I was told i have a torn piriformis. i did dry needling, a shot, physical therapy, laser, nothing helped. what is the next step for comfort or repair?

Discuss with MD: Surgery may be considered but usually only as a last resort. There are two procedures in use. The first is to cut the piriformis tendon where it attaches on the greater trochanter (the bump on the side of your hip). The other method is to cut through the piriformis muscle to take pressure off the sciatic nerve. These procedures are usually done on an outpatient basis, .

Agree w Dr. Silver: In the meantime consider seeing a medical acupuncturist who has the gamut of techniques available (not just limited to dry needling). Take care.