is definitely all about the sciatic nerve, so hopefully it will provide some path forward. I'm not sure what else to do. At this point the pain is constant, and can really ramp up and become awful sometimes.