Conversation: The conversation between human and AI assistant.
[|Human|] Yes.  Please.   I had back surgery with a well known neuro surgeon.  I had  a right sciatic nerve pinched and numb from right hip, leg and foot  for 4 months before surgery.  Physical therapy didnt help.  MRI didnt show all my problem, so when  Dr. open me up, I had  # 4 fell in  on # 5 , pinching right sciatic nerve.  I had 2 procedures in 1.  laminectomy and formianectomy?  in one procedure.  From day 1, I could  not sit.  My tailbone was so sore and my right hip in the side at hip joint  is so painful, it affects right leg and right foot with some HOT Feeling from the nerve and some slight numbness in the right foot . This changes, there are a few days, I have no pain...but 90% of time since surgery in 2/1/2012, I  can not sit on anything soft.  Not my recliner, Not my car seat....Can not sit or ride very far without pain.   I am limited  in doing anything.   My surgeon has sent me to a orthopedic specialist in spine fushion.  I dont think I can go through another serious surgery.  I am not the Dr., but I think something is rubbing a nerve.  Is there any other test, to see what nerve is hurting me.  Ive had myleogram.  Thank you!
[|AI|]  Hello, Thanks for writing to us, I would advise you to do contrast MRI post surgery, and we need to see for structural changes and impingement of nerve. I f there is spondylolisthesis you may need fusion with fixation. If MRI does not show any structural change then epidural injection with local steroid injection can be beneficial. Use lumbar support as instability will aggravate symptoms. I hope that I have answered your query. Let me know if I can help you further. Take care