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Doctor insights on: Piriformis Treatment

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What is a therapeutic treatment for piriformis muscle syndrome?

What is a therapeutic treatment for piriformis muscle syndrome?

Many things: First of all it is important to get a good physical examination to confirm the diagnosis of piriformis syndrome. A physiatrist is probably best for this. If it is piriformis syndrome, specific stretching exercises are helpful and then sometimes we will inject the piriformis muscle directly with local anesthetic and cortisone. Sometimes it needs to be done more than once. ...Read more

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Piriformis syndrome and sciatic nerve treatment, do you have any recommendations?

Piriformis syndrome and sciatic nerve treatment, do you have any recommendations?

Stretch injury: If your piriformis pain is secondary to pelvic imbalance and it's constantly stretched, the last thing you want to do is stretch your piriformis. It will aggravate even if it feels good stretching it at the time. Find a physical therapist who can do myofascial release or facilitated positional release and teach you relaxing exercises. ...Read more

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I have the symptoms of Piriformis Syndrome. Pain Mgt.Dr rolls his eyes. What treatment is available for this? The pain is severe and I loathe Per10/32

I have the symptoms of Piriformis Syndrome. Pain Mgt.Dr rolls his eyes. What treatment is available for this? The pain is severe and I loathe Per10/32

Who diagnosed ?: Compression or entrapment of sciatic nerve by piriform muscle is called P. synd. usually diagnosis is confirmed by CT , MRI & nerve conduction studies , some times compression could be at inter obturator muscle level , most of time physical therapy , stretching , PT is enough , surgery is rarely done .Speak to your doctor ...Read more

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What is the best treatment for severe hip bursitis and piriformis syndrome?

What is the best treatment for severe hip bursitis and piriformis syndrome?

Bursitis: Rest, ice, anti inflammatory agents such as Ibuprofen ( there are many other similar one's), physical therapy and in resistant or unresponsive cases, local steroid injections are the choices. ...Read more

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How is a DX of Piriformis Syndrone made? Is it merely Sciatic Nerve irratation that radiates to buttocks. What is the Treatment?

How is a DX of Piriformis Syndrone made? Is it merely Sciatic Nerve irratation that radiates to buttocks. What is the Treatment?

Exam: The primary diagnostic tool is a detailed exam. A nerve conduction test specifically looking for piriformis syndrome can confirm. An injection in the piriformis area is used and can be both therapeutic and diagnostic. Physical therapy can be helpful in many cases. ...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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Will physical therapy help for piriformis syndrome?

Will physical therapy help for piriformis syndrome?

Yes: It will help strengthen and increase range of motion in the area. Also can provide stretching and ultrasound to help with the inflammation. ...Read more

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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?

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, . ...Read more

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