what are suggested remedies for piriformis syndrome? i have had physical therapy and a cortisone shot. the pain still remains and can be quite debilitating at times. i am only 60 years of age. are there other recommendations that i can try or return t
3 doctor answers • 4 doctors weighed in
Psychiatry 25 years experience
Hello. : Hello. There is a techinique in medical acupuncture that is exceptionally effective for pyriformis syndrome.
5332 viewsAnswered Jan 26, 2020
Sports Medicine 19 years experience
First : First off all letâ€™s define your problem. The true definition of piriformis is buttock pain that radiates down the leg past the knee. With that said, piriformis syndrome is often diagnosed based solely on buttock pain and palpable tenderness along the course of the piriformis that is associated with pain upon sitting or with activity. So with that said, a great initial start is physical therapy, ice and nsaids. However, not all physical therapy is created equal. The best approach is to strengthen the gluteus medius and piriformis to build endurance, and to stretch with dynamic stretching techniques. Often piriformis syndrome is a result of over training, and the muscle becomes fatigued. So the best pt approach is to strengthen the muscles and build endurance. So if your pt was mostly comprised of e-stim, riding a bicycle and stretches, you didnâ€™t fully address the problem. Your physician should be able to re-examine you and determine if the muscle strength has improved. Other approaches that can be successful are massage and acupuncture. If despite these treatment strategies, your symptoms continue, i would reconsider the diagnosis. Did you actually tear a muscle, etc? Perhaps an MRI would be helpful. Lastly, if an MRI is normal, and pt, acupuncture and massage have all failed, then nerve studies (EMG) could be helpful to prove the nerve is entrapped. In that case a Botox injection into the piriformis muscle may alleviate the pain. Good luck.
5332 viewsAnswered >2 years ago
Physical Medicine and Rehabilitation 21 years experience
3428 viewsReviewed >2 years ago
Last updated Jan 26, 2020
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