Hi,
Thank you for providing the brief history of you.
As per my understanding what i feel is you need to do two things - one is to check the straight leg raise, if in performing this movement you get pain then you need to check the MRI of the
lumbar spine. Also, in either case taking an MRI of lumbar spine will help insight to the internal structures of the spine and understand if any impingement is present. Spinal nerves has two functions - motor and sensory, and any impingement in the nerve will disturb the sensory or motor system. Next it is advised to undergo the doppler of the lower
limbs to rule out any
varicose veins issue. Once ruled out, a physical therapist will help you with Therapeutic
ultrasound therapy and
TENS therapy for pain management. Based on the pain levels, the exercises will be performed. Also, to understand that the spinal nerve pathology is sometimes misdiagnosed and later on it comes back with higher degree of pain, where the recovery takes longer time . So as said, prevention is better than cure. Act now so the worry for future stays down.
As, you are undergoing
massage therapy, the massage will help improving the blood supply and provide the soothing effect, if any varicose vein issue is there, in that case massage is contra-indicated as it may worsen the situation.
I have seen many patients in my daily practice and most complains are similar , but the diagnosis comes at the early stage by looking at the MRI. and most of my patients are 100% benefited at the early stage of diagnosis and
physical therapy.
Regards
Jay Indravadan Patel