Need ideas for diagnosis of horrible sciatica
Hi, I am a 31 y/o white male, 6 feet, 145 lbs, no pre-existing conditions, no accidents or injuries. In mid-2011 I started getting diffuse pain and paresthesia in the buttocks and backs of my legs when sitting. It would go away if I stood up or laid down. The pain has gotten much worse and now comes on when I lay down and is interfering with my sleep. The pain still gets worse with sitting and goes away with physical activity. I have tried so many things and no one has even been able to tell me what the root cause of this is. I am worried about losing my job and my wife if I cannot manage this. The joy in my life is gone because there is so much pain everyday.
Does anyone have any ideas on how to get a diagnosis and some treatment options? Every test that has been run has come back normal. I went to the Mayo clinic and they had no ideas.
Here is what I have been through-
Doctors: internist, orthapedic surgeons, neurologists, physical medicine & rehabilitation, pain management
Imaging: x-rays spine and pelvic, MRIs of lumbar spine (both lying down and sitting), thoracic spine, pelvis, lumbosacral plexus
Diagnostics: 2 EMGs, blood work, HLA-B27 (negative), celiacs disease (negative)
Prescriptions: NSAIDs, hydrocodone, ultram, muscle relaxers, anti-epileptics, elavil, lidoderm and flector patches,
Steroid injections: lumbar back, piriformis, SI joint, facet joints L4-L5
Physical therapy, chiropractor, acupuncture, TENS unit