not a problem, glad to help.
1. core stability is definitely the right direction, but there is no recipe from me, as I tailor exercises to suit each individual, if one supposes to work but turns out not, I will then be creative in thinking an alternative while offering the same intensity (same level of difficulty). It's almost impossible for me to advise you what exercises are suitable to your current stage, as I have no sufficient information of you to make recommandation. Things like your pre-fitness level, actual pain in your hip and legs (as in are they localized or referred), degree of your irritability, your physical make-up, behaviour of your neurological signs (if any). Having professional liability in mind, I therefore can't suggest you any specific method or stage of core stability exercises. But the big direction is you need the core muscles not only performing well but also in time of needs in different posture, ie lying, sitting, standing, bending (still need to teach you, as complete omission of bending for the rest of your life is also unrealistic). At the end of the day, once your core muscles are strong enough, free-style swimming is good way to maintain its strength. Progressing too early often would cause more harm than good.
2. can it become grade 3? not a small chance that this may happen. Reasons being:
- you are young and often more active (active but not knowing what to do or a little careless = injury),
- still want to get pregnant (if you present with almost constant moderate neural signs and not improving with physio, you will need to see neurologist and obstetrician for their opinion on whether you should get pregnant. I did come across one patient 10 yrs ago, young female who was warned by neurologist not to get pregnant as risk of paralysis)
- other factors: degree of your neutral lordosis, your physical make-up, level of fitness, degree of core strength, occupation, lifestyle, ageing (we all age, once aged, muscle function declines, so is core stability) ....etc
I wish I can tell you a direct answer, but I don't follow recipe as some clinicians do, this is the best I can do without seeing you.
3. Re your anxiety of slow to none improvement: find someone you know who is good and you can trust, and follow his treatment for 2 months or so, but if improvement is minimum, then see a neurologist for his opinion on surgery. Coz once conservative management fails, surgery is the only option. Surgery is not a fix to all problem, it fixes the worst problem, but create 2nd worse problem. Say if you have L5/S1 fusion, then your L4/5 will sustain greater stress and greater risk of disc bulge and arthritis.
4. pregnancy: I think the question is already answered, but keep in mind, it's nothing to do with better early or later, it's about the right timing.
Your problem can be approached in logical ways, but just need to make sure every step is right in case of aggravating symptoms or actual situation.
I hope this helps, now I should bill your chiro for doing part of his job.
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