Looking for help in narrowing down the source of my pain.
I'm a healthy 35, and bike about 12 miles a day, year-round.
This started about a year ago. I can really only remember one day when I essentially didn't feel it at all.
It's worst when I get up in the middle of the night and in the morning. It generally subsides for the most part after I'm up and about for a bit in the morning.
I sit at a computer all day, but it doesn't bother me then. I can feel it when I bike, but it's not too bad. Activity generally makes it feel better (at least at the time), as opposed to many things I read where symptoms are worse during or after activity.
The easiest way to feel it is with a straight leg lift, with standing or laying down. When my right leg to to about 30 degrees, I feel extreme tightness in the back of my leg just above the knee (towards the center to outside), and in the upper buttocks, towards the center of my body. Again, it feel like muscle tightness as opposed to nerve pain.
Sometimes the pain goes into my lower back a little bit, but it's not as bad there.
The only thing I get that feels like a nerve issue is in the arch of my foot on the same leg. It's not pain as much as a sensation. It's triggered by certain positions, and isn't continuous.
If I do a motion where I push my stomach area out, and my butt back, then slowly reverse that, I get some pain in that same lower back area but mainly in that same upper buttocks area I mentioned earlier. I'm not sure if this is muscle pain or nerve pain, it's hard to tell.
My doctor initially thought it was piriformis. He gave me a couple prescriptions, which essentially didn't help. He also sent me to physical therapy for 6-weeks, which also didn't really help.
I went to a chiropractor and she said my right hip was rotated a little bit (forward I believe).
Any idea on what this could be, how to narrow it down, or the best type of specialist that would be worth me seeing next?