Question: Auto accident.

31-32 year old healthy male,

Head on, right leg hard on brakes.

L5/s1 disc protrusion, and SI concerns.

1.5 years later... still 6 to 8 pain levels, intermittently, right leg and lower right back.

Consistent symptoms:
-Calf, hamstring and quad feel like a "blob" hanging from my leg.
-Fail cold/hot and wetness tests.
-buttock muscles, calf, and hamstring all feel tight without any pain.
-pain in rotator muscles.
-pain in right testicle.
-unpredictable, inconsistent spasms in legs muscles to foot, like"fireworks", especially after strenuous activity.
-anal sphincter sore.
-muscles above coccyx and sacrum, right side only, feels sore, level 5 to 8, like "some one is pinching them.
-pain in right pelvic floor when erected penis, seeing of chain reaction to spamming leg muscles and punching sensation in right muscles above coccyx and sacrum.
-popping or cracking on right side "hip" only, when moving right leg, twisting, or other Normal movements (e.g. standing from sitting or laying, etc.).
-miss-firing leg and
buttock muscles, especially when walking or standing from sitting or laying.

What is not:
-i seem to control bowel and urinary functions.

What makes it worse (all can set of symptoms almost immediately):
-aggressive driving
-driving in stop and go traffic (car is automatic transmission)
-moving car seat closer to steering wheel
-ejaculating worsted all symptoms.
-walking
-pelvic thrusting, especially during sex
-manipulation of right side lower discs
-muscles massage in anyof theright sideaffected areas.
-stretching any ofthe rightside affected area.
-soccer, and any other activities, other than treating flat on back.
-sitting for more than 10 min
-standing for more than 10 min

What makes it better:
-sleeping on back
-resting, laying on back fully supported.
-electro therapy, 1 to three hour after, feels great for a day or less

What was supposed to help, but did not:
-pain killers (oxy, hydro, ib profen, aleve, aspirin)
-nerve "killer" (gabapentin)
-muscle relaxers (benzocycl...)
-physical therapy (four different therapists, different treatments, as explain within this entry)
-chiropractic care
-traction table (lower back pulled from upper body by machine at 80 lbs, re-presented lower back disc issues but did not correct or improve leg and pelvic issues, but made worse both).
-dry needle therapy, into buttock and rotator muscles (before my psychology stopped the session
-psych therapy (for possible depression, self diagnosed [i still think this can be fixed, and i was diagnosed add not depressed, this i must Not be psychosomatic])

Treatments and diagnostics:
(Doctors first suspected L5/S1 disc protrusion found after first few images, to be the cause)
-Xray of lower spine, came back "normal", day of accident
-ct of lower spine, came back "normal", until reviewed weeks later by a family practitioner with a neuro background, protrusion identified and diagnosed.
-physical therapy 1: focus on lower spine
-chiropractic care: focus on lower spine
-physical therapy 2: focus on lower spine
-dry needling therapy: focus trigger points in side of leg, made everything much less tolerable.
-steroid injection 1: L5/S1, focus on lower spine, no improvement
-steroid injection 2: L5/S1, focus on lower spine, no improvement
-steroid injection 3: SI Joint, minor improvement, for a couple of days until scheduled for next SI injection.
-steroid injection 4: SI J point, major improvement, ability to feel hour and cold and wetness for about 25 days after swelling dissipated, until i played soccer and rough housed with the kids.
-Referred to SI Fusion special surgeon
-surgeon refers to physical therapist specializing in pelvic floor injury for 6 to 8 weeks.
-physical therapy 3: focus on SI joint and pelvic floor and buttock muscles, no significant unproven after 8 weeks of different treatments, ultrasound, electro, manipulation, manual traction, internal and external massage, physical training, etc.

Now, have one more pt session next Tuesday, with no significant improvement. A CT guided, pudendal block, via steroid injection, on Thursday. AND another dry needling session in early September, focusing on leg muscles.

What i know:
-i want to feel better (back to normal) and NEED to be better SOON (mental stress, relationship, back to normal life, unable to perform job and housework functions).
-leaning over a counter to wash dishes or bed to fold clothes, sets off symptoms immediately.
-driving aggressively or in sup and go traffic causes symptoms gradually.
-this sucks

HELP, please. What could be causing these seemingly neuro symptoms?

-help wanted