I've had a herniated disc (l5 s1) for over a year. pt helped with sciatica but nothing has fixed the lower back stiffness/pain. what are my options?

Epidural inyections: There are another options to consider, one of then is to see a pain specialist for transforaminal epidural inyections, usually if the first one help them you can get two additioal ones.That is combined with a good ptprogram.However if you continue with that pain, them a consultation with a spine surgeon for possible surgery is the next option., .

Exercise: Most herniated disks get better with respect to the leg pain, but back pain does not always go away. Many folks have less pain if they keep the back and tummy muscles strong and flexible (strethching exercise). Regular aerobic exercise (30 minutes at least 3 times a week) also helps. Consider seeing a physical therapist for a good exercise program.

Spine Injury: This chronic pain in the distribution as you suggested is the result of an irritated nerve or facet joints or other injury typically in the lumbar spine (low back) which are caused by herniated disks, spinal stenosis or degenerative disc disease, etc requiring further evaluation by a pain/spine specialist. You may be a candidate for epidural steroid injections for relief.