I fell while skating and landed sitting on my hips. After the examination, we found that the obturator internus muscle went into spasm and caused inflammation around it. This has led to pudendal neuropathy and referred sciatic pain. I’m not sure whether there was trauma to the nerve causing the muscle to tighten, or if the muscle spasm is compressing the nerve.
I’ve done many physiotherapy sessions with manual internal release anally, but it doesn’t fully resolve and the muscle tightens again.
What can be done at this point? should I continue with more physiotherapy sessions, or focus on specific stretches and exercises? And typically, how long does it take to start seeing improvement, and for the condition to fully resolve if we continue with that approach?
Also, do you think an injection into the muscle should be doneat this point to help it relax, or maybe try dry needling?
For context, I’ve taken many medications—muscle relaxants and nerve medications—but the only ones that really help are anti-inflammatories like celecoxib, since they reduce the inflammation and the pain improves, but i don’t take them for long as i’m scared they might affect the kidneys.
Waiting for your opinions on this and if anyone has experienced a similar situation..