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Doctor insights on: Piriformis Strain

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Strained hamstring, piriformis, illiosoas, Clean MRI and X-ray of hips. PT for 2 months. Still horrible pain. Can't sit for 20 min. Stretching ?

Strained hamstring, piriformis, illiosoas, Clean MRI and X-ray of hips. PT for 2 months. Still horrible pain. Can't sit for 20 min.  Stretching   ?

Pain: Consider a chiropractic exam and treatment. I suspect you may have underlying structural issues if imaging is okay. I would also find a good masseuse for treatment. ...Read more

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Can cortisone shot alleviate piriformis syndrome?

Can cortisone shot alleviate piriformis syndrome?

Potentially: This is very possible. Sometimes physical therapy focused on stretching and flexibility is enough. Sometimes this along with a steroid injection can alleviate the symptoms. Consult with your physician to see if you are a candidate for this. ...Read more

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Does piriformis syndrome cause pain at back of knee?

Yes: The piriformis syndrome is caused by the piriformis muscle compressing the sciatic nerve. Usually it causes pain and tingling in the buttocks, but if the compression is severe enough it can cause pain down the length of the sciatic nerve in the leg. There are a number of treatments available to avoid surgery. An Orthopedic surgeon or Physiatrist can recommend such modalities ...Read more

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How can chiropractors evaluate for piriformis syndrome?

How can chiropractors evaluate for piriformis syndrome?

A stretch: Maneuver where your leg is put up at 90 degrees at the hip, bent at the knee as well, and then your leg is taken into external rotation and stretched. If it is tight and reproduces the symptoms, then it could be pririformis syndrome. ...Read more

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What are the most effective treatments for piriformis syndrome?

What are the most effective treatments for piriformis syndrome?

OMM: Piriformis syndrome is caused by a spasm in a muscle called piriformis. This puts pressure on the sciatic nerve, causing the symptoms. Osteopathic manipuation, in skilled hands, can correct the problem causing the spasm and provide great relief for this common complaint. ...Read more

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Is it possible there is a conclusive cure for piriformis sciatica?

Is it possible there is a conclusive cure for piriformis sciatica?

Piriformis sciatica: Pyriftormis sciatica is do to an entrapment of the sciatica nerve as the level of pyriformis muscle - the surgery would be to explore the sciatica nerve and release what is typically a tight muscular band that entraps the nerve. The surgery is usual;y quite successful. ...Read more

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What is the best kind of doctor to see about possible piriformis ?

What is the best kind of doctor to see about possible piriformis ?

Depends: First question is to make sure it really is piriformis syndrome. A few orthopedic exams in the clinic by your doctor help. Sometimes, they send you for nerve conduction study. Physical therapy can be a good start. If that fails, sometimes a pain management provider can inject the region to provide some relief of pain. ...Read more

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Can you tell me how is sciatica different from piriformis syndrome?

Can you tell me how is sciatica different from piriformis syndrome?

Piriformis Pain: The sciatic nerve runs underneath the piriformis muscle and typically does not irritate the nerve. However if the muscle is irritated or the nerve runs through the belly of the muscle (5-10% of people) it can press on the sciatic nerve and cause the sciatica type pain in the buttock region but also radiate into the leg as well. Typically stretching and nsaids are mainstay for treatment. ...Read more

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Can piriformis syndrome send pain all the way down to the heal? And pain in the Achilles area?

Can piriformis syndrome send pain all the way down to the heal? And pain in the Achilles area?

Piriformis syndrome: Piriformis syndrome pain usually stops at about the knee. If it goes lower, you may want to have your sciatic nerves looked at. ...Read more

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Can a loose and weak piriformis muscle cause pain? If so what type of pain would it cause. Thanks

Can a loose and weak piriformis muscle cause pain?  If so what type of pain would it cause. Thanks

Possible sciatica: if you have problems with the piriformis tendon, it may irritate the sciatic nerve. This in turn may cause pain in the buttock and/or aim down the leg. An evaluation with a good history and physical can help with the diagnosis and treatment. ...Read more