Doctor insights on:
It is a body tissue that has the ability to contract. It shortens and generates force. It relaxes and returns to its original length. Muscles move joints, stabilize the body, move air and food through the organs, act as valves for bladder, bowel and other organs. They control movement of the eyes. They help us express ourselves by changing the shape of our ...Read more
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
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 moreSee 2 more doctor answers
Hip rotation: Theoretically internal rotation of the hip may help to determine tightness, but this would be nonspecific since there are multiple external rotators of the hip. If the piriformis is felt to be a pain generator for you, my suggestion would be to go ahead and treat the piriformis with stretches and direct modalities (i.e. massage, heat) and see if you have improvement. ...Read more
Yes: You can rest.Take care with muscle relaxing and hot pack. ...Read more
May be related: Piriformis muscles are primarily involved in external rotation and weak abductors of the hip. They do not cross into the back. That being said, increased kyphosis in the thoracic spine can cause a hyper lordosis on the low back and a pelvic tilt which may have other consequences about the hip and pelvis. A detailed exam and radiographs will usually be able to tell the cause/ effect relationship ...Read more
Can piriformis sydrome cause sharp stabbing pain in lower back more to side area of back when twisting to the side plus muscle spasms in back at night?
Yes: Piriformis syndrome describes the set of symptoms that can occur from an abnormal piriformis muscle/tendon. The piriformis begins in the pelvis and inserts on the hip and can cause back , hip, and buttock pain as well as pain that runs down the leg. ...Read more
If I have an unstable SI Joint due to stretched ligaments, is it safe for me to still stretch the piriformis muscle or will this make it worse?
An unstable SI would: be from significant injury or connective tissue disease. All U can do is ask Ur provider what Ur limitations R. I would rec 2 ease slowly into a stretching program & Always take a day off 2 C what Ur bodies response is, if ok gradually increase Ur stretching, always waiting a day or 2, 2 C how Ur body reacts 2 the increase. ...Read more