Re: Sciatic Pain
if you mean the "removal" of the piriformis, my dr told me he rarely saw success from that. now, i know i've seen different stories online, but i've been with my dr since 1994 and i just trust him. he would refer me if i insisted, but my WORST pain was the annular tear (10/10) and my idet has been successful to-date (9 months and counting!).
i decided i could live with the si/piriformis pain for 2 reasons: 1) not daily like the tear, and 2) not as painful (usually around a 4/10, although when it's bad it's bad, like 8/10). i figured one step at a time...deal with the worst, and if it's successful then begin to think about what to do with the rest. i also had to spend 1 winter post-idet to see how bad the si would get (cold messes it up).
you know what's funny, i don't consider any of what i've been through as part of the conservative track. it's not to say i don't know what you mean...it's just more the "epic journey" that's affected my view of what that means. i mean, my problems weren't diagnosed using "traditional" methods, some of my experiences were extremely weird, that kind of stuff.
you know, release may be something i have to look into sometime...i guess i'm just hoping the techniques i've found will keep me from having to do surgery. i guess that is the real reason i've kept to the conservative track...fear of surgery. before my idet i spent 4 years feeling 85, and now i feel 35-45 (with 65 when the si/piriformis pain hits). i guess i just feel lucky i've regressed anywhere from 20 to 40/50 years!!! it's amazing how the idet has made me feel...and i'll just take that and run with it!
good luck to you, and hope all is (or turns out) well for you.
Sciatica, L3-4 Tear, Spinal Stenosis, DDD L3-S1
Fusion (BMP) L4-5 '11
Anterior Fusion (BMP) L3-S1 '13