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Doctor insights on: Piriformis Treatment

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Treatment for scapulothoracic fibromyocitis?

Treatment for scapulothoracic fibromyocitis?

Physical therapy/med: This is sometimes also called "soft tissue rheumatism" or fibromyalgia if the problem is wide spread. Physical therapy may be helpful. Remember that age 61 other problems such as bursitis or tendonitis or arthritis might also be present. Common things are common! ...Read more

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Is Physiotherapy the correct treatment for Ulnar Nerve Entrapment?

Is Physiotherapy the correct treatment for Ulnar Nerve Entrapment?

Sometimes: Ulnar nerve entrapment typically occurs at the elbow, but can also occur at the wrist. A short course of anti-inflammatories, bracing, and activity modification can usually resolve the symptoms. A referral to a specialist may be needed if symptoms persist. ...Read more

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What treatment for facet joint arthopathy?

What treatment for facet joint  arthopathy?

Injections: Begin with physical therapy. Facet injections not only can give relief but also confirm the diagnosis. Ultimately facet fusion might help. I perform them outpatient through a minimally invasive approach. ...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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Treatments for trochanteric bursitis cases?

Treatments for trochanteric bursitis cases?

Several are availabl: For acute bursitis, local steroid injection is often curative. When this is not possible or when symptoms are more chronic then using anti-inflammatory medications for short periods of time ( 10-14days) is helpful. In either case, physical therapy modalities may also be helpful to relieve pain. ...Read more

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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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What is the best treatment for sciatica- injections or physical therapy?

What is the best treatment for sciatica- injections or physical therapy?

Hard to Say: Injections will give you pain relief early, but PT can be just as helpful but will take time to get relief. There is new research coming out that when you are in a lot of pain, you're body actually stops you from performing exercises so that you may not benefit from PT initially. So we believe that if you at least improve your pain first, you can then proceed with the exercise therapy programs. ...Read more

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Is prednisone an effective treatment for siatic nerve pain?

Is prednisone an effective treatment for siatic nerve pain?

Sciatica: Low back pain that radiates into the leg is called sciatica. A herniated disc in the lumbar area is one common cause. Simple exercises and stretching, over the counter pain medication, or prednisone or other steroid medications like Medrol (methylprednisolone) dosepak can reduce inflammation. Physical therapy can help. If it has been present for more than 3 weeks, see a Doctor. An MRI might be the next step. ...Read more

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What is the treatment for lumbar radiculopathy?

What is the treatment for lumbar radiculopathy?

Varies: Multiple, going from least to most involved: time to see if it will get better on its own, rest, oral medication, therapy or chiropractic and other noninvasive options, interventional pain management/epidural steroid injections, surgical consideration. ...Read more

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Treatment for spinal stenosis?

Treatment for spinal stenosis?

None to surgery : Up to 20% of the population will have stenosis by imaging studies by age 60. A lot have little to minimal symptoms. Treatment can include: medication, exercise/physical therapy, zero degree lordosis brace, epidural steroid injections & if all treatment fails & symptoms warrant it, surgery in terms of decompressing the neural elements by a laminectomy in the lower back & several options in neck. ...Read more

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What are effective treatments for sciatic nerve pain?

What are effective treatments for sciatic nerve pain?

Spine Pain Options: This sciatica pain 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 and may be candidate for facet injections/radiofrequency ablation and epidural steroid injections. ...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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What is the treatment for lumbar spine stenosis?

What is the treatment for lumbar spine stenosis?

Decompression: Posterior decompression laminectomy facetectomy foramenotomy other names removal of constrictive bone ligament surgically or epidural steroid injections can provide diagnostic clarity and probably temporary relief. ...Read more

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What is treatment for heel spurs?

What is treatment for heel spurs?

Keep in mind: That most commonly the pain of heel spurs is actually plantar fasciitis. Spurs rarely need to be treated, as they aren't on a weightbearing surface. Pf is an inflammation of the plantar fascia where it attaches to the heel. Spurs are a calcification of this attachment. Treatment is a combination of orthotics, stretching, icing, cortisone, night splints and more. Surgery is infrequently needed. ...Read more

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Is chiropractic treatment useful for treating tennis elbow?

Is chiropractic treatment useful for treating tennis elbow?

Not Really: Adjusting the back does not help tennis elbow , at least in young people.If they are giving pt to the elbow, maybe. ...Read more

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Best Ayurveda treatment for osteoarthritis or juvenile arthritis knee treatment?

Best Ayurveda treatment for osteoarthritis or juvenile arthritis knee treatment?

Not good.: If a child has an inflammatory knee condition, caused by jia, there are very effective treatments available with very high success rates, some used alone, and some in combinations. I would consider it child abuse not to see a rheumatologist or the hard to find, pediatric rheumatologist. Forget the herbs and spices! this not the 3rd world. ...Read more

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Anterior knee pain best treatment?

Anterior knee pain best  treatment?

Exercises: Exercise therapy can be very helpful for knee pain, particularly runners knee. However, they must be performed in certain ways. Rest from strenuous activities and targeted therapy are key. Online resources are available on sites such as simpletherapy.Com. ...Read more

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How effective is physical therapy in treating chronic plantar fasciitis?

How effective is physical therapy in treating chronic plantar fasciitis?

Depends : PT is one of my primary treatment options for PF. I find about 80% of patients see a benefit. night splinting, good footwear, rest from offending activities and possible orthotics and non-corticosteroid injections such as PRP & amniotic membrane injections are often part of my treatment plan as well. If I can help, join my care team & virtual practice at www.healthtap.com/dr-clarkeholmes ...Read more

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What is the best treatment for sciatic nerve pain?

What is the best treatment for sciatic nerve pain?

Spine Pain Options: This 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 spine specialist and may be candidate for facet injections/radiofrequency ablation and epidural steroid injections. ...Read more

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